Nursing home

Mountain Manor Senior Residence

6101 Fair Oaks Boulevard, Carmichael, CA 95608

★★★★★Overall Medicare rating
★★★★★Health inspections
★★★★★Staffing
★★★★★Quality measures

Medicare rates every nursing home from 1 to 5 stars. 5 is much above average, 1 is much below.

Findings, latest cycle16
Findings with harm or immediate jeopardy, 3 cycles0
Fines, 3 years$38,855
Beds47

Inspection findings

Inspectors recorded 53 findings in the last three inspection cycles.

52 No harm, but a risk of harm1 No harm, minimal risk

Each entry below is a requirement that inspectors found the home did not meet on that date, in the regulator's own English wording.

Inspection dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
Mar 10, 2026Resident assessment and care planningEnsure services provided by the nursing facility meet professional standards of quality. (F0658)No harm, but a risk of harm
isolated · from a complaint
Corrected: Apr 3, 2026
Aug 26, 2025Quality of life and careProvide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684)No harm, but a risk of harm
isolated · from a complaint
Corrected: Sep 7, 2025
Jul 16, 2025Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
isolated · from a complaint
Corrected: Aug 7, 2025
Jul 16, 2025Pharmacy and medicationsEnsure that residents are free from significant medication errors. (F0760)No harm, but a risk of harm
isolated · from a complaint
Corrected: Aug 7, 2025
Jul 16, 2025Quality of life and careProvide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684)No harm, but a risk of harm
isolated · from a complaint
Corrected: Aug 7, 2025
Earlier inspections (48)
Inspection dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
Apr 24, 2025Infection controlImplement a program that monitors antibiotic use. (F0881)No harm, but a risk of harm
isolated
Corrected: May 22, 2025
Apr 24, 2025Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
pattern
Corrected: May 22, 2025
Apr 24, 2025AdministrationHave the Quality Assessment and Assurance group have the required members and meet at least quarterly (F0868)No harm, but a risk of harm
isolated
Corrected: May 22, 2025
Apr 24, 2025Food and nutritionProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812)No harm, but a risk of harm
widespread
Corrected: May 22, 2025
Apr 24, 2025Food and nutritionEnsure 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. (F0803)No harm, but a risk of harm
pattern
Corrected: May 22, 2025
Apr 24, 2025Food and nutritionProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (F0802)No harm, but a risk of harm
pattern
Corrected: May 22, 2025
Apr 24, 2025Pharmacy and medicationsEnsure 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. (F0761)No harm, but a risk of harm
pattern
Corrected: May 22, 2025
Apr 24, 2025Pharmacy and medicationsProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755)No harm, but a risk of harm
pattern
Corrected: May 22, 2025
Apr 24, 2025Quality of life and careProvide safe and appropriate respiratory care for a resident when needed. (F0695)No harm, but a risk of harm
isolated
Corrected: May 22, 2025
Apr 24, 2025Quality of life and careEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (F0676)No harm, but a risk of harm
isolated
Corrected: May 22, 2025
Apr 24, 2025Resident assessment and care planningEnsure services provided by the nursing facility meet professional standards of quality. (F0658)No harm, but a risk of harm
isolated
Corrected: May 22, 2025
Apr 24, 2025Resident assessment and care planningDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (F0657)No harm, but a risk of harm
isolated
Corrected: May 22, 2025
Apr 24, 2025Resident assessment and care planningDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656)No harm, but a risk of harm
isolated
Corrected: May 22, 2025
Apr 24, 2025Resident rightsNotify 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. (F0625)No harm, but a risk of harm
isolated
Corrected: May 22, 2025
Apr 24, 2025Resident rightsHonor 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. (F0584)No harm, but a risk of harm
isolated
Corrected: May 22, 2025
Oct 30, 2024Quality of life and careEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689)No harm, but a risk of harm
isolated · from a complaint
Corrected: Dec 5, 2024
Aug 6, 2024Resident rightsHonor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. (F0559)No harm, but a risk of harm
isolated · from a complaint
Corrected: Aug 14, 2024
Jun 6, 2024Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
isolated
Corrected: Jul 2, 2024
Jun 6, 2024Food and nutritionProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812)No harm, but a risk of harm
widespread
Corrected: Jul 2, 2024
Jun 6, 2024Food and nutritionEnsure 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. (F0803)No harm, but a risk of harm
pattern
Corrected: Jul 2, 2024
Jun 6, 2024Pharmacy and medicationsEnsure 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. (F0761)No harm, but a risk of harm
pattern
Corrected: Jul 2, 2024
Jun 6, 2024Pharmacy and medicationsEnsure medication error rates are not 5 percent or greater. (F0759)No harm, but a risk of harm
pattern
Corrected: Jul 2, 2024
