Quick answers
- Where is Whitney Oaks Care Center?
- 3529 Walnut Avenue, Carmichael, CA 95608, in Sacramento County, California.
- What is the phone number of Whitney Oaks Care Center?
- (916) 488-8601, as listed by Medicare (CMS).
- What is the Medicare star rating of Whitney Oaks Care Center?
- Medicare overall rating: 4 out of 5 stars (CMS data updated 2026-10-01).
- Has Whitney Oaks Care Center been fined?
- Medicare lists no fines for Whitney Oaks Care Center.
- What did inspectors find at Whitney Oaks Care Center?
- In its last three inspection cycles (October 9, 2023 to September 2, 2026), Medicare lists 66 health citations; the most serious was level G. 1 was level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (October 9, 2023 to September 2, 2026), Whitney Oaks Care Center had 66 health citations; the most serious was level G (actual harm to residents). 1 of them was level G or higher (actual harm or immediate jeopardy). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 3.97 hours per resident per day; the California average is 4.54 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: September 2, 2026 — 17 health citations
Inspections in this cycle: December 10, 2025 (complaint investigation); December 16, 2025 (complaint investigation); December 23, 2025 (complaint investigation); May 28, 2026 (complaint investigation); July 9, 2026 (complaint investigation); September 2, 2026 (standard health inspection).
Show 17 citations (levels A to F, no actual harm)
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0759 Level E
“Ensure medication error rates are not 5 percent or greater.”
F0761 Level 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.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0551 Level D
“Give the resident's representative the ability to exercise the resident's rights.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0676 Level D
“Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0745 Level D
“Provide medically-related social services to help each resident achieve the highest possible quality of life.”
F0756 Level D
“Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”
F0757 Level D
“Ensure each resident’s drug regimen must be free from unnecessary drugs.”
F0760 Level D
“Ensure that residents are free from significant medication errors.”
F0607 Level D
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0585 Level D
“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.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
Previous cycle: May 23, 2025 — 20 health citations
Inspections in this cycle: May 23, 2025 (standard health inspection); June 12, 2025 (complaint investigation); July 15, 2025 (complaint investigation); August 8, 2025 (complaint investigation); September 23, 2025 (complaint investigation).
Show 20 citations (levels A to F, no actual harm)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0576 Level E
“Ensure residents have reasonable access to and privacy in their use of communication methods.”
F0803 Level E
“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.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0947 Level D
“Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0676 Level D
“Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0687 Level D
“Provide appropriate foot care.”
F0690 Level 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.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0756 Level D
“Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”
F0761 Level D
“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.”
F0919 Level D
“Make sure that a working call system is available in each resident's bathroom and bathing area.”
Earlier cycle: June 21, 2024 — 29 health citations
Inspections in this cycle: October 9, 2023 (complaint investigation); November 6, 2023 (complaint investigation); December 4, 2023 (complaint investigation); June 21, 2024 (complaint investigation); June 21, 2024 (standard health inspection); July 12, 2024 (complaint investigation); July 18, 2024 (complaint investigation); August 8, 2024 (complaint investigation).
F0600 Level G
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
actual harm to residents; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Show 28 less serious citations (levels A to F)
F0814 Level F
“Dispose of garbage and refuse properly.”
F0584 Level E
“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.”
F0550 Level E
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0655 Level E
“Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”
F0656 Level E
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0657 Level E
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0695 Level E
“Provide safe and appropriate respiratory care for a resident when needed.”
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0759 Level E
“Ensure medication error rates are not 5 percent or greater.”
F0760 Level E
“Ensure that residents are free from significant medication errors.”
F0761 Level 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.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0813 Level E
“Have a policy regarding use and storage of foods brought to residents by family and other visitors.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0806 Level D
“Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0687 Level D
“Provide appropriate foot care.”
F0700 Level D
“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.”
F0711 Level D
“Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.”
F0712 Level D
“Ensure that the resident and his/her doctor meet face-to-face at all required visits.”
