Whitney Oaks Care Center
3529 Walnut Avenue, Carmichael, CA 95608


Whitney Oaks Care Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 056410. The address is 3529 Walnut Avenue, Carmichael, CA 95608. The zip code is 95608. The phone number is 9164888601.


Whitney Oaks Care Center · 3529 Walnut Avenue, Carmichael, CA 95608

Federal Provider Number 056410
Provider Name WHITNEY OAKS CARE CENTER
Address 3529 WALNUT AVENUE
CARMICHAEL, CA 95608
Phone Number 9164888601
SSA County Code 440
County Name Sacramento
Ownership Type For profit - Corporation
Certified Beds 126
Certified Beds Residents 107
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name QUEEN ANN'S LACE HOLDINGS, LLC
Date First Approved to Provide Medicare Medicaid Services 10/17/1973
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 4
Health Inspection Rating 2
Quality Measure Rating 5
Staffing Rating 4
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.63879
Reported LPN Staffing Hours per Resident per Day 1.00607
Reported RN Staffing Hours per Resident per Day 1.06075
Reported Licensed Staffing Hours per Resident per Day 2.06682
Reported Total Nurse Staffing Hours per Resident per Day 4.70561
Reported Physical Therapist Staffing Hours per Resident Per Day 0.10421
Expected CNA Staffing Hours per Resident per Day 2.48665
Expected LPN Staffing Hours per Resident per Day 0.73116
Expected RN Staffing Hours per Resident per Day 1.31162
Expected Total Nurse Staffing Hours per Resident per Day 4.52943
Adjusted CNA Staffing Hours per Resident per Day 2.60382
Adjusted LPN Staffing Hours per Resident per Day 1.14207
Adjusted RN Staffing Hours per Resident per Day 0.60428
Adjusted Total Nurse Staffing Hours per Resident per Day 4.18769
Cycle 1 Total Number of Health Deficiencies 14
Cycle 1 Number of Standard Health Deficiencies 11
Cycle 1 Number of Complaint Health Deficiencies 3
Cycle 1 Health Deficiency Score 84
Cycle 1 Standard Survey Health Date 11/08/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 84
Cycle 2 Total Number of Health Deficiencies 13
Cycle 2 Number of Standard Health Deficiencies 8
Cycle 2 Number of Complaint Health Deficiencies 5
Cycle 2 Health Deficiency Score 68
Cycle 2 Standard Health Survey Date 11/06/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 68
Cycle 3 Total Number of Health Deficiencies 18
Cycle 3 Number of Standard Health Deficiencies 15
Cycle 3 Number of Complaint Health Deficiencies 4
Cycle 3 Health Deficiency Score 80
Cycle 3 Standard Health Survey Date 12/05/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 80
Total Weighted Health Survey Score 78
Number of Facility Reported Incidents 3
Number of Substantiated Complaints 12
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Whitney Oaks Care Center

Owner Name Role Association Date
ALLPRO, INC. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2015
ANDERSON, NICKLAS (Individual) OFFICER since 01/15/2017
ANDERSON, NICKLAS (Individual) OPERATIONAL/MANAGERIAL CONTROL since 01/15/2017
AUBURN MANOR HOLDING CORP (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2015
BALLIF, MARK (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2015
BAY BRIDGE CAPITAL PARTNERS, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2015
CALIFORNIA OPCO LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/01/2014
CROSSWINDS TRUST (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2015
DAHL, KYLE (Individual) MANAGING EMPLOYEE since 06/01/2013
DAHL, KYLE (Individual) OFFICER since 06/01/2013
EDMONDS, AARON (Individual) OFFICER since 06/01/2013
EDMONDS, AARON (Individual) OPERATIONAL/MANAGERIAL CONTROL since 06/01/2013
FLOWER FARM GROUP, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2015
HAKIM, NAVEED (Individual) OFFICER since 01/15/2017
HAKIM, NAVEED (Individual) OPERATIONAL/MANAGERIAL CONTROL since 01/15/2017
HEALTHCARE FINANCIAL SOLUTIONS, LLC (Organization) 5% OR GREATER MORTGAGE INTEREST since 11/30/2015
HORIZON WEST HEALTHCARE, INC. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2015
HUBBARD, PAUL (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2015
NEW SISU HOLDCO, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2015
OPCO HOLDINGS LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2015
PLUM HEALTHCARE GROUP, LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 06/07/2011
PUGH, PHYLLIS (Individual) OFFICER since 08/01/2013
PUGH, PHYLLIS (Individual) OPERATIONAL/MANAGERIAL CONTROL since 08/01/2013

95608 · Nursing Home

American River Center 3900 Garfield Avenue, Carmichael, CA 95608
Rosewood Post Acute Rehabilitation 6041 Fair Oaks Blvd, Carmichael, CA 95608
Mountain Manor Senior Residence 6101 Fair Oaks Boulevard, Carmichael, CA 95608
Eskaton Care Center Manzanita 5318 Manzanita Avenue, Carmichael, CA 95608
Eagle Crest 8336 Fair Oaks Boulevard, Carmichael, CA 95608
Mission Carmichael Healthcare Center 3630 Mission Avenue, Carmichael, CA 95608
Eskaton Village Care Center 3939 Walnut Ave., Carmichael, CA 95608
Windsor El Camino Care Center 2540 Carmichael Way, Carmichael, CA 95608

