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.
| Cycle | Inspection date | This facility | California avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-05-23 | 23 | 15.6 | 9.5 | +7.4 worse |
| 2 | 2024-06-21 | 24 | 17.4 | 9.8 | +6.6 worse |
| 3 | 2022-07-22 | 16 | 17.1 | 9.3 | -1.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 6 |
| Resident assessment and care planning | 4 |
| Nursing and physician services | 1 |
| Resident rights | 3 |
| Nutrition and dietary | 2 |
| Pharmacy service | 3 |
| Environmental | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.01 | 33.6% |
| RN staffing (reported) | 0.35 | 35.3% |
| 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0641Ensure each resident receives an accurate assessment.2025-05-23 · Health · corrected 2025-06-11
Potential for more than minimal harm
- 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
- 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
- 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
- DF0687Provide appropriate foot care.2025-05-23 · Health · corrected 2025-06-11
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2025-05-23 · Health · corrected 2025-06-11
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- DF0641Ensure each resident receives an accurate assessment.2024-06-21 · Health · corrected 2024-07-12
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- DF0687Provide appropriate foot care.2024-06-21 · Health · corrected 2024-07-12
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- EF0759Ensure medication error rates are not 5 percent or greater.2024-06-21 · Health · corrected 2024-07-12
Potential for more than minimal harm
- EF0760Ensure that residents are free from significant medication errors.2024-06-21 · Health · corrected 2024-07-12
Potential for more than minimal harm
- 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
- 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
- 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
- FF0814Dispose of garbage and refuse properly.2024-06-21 · Health · corrected 2024-07-12
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-06-21 · Health · corrected 2024-07-12
Potential for more than minimal harm
- 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
- 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
- DF0610Respond appropriately to all alleged violations.2023-12-04 · Health · corrected 2023-12-21
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- DF0610Respond appropriately to all alleged violations.2023-05-15 · Health · corrected 2023-05-26
Potential for more than minimal harm
- EF0583Keep residents' personal and medical records private and confidential.2022-07-22 · Health · corrected 2022-08-15
Potential for more than minimal harm
- 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
- DF0760Ensure that residents are free from significant medication errors.2022-07-22 · Health · corrected 2022-08-15
Potential for more than minimal harm
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2022-07-22 · Health · corrected 2022-08-15
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CAPITAL SNF HOLDING COMPANY, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-06-30 |
| PACS GROUP, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-30 |
| PACS HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-30 |
| PROVIDENCE GROUP NH, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-30 |
| HANCOCK, MARK | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-04-15 |
| MURRAY, JASON | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-11-05 |
| APT, FREDERICK | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| HANCOCK, MARK | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| JERGENSEN, JOSHUA | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| MITCHELL, JOHN | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| BHUTANI, SHIVANI | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2023-03-01 |
| OLSON, ABRAHAM | Individual | W-2 MANAGING EMPLOYEE | — | 2023-10-10 |
Other facilities in CARMICHAEL
| Name | Overall | Beds |
|---|---|---|
| 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.