Home›Browse›California›Carmichael›Manzanita Healthcare Center

Nursing homeFAID #13426

Manzanita Healthcare Center

5318 MANZANITA AVENUE, CARMICHAEL, CA, 95608

(916) 331-8513

99 licensed beds

CMS rates Manzanita Healthcare Center 5 out of 5 overall. Federal inspectors issued 67 citations across 11 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★5/5CMS Five-Star overall4/5 health inspections5/5 staffing5/5 quality measuresSource: CMS Care Compare

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Address

5318 Manzanita Avenue

Carmichael, CA 95608

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

555083

Care type

Nursing home

County

Sacramento

Facility name

Manzanita Healthcare Center

Street address

5318 MANZANITA AVENUE

City / state / ZIP

Carmichael, CA 95608

Phone

(916) 331-8513

About this facility — Manzanita Healthcare Center

Manzanita Healthcare Center is a Medicare/Medicaid-certified skilled nursing facility in Carmichael, California. It is licensed for 99 beds — close to the median for skilled nursing facilities in California (98 beds).

It is one of 94 senior care facilities in Carmichael and 1,165 skilled nursing facilities across California. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Cypress Healthcare Group, a group of 13 facilities on this site.

Federal inspectors have cited Manzanita Healthcare Center 67 times across 11 inspections in the last three years, including 8 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Cypress Healthcare Group

Ownership type

For profit - Limited Liability company

Registered owners & officers

Dhir, Sunil

Operational control · Additional disclosable party — since 2023

Fulkerson, Jessica

Operational control · Additional disclosable party — since 2025

Jackson, Matthew

Officer · Operational control · Additional disclosable party — since 2023

Jackson, Robert

Officer · Operational control · Additional disclosable party — since 2023

Kaur, Shalendar

Operational control · Additional disclosable party — since 2025

Sanofsky, Jack

Officer · Operational control · Additional disclosable party — since 2023

Tyson, Zachary

Operational control · Additional disclosable party — since 2023

Regulatory standing

Licensed / certified since

1978-03-02

CMS overall rating

5 of 5 stars

Health deficiencies

7 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-04-15

Nurse staffing

5.1 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$591 per day (≈ $17,970/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

54% Medicaid · 8% Medicare · 38% private/other

Occupancy

72% (fiscal year 2023)

Vs. state median

15% above the CA median of $514/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 8 food-safety citations on its three-year record — flagged below among the inspections.

2026-04-15Health inspection6 citations

F-0609

D · No harm found

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2026-05-01

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2026-05-01

F-0761

D · No harm found

Ensure 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.

Corrected 2026-05-01

F-0804

E · No harm foundFood safety

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2026-05-01

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-05-01

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-05-01

2025-11-12Health inspectionComplaint-triggered1 citation

F-0686

G · Actual harmFrom a complaint

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-11-21

9 earlier / fire-safety inspections (60 citations)

2025-08-12Health inspectionComplaint-triggered1 citation

F-0925

D · No harm foundFrom a complaint

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2025-08-14

2025-04-14Health inspectionComplaint-triggered1 citation

F-0689

D · No harm foundFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-04-17

2025-02-06Health inspection11 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-02-27

F-0676

D · No harm found

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2025-02-27

F-0755

E · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-02-27

F-0758

D · No harm found

Implement 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.

Corrected 2025-02-27

F-0759

E · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-02-27

F-0761

E · No harm found

Corrected 2025-02-27

F-0804

E · No harm foundFood safety

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-02-27

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-02-27

F-0813

E · No harm foundFood safety

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2025-02-27

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-02-27

F-0908

E · No harm found

Keep all essential equipment working safely.

Corrected 2025-02-27

2024-12-19Health inspectionComplaint-triggered2 citations

F-0600

D · No harm foundFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-12-19

F-0919

D · No harm foundFrom a complaint

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2024-12-19

2024-07-01Health inspectionComplaint-triggered2 citations

F-0658

D · No harm foundFrom a complaint

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-07-25

F-0689

D · No harm foundFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-07-25

2023-12-07Health inspection22 citations

F-0557

D · No harm found

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2023-12-12

F-0578

D · No harm found

Honor 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.

Corrected 2023-12-12

F-0584

D · No harm found

Honor 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.

Corrected 2023-12-12

F-0637

D · No harm found

Assess the resident when there is a significant change in condition

Corrected 2023-12-12

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2023-12-12

F-0655

D · No harm found

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2023-12-12

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-12-12

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-12-12

F-0685

D · No harm found

Assist a resident in gaining access to vision and hearing services.

