Whitney Oaks Care Center
Whitney Oaks Care Center is a 126-bed nursing home in Carmichael, California. CMS has certified it for Medicare and Medicaid since 1973-10-17. It averages 119.8 residents a day.
What harm was found in the violations cited at Whitney Oaks Care Center?
CMS lists 60 health-inspection deficiencies for Whitney Oaks Care Center since 2022-07-22, 54 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 2026-05-28.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-05-28 | F0585 | Honor 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 |
| 2025-12-23 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2025-12-16 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2025-12-10 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| 2025-09-23 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E |
| 2025-09-23 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2025-08-08 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-07-15 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D |
| 2025-06-12 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2025-05-23 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2025-05-23 | F0803, F0880 | Ensure 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. / Provide and implement an infection prevention and control program. | E |
| 2025-05-23 | F0550, F0641, F0658, F0676, F0677, F0687, F0690, F0695, F0755, F0756, F0761, F0919 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure each resident receives an accurate assessment. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate foot care. / 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. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
| 2024-08-08 | F0584 | 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. | E |
| 2024-07-18 | F0658, F0806 | Ensure services provided by the nursing facility meet professional standards of quality. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D |
| 2024-07-12 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| 2024-06-21 | F0814 | Dispose of garbage and refuse properly. | F |
| 2024-06-21 | F0550, F0655, F0656, F0657, F0695, F0755, F0759, F0760, F0761, F0812, F0813, F0880 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide safe and appropriate respiratory care for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors. / 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. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. / Provide and implement an infection prevention and control program. | E |
| 2024-06-21 | F0641, F0684, F0687, F0700, F0711, F0712, F0758 | Ensure each resident receives an accurate assessment. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate foot care. / Try 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. / Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. / Ensure that the resident and his/her doctor meet face-to-face at all required visits. / Implement 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. | D |
| 2023-12-04 | F0550, F0607, F0610 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Respond appropriately to all alleged violations. | D |
| 2023-11-06 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2023-10-09 | F0625 | Notify 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. | D |
| 2023-09-23 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2022-07-22 | F0583, F0806, F0812, F0880 | Keep residents' personal and medical records private and confidential. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / 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 |
| 2022-07-22 | F0658, F0760 | Ensure services provided by the nursing facility meet professional standards of quality. / Ensure that residents are free from significant medication errors. | D |
How is Whitney Oaks Care Center staffed relative to the CA average?
| Measure | This facility | CA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.96490 | 4.51570 |
| Total nursing staff turnover (%) | 29.8 | 36.7 |
| Average number of residents per day | 119.8 | 87.9 |
Who owns Whitney Oaks Care Center, and what chain is it in?
Whitney Oaks Care Center is registered with CMS as For profit - Corporation, operates under the legal business name QUEEN ANN'S LACE HOLDINGS, LLC and belongs to the PACS GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | CAPITAL SNF HOLDING COMPANY, LLC | since 06/30/2023 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | PROVIDENCE GROUP NH, LLC | since 06/30/2023 |
| CONTRACTED MANAGING EMPLOYEE | BHUTANI, SHIVANI | since 03/01/2023 |
| W-2 MANAGING EMPLOYEE | OLSON, ABRAHAM | since 10/10/2023 |
| CORPORATE OFFICER | APT, FREDERICK, HANCOCK, MARK, JERGENSEN, JOSHUA, MITCHELL, JOHN | since 01/01/2024 |
Were you or a family member harmed at Whitney Oaks Care Center?