Starfile

Starfile / California

WHITNEY OAKS CARE CENTER

3529 WALNUT AVENUE, CARMICHAEL, CA 95608 · CCN 056410

Abuse icon

Ratings

Overall
★★☆☆☆ 2
Health inspection
★★☆☆☆ 2
Quality measures
★★★★☆ 4
Staffing
★★☆☆☆ 2

Facility

Ownership type
For profit - Corporation
Certified beds
126
Avg residents/day
119.8
Phone
9164888601

Inspection history vs California & national averages

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

CycleInspection dateThis facilityCalifornia avgNational avgvs state
12025-05-232315.69.5+7.4 worse
22024-06-212417.49.8+6.6 worse
32022-07-221617.19.3-1.1 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation2
Quality of life and care6
Resident assessment and care planning4
Nursing and physician services1
Resident rights3
Nutrition and dietary2
Pharmacy service3
Environmental1
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)4.0133.6%
RN staffing (reported)0.3535.3%
Total nurse staffing (adjusted)3.46

Fines & penalties

Total fines
$0
Number of fines
0
Number of penalties
0
Payment denials
0

Chain

Chain
PACS GROUP
Facilities in chain
264
Chain avg overall
2.90 / 5

Inspection citations (63)1 actual harm

  1. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-12-23 · Health · corrected 2026-01-16

    Potential for more than minimal harm

  2. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-12-16 · Health · corrected 2026-01-01

    Potential for more than minimal harm

  3. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-12-10 · Health · corrected 2025-12-29

    Potential for more than minimal harm

  4. EF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2025-09-23 · Health · corrected 2025-09-30

    Potential for more than minimal harm

  5. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-09-23 · Health · corrected 2025-09-30

    Potential for more than minimal harm

  6. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-08-08 · Health · corrected 2025-08-21

    Potential for more than minimal harm

  7. DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2025-07-15 · Health · corrected 2025-07-22

    Potential for more than minimal harm

  8. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-06-12 · Health · corrected 2025-07-01

    Potential for more than minimal harm

  9. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-05-23 · Health · corrected 2025-06-11

    Potential for more than minimal harm

  10. DF0641Ensure each resident receives an accurate assessment.2025-05-23 · Health · corrected 2025-06-11

    Potential for more than minimal harm

  11. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-05-23 · Health · corrected 2025-06-11

    Potential for more than minimal harm

  12. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2025-05-23 · Health · corrected 2025-06-11

    Potential for more than minimal harm

  13. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-05-23 · Health · corrected 2025-06-11

    Potential for more than minimal harm

  14. DF0687Provide appropriate foot care.2025-05-23 · Health · corrected 2025-06-11

    Potential for more than minimal harm

  15. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-05-23 · Health · corrected 2025-06-11

    Potential for more than minimal harm

  16. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-05-23 · Health · corrected 2025-06-11

    Potential for more than minimal harm

  17. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-05-23 · Health · corrected 2025-06-11

    Potential for more than minimal harm

  18. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-05-23 · Health · corrected 2025-06-11

    Potential for more than minimal harm

  19. DF0761Ensure 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.2025-05-23 · Health · corrected 2025-06-11

    Potential for more than minimal harm

  20. 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.2025-05-23 · Health · corrected 2025-06-11

    Potential for more than minimal harm

  21. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-05-23 · Health · corrected 2025-06-11

    Potential for more than minimal harm

  22. EF0880Provide and implement an infection prevention and control program.2025-05-23 · Health · corrected 2025-06-11

    Potential for more than minimal harm

  23. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-05-23 · Health · corrected 2025-06-11

    Potential for more than minimal harm

  24. EF0584Honor 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.2024-08-08 · Health · corrected 2024-08-10

    Potential for more than minimal harm

  25. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-07-18 · Health · corrected 2024-07-30

    Potential for more than minimal harm

  26. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-07-18 · Health · corrected 2024-07-30

    Potential for more than minimal harm

  27. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-07-12 · Health · corrected 2024-07-23

