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Nursing HomeMedicaid Investigative

Mountain Manor Senior Residence

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

6101 Fair Oaks Boulevard, Carmichael, CA 9560847 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 133 Google reviews

5
4
3
2
1
Mountain Manor Senior Residence Nursing Home in Carmichael, CA — Street View
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1/ 10
low Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Above-median deficiencies (19 vs median 13.0)

Below average in CA · Meets national RN staffing standard · Above recommended total nurse staffing · Low staff turnover (stable workforce) · $71,557 in fines

Source: Medicare data

What this means for your family

This facility is an excellent choice for patients requiring intensive physical or occupational therapy, as their rehab team is consistently rated as top-tier. However, families should closely monitor medication logs and maintain an inventory of personal belongings, as some reviewers have reported issues with medication availability and lost property.

Google Reviews

Google Reviews

133 reviews on Google
Mountain Manor is highly regarded for its exceptional physical and occupational therapy teams and a clean, odor-free environment. While many families praise the compassionate nursing staff and professional administration, some reviewers have raised serious concerns regarding medication management, unexpected early discharges, and issues with property security.

Quality Themes

Tap a score for details
Food8.0Staff9.0Clean9.0Activities7.0Meds3.0MemoryN/AComms6.0ValueN/A

Strengths

  • Top-notch physical and occupational therapy
  • Clean and odor-free facility
  • Compassionate and attentive nursing staff
  • Professional and approachable administration

Concerns

  • Issues with medication administration or availability (mentioned by 2 reviewers)
  • Premature or unsafe patient discharges (mentioned by 2 reviewers)
  • Loss of resident property or clothing (mentioned by 2 reviewers)
  • Difficulty contacting staff or accessing information (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(2)'18(14)'20(5)'22(16)'24(20)'26(13)

Distribution · 137 analyzed

5
114
4
6
3
2
2
1
1
14

How They Respond to Reviews

83%response rate
Good

The owner provides highly personalized and empathetic responses to detailed reviews, often acknowledging specific staff members or family members mentioned. For critical feedback, the owner maintains a professional tone, acknowledging the issue and committing to internal reviews.

Questions for Your Tour

  • 1It is wonderful to see how much the administration engages with the community through reviews; how do you ensure that family concerns are communicated quickly to the nursing team?
  • 2With such high ratings for your therapy services, how do you tailor physical and occupational therapy plans to meet each resident's specific mobility goals?
  • 3Could you walk us through your specific protocols for medication administration and how you track accuracy to ensure nothing is missed?
  • 4What steps does the facility take to ensure that residents' personal belongings and clothing are carefully tracked and kept safe?
  • 5How does the clinical team manage the transition and discharge process to ensure a resident is medically stable and ready to move to a lower level of care?
  • 6We noticed the facility is very clean and well-maintained; what is the daily routine for keeping the common areas and resident rooms odor-free?

Personalized based on this facility's data


Key Review Excerpts

The nurses and CNA'S where caring and attentive to my mother's needs. PT and OT had my mom moving and shaking with a smile.

Rehab patient's family · 2026★★★★★

My mother was originally taken to Roseville Care Center, and the conditions there were so disgusting and unacceptable that I immediately brought her home and started searching for a better option. I had visited five other facilities before choosing Mountain Manor, and none of them came close to the level of care, cleanliness, and professionalism I found here.

Long-term resident's family · 2025★★★★★

The Physical Therapy Department is incredible, outstanding, wonderful, etc. Jim, Nathan, every therapist there actually, are the best.

Visitor · 2023★★★★★
Source: 133 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.84hrs
OK
Registered nurses for medical care
Total Nursing
4.71hrs
OK
All nurses + aides combined
Staff Turnover
34%
Lower is better (< 30% = good)
RN Turnover
64%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 15 measures

Medicare Rating
3/ 5
Better Than Avg

9

measures

Worse Than Avg

4

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
15.4%
CA
11.6%
Sacramento
9.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
CA
7.0%
Sacramento
5.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility17.6%
Worse than Avg
Here
17.6%
US
14.4%
CA
10.4%
Sacramento
5.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility20.2%
Worse than Avg
Here
20.2%
US
19.4%
CA
10.7%
Sacramento
8.9%
🦠

Residents who got a urinary tract infection

↓ Lower is better
This Facility7.3%
Worse than Avg
Here
7.3%
US
1.6%
CA
1.2%
Sacramento
0.7%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
CA
98.6%
Sacramento
99.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility98.5%
Better than Avg
Here
98.5%
US
79.7%
CA
93.2%
Sacramento
97.0%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
CA
94.2%
Sacramento
98.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.3%
Mixed vs Avgs
Here
1.3%
US
1.6%
CA
1.5%
Sacramento
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

20deficiencies
3penalties
Above state avg (15.4)
8 complaint-triggered
$71,557 in fines

Mountain Manor has a concerning pattern of 71 deficiencies across 8 surveys, with families filing 8 complaints that triggered inspections. The facility shows persistent problems with medication management, nursing care planning, and food safety across multiple years. While all deficiencies have correction dates, recurring issues in medication errors and care planning suggest ongoing quality challenges that merit careful evaluation during visits.

Mar 10, 2026Complaint
1
0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Aug 26, 2025Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Jul 16, 2025Complaint
3
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Apr 24, 2025Routine
17
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0802Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

0803Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0161Potential for harm · PatternCorrected

Construction Deficiencies

Use approved construction type or materials.

0881Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0625Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0676Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0868Potential for harm · IsolatedCorrected

Administration Deficiencies

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

0041Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

Oct 30, 2024Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Aug 6, 2024Complaint
1
0559Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Federal Penalties

Fine

Apr 24, 2025

$26,685

Fine

Jan 30, 2024

$7,976

Fine

Dec 11, 2023

$4,194

Ownership & Operations

Who Operates This Facility

Owner / Operator

Mountain Manor Senior Residence

Organization Type

for profit

Ownership & Management

Owners

Jordan, James

Owner

100%

Key personnel

Jordan, JamesOfficer / DirectorJordan, WilliamOfficer / DirectorCisneros, AdrianaManagerGlasco, AjaManagerJordan, JamesManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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