Corrected 2023-12-12

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-12-12

F-0745

D · No harm found

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2023-12-12

F-0755

E · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-12-12

F-0758

E · No harm found

Corrected 2023-12-12

F-0761

E · No harm found

Corrected 2023-12-12

F-0801

F · No harm foundFood safety

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2023-12-12

F-0804

E · No harm foundFood safety

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2023-12-12

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-12-12

F-0842

D · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-12-12

F-0847

F · No harm found

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Corrected 2023-12-12

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2023-12-12

F-0908

F · No harm found

Keep all essential equipment working safely.

Corrected 2023-12-12

F-0919

E · No harm found

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2023-12-12

2026-04-15Fire-safety inspection8 citations

K-0291

D · No harm found

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2026-04-28

K-0293

D · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2026-04-27

K-0342

C · No harm found

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

Corrected 2026-04-28

K-0353

C · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-04-27

K-0711

D · No harm found

Provide a written emergency evacuation plan.

Corrected 2026-04-27

K-0712

C · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2026-04-28

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2026-05-04

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2026-04-27

2025-02-06Fire-safety inspection6 citations

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2025-02-14

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2025-02-11

K-0741

D · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2025-02-11

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-02-11

K-0919

D · No harm found

Meet requirements for the use of electrical equipment.

Corrected 2025-02-11

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2025-02-12

2023-12-07Fire-safety inspection7 citations

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2024-01-11

K-0291

D · No harm found

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-01-11

K-0347

F · No harm found

Properly provide smoke detection systems in areas open to corridors.

Corrected 2024-01-11

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-01-11

K-0355

D · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-01-11

K-0363

F · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2024-01-11

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-01-11

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 555083.

Quality of care & staffing

How it compares in California.

Inspection citations, 3 years

More than 52% of nursing homes in the state

State median: 65

Federal fines, 3 years

No federal fines on record

State median: $0

Nurse staffing, hours per resident per day

5.1

Higher than 85% of nursing homes in the state

State median: 4.3

Nursing staff turnover, annual

27%

Higher than 21% of nursing homes in the state

State median: 36%

Resident outcomes

On 19 federal quality measures, this facility does better than the California average on 11 and worse on 3. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	1.1%	10.2%	13.5%	Better than state
Lose too much weight	6.6%	4.1%	5.1%	Worse than state
With a catheter inserted and left in their bladder	0.0%	0.7%	0.7%	Better than state
With a urinary tract infection	0.0%	1.2%	1.5%	Better than state
Have depressive symptoms	1.0%	7.6%	13.5%	Better than state
Were physically restrained	0.0%	0.3%	0.1%	Better than state
Experiencing one or more falls with major injury	2.6%	1.6%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	98.7%	93.7%	Near state average
Ability to walk independently worsened	3.2%	8.9%	12.7%	Better than state
Received an antianxiety or hypnotic medication	5.4%	13.7%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	100.0%	97.9%	95.3%	Near state average
With pressure ulcers	5.1%	4.3%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	3.7%	9.8%	18.3%	Better than state
Received an antipsychotic medication	8.6%	12.3%	15.4%	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	100.0%	94.6%	82.3%	Near state average
Newly received an antipsychotic medication	0.5%	1.3%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	100.0%	93.1%	80.1%	Near state average
Were rehospitalized after a nursing home admission	14.4%	22.6%	23.4%	Better than state
Had an outpatient emergency department visit	12.0%	11.1%	11.8%	Near state average

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0658 3 inspections. Ensure services provided by the nursing facility meet professional standards of quality.
F-0761 3 inspections. Ensure 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.
F-0804 3 inspections. Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0880 3 inspections. Provide and implement an infection prevention and control program.
K-0918 3 inspections. Have generator or other power source capable of supplying service within 10 seconds.

Verify & compare

Where to check, and what's nearby.

Who to contact in California

Licensing: California Department of Public Health, Center for Health Care Quality, Licensing and Certification
File a complaint: 844-538-8766 · Online
Long-Term Care Ombudsman: 800-231-4024. A free advocate for residents and families.
Adult Protective Services: 833-401-0832. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Mercy San Juan Medical Center, about 0.9 miles. CMS rating 3 of 5.
Heritage Oaks Hospital, about 2.3 miles.
Kaiser Foundation Hospital - Sacramento, about 5.4 miles. CMS rating 4 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

G.m. Rojo Guest Home, Sacramento, about 0.3 miles. 8 state visits on record.
Sacramento Post-acute, Sacramento, about 0.5 miles. CMS rating 4 of 5.
Augustus Elder Care Home, Carmichael, about 0.6 miles. 6 state visits on record.
Treasured Ones Senior Living, Carmichael, about 0.7 miles. 1 state visits on record.
Loving Angels Carehome 2, Carmichael, about 0.8 miles. 4 state visits on record.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

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Inspection citations — last 5 years

Locked

The 67 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered