Inspection citations
5’23
24’24
23’25
14’26
66 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Sep 2, 2026 | D · potential | Give the resident's representative the ability to exercise the resident's rights. | Routine |
| Sep 2, 2026 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Sep 2, 2026 | D · potential | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Routine |
| Sep 2, 2026 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Routine |
| Sep 2, 2026 | D · potential | Provide medically-related social services to help each resident achieve the highest possible quality of life. | Routine |
| Sep 2, 2026 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Sep 2, 2026 | D · potential | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Routine |
| Sep 2, 2026 | D · potential | Ensure each resident’s drug regimen must be free from unnecessary drugs. | Routine |
| Sep 2, 2026 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Sep 2, 2026 | D · potential | Ensure that residents are free from significant medication errors. | Routine |
| Sep 2, 2026 | E · potential | 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. | Routine |
| Sep 2, 2026 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Jul 9, 2026 | D · potential | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Complaint |
| May 28, 2026 | D · potential | 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. | Complaint |
| Dec 23, 2025 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Dec 16, 2025 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Dec 10, 2025 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Complaint |
| Sep 23, 2025 | E · potential | Ensure residents have reasonable access to and privacy in their use of communication methods. | Complaint |
| Sep 23, 2025 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Aug 8, 2025 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Jul 15, 2025 | D · potential | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Complaint |
| Jun 12, 2025 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| May 23, 2025 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| May 23, 2025 | D · potential | Ensure each resident receives an accurate assessment. | Routine |
| May 23, 2025 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| May 23, 2025 | D · potential | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Routine |
| May 23, 2025 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Routine |
| May 23, 2025 | D · potential | Provide appropriate foot care. | Routine |
| May 23, 2025 | D · potential | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Routine |
| May 23, 2025 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| May 23, 2025 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| May 23, 2025 | D · potential | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Routine |
| May 23, 2025 | D · potential | 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. | Routine |
| May 23, 2025 | E · potential | 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. | Routine |
| May 23, 2025 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| May 23, 2025 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| May 23, 2025 | D · potential | Make sure that a working call system is available in each resident's bathroom and bathing area. | Routine |
| Aug 8, 2024 | E · potential | 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. | Complaint |
| Jul 18, 2024 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Jul 18, 2024 | D · potential | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Complaint |
| Jul 12, 2024 | G · harm | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Jun 21, 2024 | E · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Complaint |
| Jun 21, 2024 | D · potential | Ensure each resident receives an accurate assessment. | Routine |
| Jun 21, 2024 | E · potential | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Routine |
| Jun 21, 2024 | E · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Jun 21, 2024 | E · potential | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Routine |
| Jun 21, 2024 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Jun 21, 2024 | D · potential | Provide appropriate foot care. | Routine |
| Jun 21, 2024 | E · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Jun 21, 2024 | D · potential | 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. | Routine |
| Jun 21, 2024 | D · potential | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Routine |
| Jun 21, 2024 | D · potential | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Routine |
| Jun 21, 2024 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Jun 21, 2024 | D · potential | 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. | Routine |
| Jun 21, 2024 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Jun 21, 2024 | E · potential | Ensure that residents are free from significant medication errors. | Routine |
| Jun 21, 2024 | E · potential | 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. | Routine |
| Jun 21, 2024 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Jun 21, 2024 | E · potential | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Routine |
| Jun 21, 2024 | F · potential | Dispose of garbage and refuse properly. | Routine |
| Jun 21, 2024 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Dec 4, 2023 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Complaint |
| Dec 4, 2023 | D · potential | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Complaint |
| Dec 4, 2023 | D · potential | Respond appropriately to all alleged violations. | Complaint |
| Nov 6, 2023 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Oct 9, 2023 | D · potential | 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. | Complaint |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
Whitney Oaks Care Center
3529 Walnut Avenue, Carmichael, CA 95608 · (916) 488-8601
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 056410
- Certified beds
- 126
- Legal owner
- Queen Ann's Lace Holdings, LLC
- Part of
- Pacs Group
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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