F0758 Level D
“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.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0607 Level D
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0625 Level D
“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.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (33)
E0023 Level F
“Establish policies and procedures for medical documentation.”
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0372 Level F
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0353 Level E
“Inspect, test, and maintain automatic sprinkler systems.”
K0293 Level D
“Have properly located and lighted "Exit" signs.”
K0321 Level D
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0355 Level D
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0346 Level C
“Follow proper procedures when the fire alarm was out of service for more than 4 hours.”
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0363 Level D
“Install corridor and hallway doors that block smoke.”
K0919 Level D
“Meet requirements for the use of electrical equipment.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
K0353 Level C
“Inspect, test, and maintain automatic sprinkler systems.”
K0352 Level F
“Properly install and monitor supervisory attachments on automatic sprinkler systems.”
E0039 Level E
“Conduct testing and exercise requirements.”
E0041 Level E
“Implement emergency and standby power systems.”
K0291 Level E
“Install emergency lighting that can last at least 1 1/2 hours.”
K0353 Level E
“Inspect, test, and maintain automatic sprinkler systems.”
K0354 Level E
“Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0916 Level E
“Have a battery powered remote alarm panel in a location accessible by operating personnel.”
K0918 Level E
“Have generator or other power source capable of supplying service within 10 seconds.”
K0921 Level E
“Ensure that testing and maintenance of electrical equipment is performed.”
E0030 Level D
“List the names and contact information of those in the facility.”
K0293 Level D
“Have properly located and lighted "Exit" signs.”
K0324 Level D
“Provide properly protected cooking facilities.”
K0344 Level D
“Have an alternate power supply for its alarm system.”
K0345 Level D
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0355 Level D
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0374 Level D
“Install smoke barrier doors that can resist smoke for at least 20 minutes.”
K0741 Level D
“Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”
K0923 Level D
“Have proper medical gas storage and administration areas.”
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | California | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.48 | 0.68 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.06 | 1.20 | 0.86 |
| Nurse aide hours per resident per day | 2.43 | 2.66 | 2.35 |
| Total nurse staff hours per resident per day | 3.97 | 4.54 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.73 | 4.10 | 3.43 |
| RN hours per resident per day on the weekend | 0.41 | 0.52 | 0.48 |
| Nursing staff turnover (per year) | 31.8% | 36.6% | 45.3% |
| RN turnover (per year) | 46.7% | 37.8% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.4 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 277 nursing homes: Pacs Group.
Legal business name: Queen Ann's Lace Holdings, LLC.
Owners and managers Medicare lists (2)
| Name | Role | Share | Since |
|---|---|---|---|
| Capital SNF Holding Company, LLC | Direct owner | 100% | June 30, 2023 |
| Providence Group NH, LLC | Indirect owner | 100% | June 30, 2023 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 126 |
| Average residents per day | 120 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – corporation |
| Group or chain (affiliated entity) | Pacs Group |
| Legal business name | Queen Ann's Lace Holdings, LLC |
| First approved by Medicare/Medicaid | 1973-10-17 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 3529 Walnut Avenue, Carmichael, CA 95608 |
| County | Sacramento County |
| State | California |
| Phone | (916) 488‑8601 |
| CMS Certification Number | 056410 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Eskaton Village Care Center0.5 mi · Carmichael, CA · 5 of 5 stars
- Mission Carmichael Healthcare Center0.6 mi · Carmichael, CA · 3 of 5 stars
- American River Center0.7 mi · Carmichael, CA · 4 of 5 stars
- College Oak Nursing and Rehabilitation Center1.4 mi · Sacramento, CA · 4 of 5 stars
- Mountain Manor Senior Residence1.6 mi · Carmichael, CA · 2 of 5 stars
Nearest hospital emergency rooms
- Heritage Oaks Hospital1.3 mi · Sacramento, CA · Psychiatric Hospital
- Kaiser Foundation Hospital - Sacramento2.9 mi · Sacramento, CA · Acute Care Hospital
- Mercy San Juan Medical Center3.3 mi · Carmichael, CA · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13