Jun 6, 2024Pharmacy and medicationsEnsure each resident’s drug regimen must be free from unnecessary drugs. (F0757)No harm, but a risk of harm
isolated
Corrected: Jul 2, 2024
Jun 6, 2024Pharmacy and medicationsProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755)No harm, but a risk of harm
pattern
Corrected: Jul 2, 2024
Jun 6, 2024Nursing and physician servicesPost nurse staffing information every day. (F0732)No harm, minimal risk
widespread
Corrected: Jul 2, 2024
Jun 6, 2024Quality of life and careAssist a resident in gaining access to vision and hearing services. (F0685)No harm, but a risk of harm
isolated
Corrected: Jul 2, 2024
Jun 6, 2024Quality of life and careProvide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684)No harm, but a risk of harm
isolated
Corrected: Jul 2, 2024
Jun 6, 2024Quality of life and careProvide care and assistance to perform activities of daily living for any resident who is unable. (F0677)No harm, but a risk of harm
isolated
Corrected: Jul 2, 2024
Jun 6, 2024Resident assessment and care planningEnsure services provided by the nursing facility meet professional standards of quality. (F0658)No harm, but a risk of harm
isolated
Corrected: Jul 2, 2024
Jun 6, 2024Resident assessment and care planningDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656)No harm, but a risk of harm
isolated
Corrected: Jul 2, 2024
Jun 6, 2024Resident assessment and care planningAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (F0636)No harm, but a risk of harm
isolated
Corrected: Jul 2, 2024
May 11, 2023Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
pattern
Corrected: Jun 1, 2023
May 11, 2023Food and nutritionProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812)No harm, but a risk of harm
isolated
Corrected: Jun 1, 2023
May 11, 2023Food and nutritionEnsure 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. (F0803)No harm, but a risk of harm
isolated
Corrected: Jun 1, 2023
May 11, 2023Pharmacy and medicationsEnsure 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. (F0761)No harm, but a risk of harm
pattern
Corrected: Jun 1, 2023
May 11, 2023Pharmacy and medicationsImplement 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. (F0758)No harm, but a risk of harm
pattern
Corrected: Jun 1, 2023
May 11, 2023Pharmacy and medicationsEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (F0756)No harm, but a risk of harm
pattern
Corrected: Jun 1, 2023
May 11, 2023Pharmacy and medicationsProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755)No harm, but a risk of harm
pattern
Corrected: Jun 1, 2023
May 11, 2023Nursing and physician servicesObserve each nurse aide's job performance and give regular training. (F0730)No harm, but a risk of harm
widespread
Corrected: Jun 1, 2023
May 11, 2023Resident assessment and care planningEnsure services provided by the nursing facility meet professional standards of quality. (F0658)No harm, but a risk of harm
pattern
Corrected: Jun 1, 2023
May 11, 2023Resident assessment and care planningDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (F0657)No harm, but a risk of harm
isolated
Corrected: Jun 1, 2023
May 11, 2023Resident assessment and care planningDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656)No harm, but a risk of harm
isolated
Corrected: Jun 1, 2023
May 11, 2023Resident assessment and care planningCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (F0655)No harm, but a risk of harm
isolated
Corrected: Jun 1, 2023
May 11, 2023Resident assessment and care planningEnsure each resident receives an accurate assessment. (F0641)No harm, but a risk of harm
isolated
Corrected: Jun 1, 2023
May 11, 2023Resident assessment and care planningAssess the resident when there is a significant change in condition (F0637)No harm, but a risk of harm
isolated
Corrected: Jun 1, 2023
May 11, 2023Resident rightsHonor 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. (F0578)No harm, but a risk of harm
isolated
Corrected: Jun 1, 2023
May 11, 2023Resident rightsEnsure that residents are fully informed and understand their health status, care and treatments. (F0552)No harm, but a risk of harm
isolated
Corrected: Jun 1, 2023
May 11, 2023Resident rightsHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F0550)No harm, but a risk of harm
isolated
Corrected: Jun 1, 2023

Fines and payment denials

Federal fines in the last three years: $38,855 (3). Payment denials: 0.

DateTypeAmount
Apr 24, 2025Fine$26,685
Jan 30, 2024Fine$7,976
Dec 11, 2023Fine$4,194

Staffing

Nurse staff hours per resident per day4.86California median: 4.27
Registered nurse hours per resident per day0.80California median: 0.52
Nurse staff hours on weekends4.24California median: 3.85
Nursing staff who left within a yearno dataCalifornia median: 36.0%

About this home

Beds47
Residents per day, average43.2
OwnershipFor-profit, corporation
Legal business nameGrandcare Inc.
In Medicare/Medicaid sinceSep 9, 2014

Questions to ask when you call

Source. Medicare Care Compare (CMS Provider Data), data dated Oct 1, 2026. Open this home on Medicare.gov

More in Carmichael

River City Post AcuteRiver Pointe Post-AcuteMission Carmichael Healthcare CenterWhitney Oaks Care CenterManzanita Healthcare CenterAmerican River CenterEskaton Village Care CenterCarmichael →

CallFindings