Carmichael · Nursing Home

Rosewood Post Acute Rehabilitation 6041 Fair Oaks Blvd, Carmichael, CA 95608
American River Center 3900 Garfield Avenue, Carmichael, CA 95608
Mountain Manor Senior Residence 6101 Fair Oaks Boulevard, Carmichael, CA 95608
Mission Carmichael Healthcare Center 3630 Mission Avenue, Carmichael, CA 95608
Windsor El Camino Care Center 2540 Carmichael Way, Carmichael, CA 95608
Eskaton Village Care Center 3939 Walnut Ave., Carmichael, CA 95608
Eskaton Care Center Manzanita 5318 Manzanita Avenue, Carmichael, CA 95608
Eagle Crest 8336 Fair Oaks Boulevard, Carmichael, CA 95608

CA · Nursing Home

Anaheim Terrace Care Center 141 South Knott Avenue, Anaheim, CA 92804
Atterdag Care Center 636 Atterdag Road, Solvang, CA 93463
La Salette Health and Rehabilitation Center 537 E. Fulton Street, Stockton, CA 95204
Newport Nursing and Rehabilitation Center 1555 Superior Avenue, Newport Beach, CA 92663
Woods Health Services 2600 A Street, La Verne, CA 91750
Highland Park Skilled Nursing and Wellness Center 5125 Monte Vista St., Los Angeles, CA 90042
La Mariposa Care and Rehabilitation Center 1244 Travis Blvd, Fairfield, CA 94533
Royal Terrace Health Care 1340 S. Highland Ave., Duarte, CA 91010
Bella Vista Transitional Care Center 3033 Augusta St, San Luis Obispo, CA 93401
Golden Cross Health Care 1450 N. Fair Oaks Avenue, Pasadena, CA 91103
Tampico Terrace Care Center 130 Tampico Street, Walnut Creek, CA 94598
The Pines At Placerville Healthcare Center 1040 Marshall Way, Placerville, CA 95667
Twin Oaks Rehabilitation & Nursing Center 897 North M Street, Tulare, CA 93274
Acc Care Center 7801 Rush River Drive, Sacramento, CA 95831
Country Villa Terrace Nrsg Ctr 6070 W. Pico Boulevard, Los Angeles, CA 90035
Catalina Island Medical Center D/p Snf 100 Falls Canyon Rd, Avalon, CA 90704
San Miguel Villa 1050 San Miguel Road, Concord, CA 94518
Village Square Healthcare Center 1586 W. San Marcos Blvd, San Marcos, CA 92078
South Pasadena Care Center 904 Mission St, South Pasadena, CA 91030
Empress Care Center, LLC 1299 S. Bascom Avenue, San Jose, CA 95128
George L Mee Memorial Hospital D/p Snf 300 Canal Street, King City, CA 93930
Alhambra Hospital Med Ctr Dp/snf 100 S Raymond Ave, Alhambra, CA 91801
Pasadena Care Center, LLC 1640 N. Fair Oaks Avenue, Pasadena, CA 91103
Chapman Global Medical Center D/p Snf 2601 East Chapman Avenue, Orange, CA 92869
Community Care and Rehabilitation Center 4070 Jurupa Avenue, Riverside, CA 92506
Crestwood Manor - 112 1400 Celeste Dr., Modesto, CA 95355
Double Tree Post-acute Care Center 7400 24th Street, Sacramento, CA 95822
St Elizabeth Healthcare Center 2800 N. Harbor Blvd., Fullerton, CA 92835
Seton Medical Center D/p Snf 1900 Sullivan Avenue, Daly City, CA 94015
Highland Springs Care Center 1441 Michigan Avenue, Beaumont, CA 92223
Los Angeles Comm Hospital 4081 East Olympic Blvd, Los Angeles, CA 90023
Windsor Redding Care Center 2490 Court Street, Redding, CA 96001
South Coast Global Medical Center D/p Snf 2701 South Bristol Street, Santa Ana, CA 92704
Lompoc Skilled Nursing & Rehabilitation Center 1428 W North Ave, Lompoc, CA 93436
Community Convalescent Center of San Bernardino 1676 Medical Ctr Dr., San Bernardino, CA 92411
Windsor Manor Rehabilitation Center 3806 Clayton Road, Concord, CA 94521
Manorcare Health Services - Tice Valley 1975 Tice Valley Blvd., Walnut Creek, CA 94595
Villa Scalabrini Special Care 10631 Vinedale Street, Sun Valley, CA 91352
Valley Healthcare Center 4840 E.tulare Avenue, Fresno, CA 93727
Western Healthcare Center 1700 E. Washington Street, Colton, CA 92324