    Actual harm

  28. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-06-21 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  29. DF0641Ensure each resident receives an accurate assessment.2024-06-21 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  30. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-06-21 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  31. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-06-21 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  32. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-06-21 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  33. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-06-21 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  34. DF0687Provide appropriate foot care.2024-06-21 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  35. EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-06-21 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  36. DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2024-06-21 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  37. DF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2024-06-21 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  38. DF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.2024-06-21 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  39. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-06-21 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  40. DF0758Implement 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.2024-06-21 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  41. EF0759Ensure medication error rates are not 5 percent or greater.2024-06-21 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  42. EF0760Ensure that residents are free from significant medication errors.2024-06-21 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  43. 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.2024-06-21 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  44. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-06-21 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  45. EF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2024-06-21 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  46. FF0814Dispose of garbage and refuse properly.2024-06-21 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  47. EF0880Provide and implement an infection prevention and control program.2024-06-21 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  48. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-12-04 · Health · corrected 2023-12-21

    Potential for more than minimal harm

  49. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-12-04 · Health · corrected 2023-12-21

    Potential for more than minimal harm

  50. DF0610Respond appropriately to all alleged violations.2023-12-04 · Health · corrected 2023-12-21

    Potential for more than minimal harm

  51. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-06 · Health · corrected 2023-11-15

    Potential for more than minimal harm

  52. 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.2023-10-09 · Health · corrected 2023-10-30

    Potential for more than minimal harm

  53. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-09-23 · Health · corrected 2023-11-03

    Potential for more than minimal harm

  54. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-07-26 · Health · corrected 2023-08-04

    Potential for more than minimal harm

  55. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-07-12 · Health · corrected 2023-08-01

    Potential for more than minimal harm

  56. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-05-15 · Health · corrected 2023-05-26

    Potential for more than minimal harm

  57. DF0610Respond appropriately to all alleged violations.2023-05-15 · Health · corrected 2023-05-26

    Potential for more than minimal harm

  58. EF0583Keep residents' personal and medical records private and confidential.2022-07-22 · Health · corrected 2022-08-15

    Potential for more than minimal harm

  59. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-07-22 · Health · corrected 2022-08-15

    Potential for more than minimal harm

  60. DF0760Ensure that residents are free from significant medication errors.2022-07-22 · Health · corrected 2022-08-15

    Potential for more than minimal harm

  61. EF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2022-07-22 · Health · corrected 2022-08-15

    Potential for more than minimal harm

  62. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-07-22 · Health · corrected 2022-08-15

    Potential for more than minimal harm

  63. EF0880Provide and implement an infection prevention and control program.2022-07-22 · Health · corrected 2022-08-15

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
CAPITAL SNF HOLDING COMPANY, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2023-06-30
PACS GROUP, INC.Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-06-30
PACS HOLDINGS, LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-06-30
PROVIDENCE GROUP NH, LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-06-30
HANCOCK, MARKIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-04-15
MURRAY, JASONIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST2021-11-05
APT, FREDERICKIndividualCORPORATE OFFICER2024-01-01
HANCOCK, MARKIndividualCORPORATE OFFICER2024-01-01
JERGENSEN, JOSHUAIndividualCORPORATE OFFICER2024-01-01
MITCHELL, JOHNIndividualCORPORATE OFFICER2024-01-01
BHUTANI, SHIVANIIndividualCONTRACTED MANAGING EMPLOYEE2023-03-01
OLSON, ABRAHAMIndividualW-2 MANAGING EMPLOYEE2023-10-10

Other facilities in CARMICHAEL

NameOverallBeds
AMERICAN RIVER CENTER★★★★★99
ESKATON VILLAGE CARE CENTER★★★★★35
MISSION CARMICHAEL HEALTHCARE CENTER★★★★☆135
MOUNTAIN MANOR SENIOR RESIDENCE★★★☆☆47
MANZANITA HEALTHCARE CENTER★★☆☆☆99

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