Fair Oaks Healthcare Center

CCN 555153 · MACKENZIE LLC · For profit - Limited Liability company · CYPRESS HEALTHCARE GROUP chain · 149 certified beds · Sacramento · CA


Fair Oaks Healthcare Center is a 149-bed nursing home in Fair Oaks, California. CMS has certified it for Medicare and Medicaid since 1983-07-01. It averages 143.8 residents a day.

What harm was found in the violations cited at Fair Oaks Healthcare Center?

CMS lists 55 health-inspection deficiencies for Fair Oaks Healthcare Center since 2021-11-04, 45 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-07-02.

Survey dateTagDeficiencySeverity
2026-07-02F0658Ensure services provided by the nursing facility meet professional standards of quality.D
2026-05-21F0554Allow residents to self-administer drugs if determined clinically appropriate.D
2026-04-15F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D
2026-02-13F0585, F0761, F0808, F0812, F0880Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / 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. / Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.E
2026-02-13F0550, F0584, F0605, F0658, F0677, F0686, F0690, F0695, F0760, F0921Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor 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. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure that residents are free from significant medication errors. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D
2025-09-10F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.D
2025-09-09F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2025-05-09F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-01-08F0684, F0842Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-10-18F0755, F0761, F0812, F0880Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.E
2024-10-18F0641, F0693, F0697Ensure each resident receives an accurate assessment. / Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. / Provide safe, appropriate pain management for a resident who requires such services.D
2024-07-16F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D
2024-06-06F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2024-06-06F0580, F0642, F0657, F0658Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure a qualified health professional conducts resident assessments. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality.D
2024-03-21F0687Provide appropriate foot care.G
2024-03-21F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F
2024-03-21F0880Provide and implement an infection prevention and control program.D
2024-02-08F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.F
2024-01-17F0655, F0658Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Ensure services provided by the nursing facility meet professional standards of quality.D
2023-12-29F0658Ensure services provided by the nursing facility meet professional standards of quality.D
2023-12-21F0880Provide and implement an infection prevention and control program.D
2023-10-30F0658Ensure services provided by the nursing facility meet professional standards of quality.D
2021-11-04F0755, F0761, F0804, F0812, F0880Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.E
2021-11-04F0609, F0658, F0684, F0689, F0759Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure medication error rates are not 5 percent or greater.D

Why was Fair Oaks Healthcare Center fined?

DateTypeAmount
2024-06-06Fine$8,990

How is Fair Oaks Healthcare Center staffed relative to the CA average?

MeasureThis facilityCA average
Total nurse staffing hours per resident per day4.358394.51570
Total nursing staff turnover (%)30.436.7
Average number of residents per day143.887.9

Who owns Fair Oaks Healthcare Center, and what chain is it in?

Fair Oaks Healthcare Center is registered with CMS as For profit - Limited Liability company, operates under the legal business name MACKENZIE LLC and belongs to the CYPRESS HEALTHCARE GROUP chain.

RoleOwnerAssociation date
DIRECT OWNERSHIP INTERESTCYPRESS HEALTHCARE GROUP LLCsince 09/29/2023
CORPORATE OFFICERJACKSON, MATTHEW, JACKSON, ROBERT, SANOFSKY, JACKsince 09/29/2023
OPERATIONAL/MANAGERIAL CONTROLBERNT, BRANDON, CHRISTIAN, AMBER, DALE, LAWANDA, DHIR, SUNIL, EVANS, KALESIA, GARLAND, MYRNA, JACKSON, ALEC, JACKSON, MATTHEW, JACKSON, ROBERT, JURGENS, LISA, MEWBORN, JOSEPHINE, SANOFSKY, JACKsince 02/06/2024
ADP OF THE SNFBERNT, BRANDON, CHRISTIAN, AMBER, DALE, LAWANDA, DHIR, SUNIL, EVANS, KALESIA, GARLAND, MYRNA, JACKSON, ALEC, JACKSON, MATTHEW, JACKSON, ROBERT, JURGENS, LISA, MEWBORN, JOSEPHINEsince 02/06/2024

Were you or a family member harmed at Fair Oaks Healthcare Center?