Federal inspection record · CMS data as of October 1, 2026
Mission Carmichael Healthcare Center
3630 Mission Avenue, Carmichael, CA · (916) 488-1580
- Certified beds
- 135
- Residents per day
- 123
- Ownership
- For-Profit
- Chain
- David Johnson
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 3, 1972
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in California.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among California homes
Mission Carmichael Healthcare Center carries 89 inspection points. That is fewer than 48% of California's 1,154 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in California: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–33 pts
- 4★ 33–66 pts
- 3★ 66–96 pts
- 2★ 96–146 pts
- 1★ over 146 pts
Bars show every rated home in California by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
50 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care17E
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E
Provide enough food/fluids to maintain a resident's health.
- D
Provide appropriate foot care.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide routine and 24-hour emergency dental care for each resident.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Nutrition and Dietary9F
- E
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Resident Assessment and Care Planning6D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Pharmacy Service6E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure medication error rates are not 5 percent or greater.
- E
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.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
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.
Environmental4E
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
- E
Make sure that a working call system is available in each resident's bathroom and bathing area.
- E
Keep all essential equipment working safely.
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Infection Control3E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Rights2D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Reasonably accommodate the needs and preferences of each resident.
Nursing and Physician Services1D
- D
Observe each nurse aide's job performance and give regular training.
Inspection history
2026-05-22
14 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2025-03-27
16 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2024-03-21
20 health deficiencies · 13 fire-safety deficiencies
Top issue: Nutrition and Dietary (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 4 min of nursing staff time a day, 35 min of it from a registered nurse.
This home
4 h 4 min
California average
4 h 33 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 37% of nursing staff and 13% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.6 pts worse | 2.8 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts worse | 2.0 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.3 pts better | 100.0% | 98.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.1 pts better | 100.0% | 97.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts better | 1.2% | 1.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.2 pts worse | 7.8% | 7.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.5 pts worse | 5.6% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8.2 pts better | 5.5% | 13.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.8 pts better | 5.5% | 12.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.9 pts better | 7.0% | 8.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.1 pts better | 4.1% | 10.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better | 0.0% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.2 pts better | 0.0% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.2 pts better | 4.6% | 9.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3 pts better | 1.3% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.4 pts better | 100.0% | 94.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.9 pts worse | 15.0% | 11.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts worse | 2.4% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine6.9 pts better | 100.0% | 93.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.8 pts worse | 24.4% | 22.6% | 23.4% |
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Who owns and runs it
22 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Balecha, Rudolph | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Balecha, Rudolph | Adp Of The SNF · Individual | 0% | 1 facilities |
| Cibc Bank Usa | Adp Of The SNF · Organization | 0% | 208 facilities |
| Dehghanmanesh, Adrian | Operational/Managerial Control · Individual | 0% | 44 facilities |
| Dehghanmanesh, Adrian | Adp Of The SNF · Individual | 0% | 44 facilities |
| Dhir, Sunil | Adp Of The SNF · Individual | 0% | 4 facilities |
| Farrales, Mary | Adp Of The SNF · Individual | 0% | 43 facilities |
| Johnson, David | Managing Control - Governing Body · Individual | 0% | 34 facilities |
| Johnson, David | Operational/Managerial Control · Individual | 0% | 34 facilities |
| Johnson, David | Adp Of The SNF · Individual | 0% | 34 facilities |
| Johnson, Frank | Managing Control - Governing Body · Individual | 0% | 42 facilities |
| Johnson, Frank | Operational/Managerial Control · Individual | 0% | 42 facilities |
| Kochek, Joshua | Operational/Managerial Control · Individual | 0% | 43 facilities |
| Kochek, Joshua | Adp Of The SNF · Individual | 0% | 43 facilities |
| Mission Carmichael Post Acute LLC | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Mission Carmichael Post Acute LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Mission Carmichael Post Acute LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Oxford, Micheal | Operational/Managerial Control · Individual | 0% | 42 facilities |
| Oxford, Micheal | Adp Of The SNF · Individual | 0% | 42 facilities |
| Smv Carmichael LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Sun Meridian Management Services LLC | Adp Of The SNF · Organization | 0% | 20 facilities |
| Villamor, Lorena | Operational/Managerial Control · Individual | 0% | 1 facilities |
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Fire safety
31 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke12F
- F
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Install corridor and hallway doors that block smoke.
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
Gas, Vacuum, and Electrical Systems8F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Meet requirements for the use of electrical equipment.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Meet requirements for the use of electrical equipment.
- D
Have proper medical gas storage and administration areas.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- D
Ensure proper usage of power strips and extension cords.
Emergency Preparedness7F
- C
Provide primary/alternate means for communication.
- C
Implement emergency and standby power systems.
- F
Establish procedures for tracking staff and patients during an emergency.
- F
Establish policies and procedures for medical documentation.
- F
Establish policies and procedures for volunteers.
- F
Provide family notifications of emergency plan.
- E
Conduct testing and exercise requirements.
Miscellaneous2D
- C
Have simulated fire drills held at unexpected times.
- D
Provide a written emergency evacuation plan.
Egress1C
- C
Have properly located and lighted "Exit" signs.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
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Other homes nearby
-
Whitney Oaks Care Center
Carmichael, CA · Pacs Group
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 58 min
- Fines
- $0
-
Eskaton Village Care Center
Carmichael, CA
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 6 h 3 min
- Fines
- $0
-
American River Center
Carmichael, CA · Genesis Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 53 min
- Fines
- $0