The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Nursing home report
MOUNTAIN MANOR SENIOR RESIDENCE
CARMICHAEL, CA · Medicare-certified · 47 beds
Needs attention
For-profit
2 of 5 overall
Mountain Manor Senior Residence has a 2 out of 5 overall rating, with a 2-star health inspection rating and a recent federal penalty; staffing is relatively strong at 4.71 hours per resident per day, above the 4.1 benchmark. It also had $26,685 in fines over the last 24 months and recent inspection citations for food safety, nurse aide training, and infection prevention and control.
Facility ratings
Health inspections
Staffing
4.7103 hrs/resident/day
Quality measures
Last inspection: March 10, 2026Penalties, last 24 months: $26,685recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.7103.
Staffing detail
- Registered nurses
- 0.84
- Licensed practical nurses
- 1.26
- Nurse aides
- 2.61
- Weekend nursing
- 4.18
Hours per resident per day.
Total staff turnover: 34%
Registered nurse turnover: 64%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
0%Steady
Residents with a fall causing major injury
0%Steady
Residents with pressure ulcers (bedsores)
9.5%Steady
Residents with a urinary tract infection
7.3%Steady
Residents who lost too much weight
2.4%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
17.6%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
14%Steady
Short-stay residents newly given an antipsychotic
1.3%Worsening
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
20.2%Steady
Residents with depressive symptoms
0%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
98.5%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
What the inspectors found
The home failed to properly watch nurse aides' work and provide regular training. Cited May 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 730 — 42 CFR §483.35(e)(7) — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited April 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited April 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited April 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $26,685 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $38,855 in total fines.
- $26,685
Federal fine
Apr 24, 2025
- $7,976
Federal fine
Jan 30, 2024
- $4,194
Federal fine
Dec 11, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Occupancy
- 45.6 residents on an average day (97% of 47 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 11 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.