Nursing home
Manzanita Healthcare Center
5318 Manzanita Avenue, Carmichael, CA 95608 · Map
For profit - Limited Liability company · Part of Cypress Healthcare Group (13 facilities) · 99 certified beds
Manzanita Healthcare Center is a Medicare-certified nursing home in Carmichael, California. CMS rates it 2 out of 5 stars overall (4/5 for staffing, 2/5 for health inspections). Nurse staffing is 4.69 hours per resident per day, above the California average of 4.51. Its most recent inspection on Feb 6, 2025 cited 14 deficiencies.
- 1 fine totaling $7,443In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Manzanita Healthcare Center compares
This facility vs. the California and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | California avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.69 | 4.51 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.74 | 0.65 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.71 | 2.64 | 2.34 | above avg |
| Nursing staff turnover | 33.3% | 38.1% | 46.4% | below avg |
| Deficiencies cited, last inspection | 14.0 | 15.4 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $7,443, 1 total penalty.
What inspectors found at Manzanita Healthcare Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Nov 13, 2025 · Full report (PDF) - Potential for harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Aug 12, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Apr 14, 2025 · Full report (PDF) - Potential for harm
Keep all essential equipment working safely.
Environmental Deficiencies · Feb 6, 2025 · Full report (PDF) - Potential for harm
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary Deficiencies · Feb 6, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Feb 6, 2025 · Full report (PDF) - Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Feb 6, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Feb 6, 2025 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Feb 6, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Feb 6, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Feb 6, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Feb 6, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 5318 Manzanita Avenue
Carmichael, CA 95608 - CMS certification #
- 555083
- Ownership
- For profit - Limited Liability company
- Certified beds
- 99
- Avg residents/day
- 89.9
- Provider type
- Medicare and Medicaid
- First certified
- 1978-03-02
- Chain
- Cypress Healthcare Group (13 facilities)
- Setting
- Urban
Part of Cypress Healthcare Group
Cypress Healthcare Group operates 13 nursing facilities across the United States. View all Cypress Healthcare Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Manzanita Healthcare Center using Google Maps.
Other public records
- Kitchen 3 inspections by Sacramento County Environmental Management Department since 2025; latest IN COMPLIANCE (September 2025)
- Workplace safety 2 OSHA workplace safety inspections since 2018, 7 violations cited
- Emergency In FEMA's high-risk flood area (Zone AE)
Full public records, with dates and sources
Kitchen inspections
The local health department inspects the kitchen that serves residents. Results are in the agency's own words.
Sacramento County Environmental Management Department: Manzanita Healthcare Center
- Sep 8, 2025 (routine): IN COMPLIANCE. No violations listed. Report
- Sep 8, 2025 (routine): PASS. Report
1 violation
- HANDWASHING FACILITIES
- Jun 30, 2025 (routine): PASS. No violations listed. Report
Source: the agency's records, inspections since Oct 16, 2023, as of Oct 15, 2026. Pass (green): No major violations, or they were corrected during the inspection. Conditional Pass (yellow): Major violations found; a follow-up inspection is required. Closed (red): Closed for an imminent health hazard.
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Aug 15, 2022: accident investigation inspection, partial (safety). Case closed Nov 27, 2023. 2 violations cited (2 other). Penalties: $10,850 proposed, $5,500 now. OSHA record. OSHA recorded the employer as Eskaton Care Center Manzanita.
Details
- Other than serious: Cited rule 342(A). Penalty $5,000 proposed, $2,500 now. Contested by the employer.
- Other than serious: Cited rule 3273(A). Penalty $5,850 proposed, $3,000 now. Contested by the employer.
- Aug 30, 2018: programmed (planned) inspection, complete (safety). Case closed Jul 2, 2019. 5 violations cited (5 other). Penalties: $1,870 proposed, $1,500 now. OSHA record. OSHA recorded the employer as Eskaton Properties, Incorporated. Matched by street address; the name OSHA recorded differs from the community's.
Details
- Other than serious: Cited rule 3203(A)(1). Penalty $375 proposed, $300 now. To be fixed by Jan 7, 2019. Contested by the employer.
- Other than serious: Cited rule 5193(C)(2). Penalty $375 proposed, $300 now. To be fixed by Jan 7, 2019. Contested by the employer.
- Other than serious: Cited rule 2473.2(a). Penalty $185 proposed, $150 now. Contested by the employer.
- Other than serious: Cited rule 3342(C). Penalty $750 proposed, $600 now. To be fixed by Jan 7, 2019. Contested by the employer.
- Other than serious: Cited rule 5194(G)(1). Penalty $185 proposed, $150 now. Contested by the employer.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Mercy San Juan Medical Center, Carmichael. 0.9 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Sacramento Post-acute, Sacramento. 0.5 miles away, straight line.
- Nearest home health agency office
- Unique Healthcare Services, Inc, Sacramento. 0.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 1.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 95608 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita American River Dialysis, Carmichael, 0.2 miles away, straight line (CMS rating 4 of 5 stars)
Dci Madison Dialysis Clinic, Sacramento, 0.7 miles away, straight line (CMS rating 2 of 5 stars)
Davita Manzanita Dialysis Center, Carmichael, 1.7 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 49 Medicare hospices tell CMS they serve ZIP code 95608.
True Care Hospice Of Northern California, Inc, office in Citrus Heights, 1.6 miles away, straight line
Sanctuary Hospice, office in Sacramento, 2.1 miles away, straight line
Advanced Home Health And Hospice, Inc, office in Sacramento, 2.1 miles away, straight line - Nearest geriatric medicine practice
- All Inclusive Medical Services Inc, Carmichael. 0.4 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Zone AE: 1% annual chance flood area (high risk); base flood elevation set. This is inside FEMA's Special Flood Hazard Area, where flood insurance is required for federally backed mortgages. (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: inland flooding relatively moderate, tornado very low, heat wave relatively low, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Only cases that look tied to an earlier operator (not shown) |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| Sacramento County Environmental Management Department kitchen inspections | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: no FEMA wildfire rating of moderate or higher here |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is Manzanita Healthcare Center a good nursing home?
CMS gives Manzanita Healthcare Center an overall rating of 2 out of 5 stars, including 4/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Manzanita Healthcare Center staffed?
Manzanita Healthcare Center reports 4.69 total nurse hours per resident per day, compared with the California average of 4.51.
Has Manzanita Healthcare Center had inspection problems?
Its most recent CMS inspection cited 14 deficiencies.
How many beds does Manzanita Healthcare Center have?
Manzanita Healthcare Center is certified for 99 beds.