All states › California › Carmichael › Manzanita Healthcare Center
5318 Manzanita Avenue Carmichael, CA 95608 · Sacramento County
All 8 nursing homes in Carmichael, CA (8 take Medicaid)
CMS certification number 555083 · See this home on Medicare Care Compare
Is Manzanita Healthcare Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Manzanita Healthcare Center as of October 2026.
CMS rates it 5 out of 5 stars overall, above the California average of 3.2.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 5.08 hours per resident per day at Manzanita Healthcare Center, above the California median of 4.27 (US median: 3.72). About 0.86 of those hours are from registered nurses. On weekends it falls to 4.61 hours, 9% below its all-week average. 27% of nursing staff left within a year (California median 36%).
About this nursing home
Paying for care at Manzanita Healthcare Center: Medicare and Medicaid
Manzanita Healthcare Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet California's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on April 15, 2026 and found 6 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 46 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 46 citations at Manzanita Healthcare Center across 8 inspection dates, 7 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on November 12, 2025. The most common areas cited were nutrition and dietary (8) and pharmacy service (8). The most serious was cited under the CMS rule to "provide appropriate pressure ulcer care and prevent new ulcers from developing" (tag F0686, level G, November 12, 2025). 2 citations were under CMS's abuse, neglect and exploitation rules.
April 15, 2026 · 6 citations
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
November 12, 2025 · 1 citation, includes actual harm · includes complaint inspection
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
August 12, 2025 · 1 citation · includes complaint inspection
DMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
April 14, 2025 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
February 6, 2025 · 11 citations
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EEnsure medication error rates are not 5 percent or greater.
EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHave a policy regarding use and storage of foods brought to residents by family and other visitors.
EKeep all essential equipment working safely.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
DImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
DProvide and implement an infection prevention and control program.
December 19, 2024 · 2 citations · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
July 1, 2024 · 2 citations · includes complaint inspection
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
December 7, 2023 · 22 citations
FEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FInform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
FKeep all essential equipment working safely.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EMake sure that a working call system is available in each resident's bathroom and bathing area.
DHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
DAssess the resident when there is a significant change in condition
DEnsure each resident receives an accurate assessment.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure services provided by the nursing facility meet professional standards of quality.
DAssist a resident in gaining access to vision and hearing services.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide medically-related social services to help each resident achieve the highest possible quality of life.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of Manzanita Healthcare Center
- Inspectors cited the home at the actual-harm level on November 12, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on April 15, 2026. How are staff trained, and how are concerns reported?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 5/5 | 4/5 | 5/5 | 5/5 |
| August 2026 | 5/5 | 3/5 | 5/5 | 5/5 |
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Location
Hospitals near Manzanita Healthcare Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
1.0 mi
Mercy San Juan Medical Center CarmichaelEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 17m for patients treated and sent home
- 2.3 mi
-
5.4 mi
Kaiser Foundation Hospital - Sacramento/Roseville SacramentoEmergency room ★★★★☆ Medicare overall 4 of 5
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Compare Manzanita Healthcare Center with the 3 closest homes side by side ›
Other Cypress Healthcare Group nursing homes in California
- Oak Ridge Healthcare Center · Roseville · 5 stars
- Woodside Healthcare Center · Sacramento · 5 stars
- Sherwood Healthcare Center · Sacramento · 5 stars
- Gold Country Health Center · Placerville · 4 stars
- College Oak Nursing and Rehabilitation Center · Sacramento · 4 stars
- Pioneer House · Sacramento · 4 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 13 Cypress Healthcare Group nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.