Starfile / California

MOUNTAIN MANOR SENIOR RESIDENCE

6101 FAIR OAKS BOULEVARD, CARMICHAEL, CA 95608 · CCN 555889

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$71,557

Number of fines

4

Number of penalties

4

Payment denials

0

Inspection citations (53)1 actual harm

1. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-08-26 · Health · corrected 2025-09-07

   Potential for more than minimal harm

2. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-07-16 · Health · corrected 2025-08-07

   Potential for more than minimal harm

3. DF0760Ensure that residents are free from significant medication errors.2025-07-16 · Health · corrected 2025-08-07

   Potential for more than minimal harm

4. DF0880Provide and implement an infection prevention and control program.2025-07-16 · Health · corrected 2025-08-07

   Potential for more than minimal harm

5. DF0584Honor 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.2025-04-24 · Health · corrected 2025-05-22

   Potential for more than minimal harm

6. DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2025-04-24 · Health · corrected 2025-05-22

   Potential for more than minimal harm

7. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-24 · Health · corrected 2025-05-22

   Potential for more than minimal harm

8. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-04-24 · Health · corrected 2025-05-22

   Potential for more than minimal harm

9. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-04-24 · Health · corrected 2025-05-22

   Potential for more than minimal harm

10. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2025-04-24 · Health · corrected 2025-05-22

    Potential for more than minimal harm

11. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-04-24 · Health · corrected 2025-05-22

    Potential for more than minimal harm

12. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-04-24 · Health · corrected 2025-05-22

    Potential for more than minimal harm

13. EF0761Ensure 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.2025-04-24 · Health · corrected 2025-05-22

    Potential for more than minimal harm

14. EF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2025-04-24 · Health · corrected 2025-05-22

    Potential for more than minimal harm

15. EF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2025-04-24 · Health · corrected 2025-05-22

    Potential for more than minimal harm

16. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-04-24 · Health · corrected 2025-05-22

    Potential for more than minimal harm

17. DF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2025-04-24 · Health · corrected 2025-05-22

    Potential for more than minimal harm

18. EF0880Provide and implement an infection prevention and control program.2025-04-24 · Health · corrected 2025-05-22

    Potential for more than minimal harm

19. DF0881Implement a program that monitors antibiotic use.2025-04-24 · Health · corrected 2025-05-22

    Potential for more than minimal harm

20. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-30 · Health · corrected 2024-12-05

    Potential for more than minimal harm

21. DF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2024-08-06 · Health · corrected 2024-08-14

    Potential for more than minimal harm

22. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2024-06-06 · Health · corrected 2024-07-02

    Potential for more than minimal harm

23. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-06-06 · Health · corrected 2024-07-02

    Potential for more than minimal harm

24. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-06-06 · Health · corrected 2024-07-02

    Potential for more than minimal harm

25. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-06-06 · Health · corrected 2024-07-02

    Potential for more than minimal harm

26. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-06-06 · Health · corrected 2024-07-02

    Potential for more than minimal harm

27. DF0685Assist a resident in gaining access to vision and hearing services.2024-06-06 · Health · corrected 2024-07-02

    Potential for more than minimal harm

28. CF0732Post nurse staffing information every day.2024-06-06 · Health · corrected 2024-07-02

    Potential for minimal harm

29. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-06-06 · Health · corrected 2024-07-02

    Potential for more than minimal harm

30. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-06-06 · Health · corrected 2024-07-02

    Potential for more than minimal harm

31. EF0759Ensure medication error rates are not 5 percent or greater.2024-06-06 · Health · corrected 2024-07-02

    Potential for more than minimal harm

32. EF0761Ensure 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.2024-06-06 · Health · corrected 2024-07-02

    Potential for more than minimal harm

33. EF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2024-06-06 · Health · corrected 2024-07-02

    Potential for more than minimal harm

34. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-06-06 · Health · corrected 2024-07-02

    Potential for more than minimal harm

35. DF0880Provide and implement an infection prevention and control program.2024-06-06 · Health · corrected 2024-07-02

    Potential for more than minimal harm

36. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-05-11 · Health · corrected 2023-06-01

    Potential for more than minimal harm

37. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-05-11 · Health · corrected 2023-06-01

    Potential for more than minimal harm

38. DF0578Honor 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.2023-05-11 · Health · corrected 2023-06-01

    Potential for more than minimal harm

39. DF0637Assess the resident when there is a significant change in condition2023-05-11 · Health · corrected 2023-06-01

    Potential for more than minimal harm

40. DF0641Ensure each resident receives an accurate assessment.2023-05-11 · Health · corrected 2023-06-01

    Potential for more than minimal harm

41. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-05-11 · Health · corrected 2023-06-01

    Potential for more than minimal harm

42. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-05-11 · Health · corrected 2023-06-01

    Potential for more than minimal harm

43. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-05-11 · Health · corrected 2023-06-01

    Potential for more than minimal harm

44. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-05-11 · Health · corrected 2023-06-01

    Potential for more than minimal harm

45. FF0730Observe each nurse aide's job performance and give regular training.2023-05-11 · Health · corrected 2023-06-01

    Potential for more than minimal harm

46. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-05-11 · Health · corrected 2023-06-01

    Potential for more than minimal harm

47. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-05-11 · Health · corrected 2023-06-01

    Potential for more than minimal harm

48. EF0758Implement 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.2023-05-11 · Health · corrected 2023-06-01

    Potential for more than minimal harm

49. EF0761Ensure 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.2023-05-11 · Health · corrected 2023-06-01

    Potential for more than minimal harm

50. DF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2023-05-11 · Health · corrected 2023-06-01

    Potential for more than minimal harm

51. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-05-11 · Health · corrected 2023-06-01

    Potential for more than minimal harm

52. EF0880Provide and implement an infection prevention and control program.2023-05-11 · Health · corrected 2023-06-01

    Potential for more than minimal harm

53. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-03-27 · Health · corrected 2023-05-08

    Actual harm

Ownership

Other facilities in CARMICHAEL

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.