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Skilled nursing facility · CMS certification number 056304

Mission Carmichael Healthcare Center

Carmichael, California · Medicare and Medicaid · 135 certified beds in Care Compare

Download Mission Carmichael Healthcare Center’s record (CSV, each figure with its worksheet, line and column)

Mission Carmichael Healthcare Center: its citable report, full history — $295 · an email when it changes — $99/month

What stands out

  • Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on June 10, 2025.
  • Net patient revenue rose from $15.5M in fiscal year 2023 to $19.7M in fiscal year 2024.
  • Its result from service to patients: −$886K (2022), −$687K (2023), $536K (2024).
  • Its cost reports on file run from fiscal year 1996 to fiscal year 2024.
  • Its net patient revenue of $19.7M ranks 250th of the 951 nursing facilities in California whose latest cost report on file is fiscal year 2024.
  • 2 of the 5 nursing facilities in California closest in size to it, whose latest cost report on file is fiscal year 2024, also report a gain on service to patients.

Mission Carmichael Healthcare Center: Medicare cost reports

Form CMS-2540-10: every report is settled.

Cost reports on form CMS-2540-10, fiscal years 2011 to 2024
Form CMS-2540-102024 · report 14270052023 · report 13866102022 · report 13547122021 · report 13339732020 · report 12863862019 · report 12554052018 · report 12538342017 · report 12427382016 · report 11726252015 · report 11367702014 · report 11474662013 · report 11113302012 · report 10442092011 · report 1013446
Period beganJanuary 1, 2024January 1, 2023January 1, 2022January 1, 2021January 1, 2020January 1, 2019January 1, 2018January 1, 2017January 1, 2016January 1, 2015January 1, 2014January 1, 2013January 1, 2012January 1, 2011
Period endedDecember 31, 2024December 31, 2023December 31, 2022July 31, 2021December 31, 2020December 31, 2019December 31, 2018December 31, 2017December 31, 2016December 31, 2015December 31, 2014December 31, 2013December 31, 2012December 31, 2011
Days, where not a full year———211——————————
Processed by CMSJune 10, 2025June 26, 2024June 27, 2023September 26, 2022June 18, 2021May 14, 2020April 15, 2020August 29, 2019August 10, 2017July 25, 2016December 2, 2016October 15, 2015July 29, 2013October 26, 2012
Total patient revenue$26,021,039$24,818,494$21,190,407$27,360,098$49,689,881$47,638,669$45,512,476$48,170,169$36,063,594$25,977,822$18,664,551$17,015,014$17,457,166$19,448,379
Contractual allowances and discounts$6,307,436$9,297,693$6,664,603$19,254,403$35,350,734$35,402,475$33,264,260$34,433,515$21,695,113$12,940,788$5,997,006$3,729,805$3,803,571$4,850,724
Net patient revenue$19,713,603$15,520,801$14,525,804$8,105,695$14,339,147$12,236,194$12,248,216$13,736,654$14,368,481$13,037,034$12,667,545$13,285,209$13,653,595$14,597,655
Total operating expenses$19,177,645$16,207,636$15,411,334$8,612,913$14,657,954$13,652,525$14,017,098$13,269,193$12,228,651$12,750,759$12,466,770$12,623,877$13,472,307$14,702,766
Net income from service to patients$535,958−$686,835−$885,530−$507,218−$318,807−$1,416,331−$1,768,882$467,461$2,139,830$286,275$200,775$661,332$181,288−$105,111
Total other income$339,818$488,478$335,590$637,116$1,271,069−$2,499$13,096$6,232$2,202$2,398$2,623$2,820$1,646$3,539
Net income after other income$875,776−$198,357−$549,940$129,898$952,262−$1,418,830−$1,755,786$473,693$2,142,032$288,673$203,398$664,152$182,934−$101,572
Net income$875,776−$198,357−$549,940$129,898$952,262−$1,418,830−$1,755,786$473,693$2,142,032$288,673$203,398$664,152$182,934−$101,572
Total facility beds, all components135135135135135135135135135135135135135135
Bed days available, all components49,410—————————————
Medicare (Title XVIII) patient days4,600—————————————
Medicaid (Title XIX) patient days2,890—————————————
Other-payer patient days38,148—————————————
Total patient days, all components45,63845,14743,22423,26043,84744,84743,35746,69947,38744,81941,30840,31840,69143,497
Medicare discharges94—————————————
Medicaid discharges286—————————————
Other-payer discharges218—————————————
Total discharges, all components598581474180362397478551447512427708639804
Average length of stay, Medicare, in days48.9454.9463.380.04104.2746.5625.1124.5452.0195.5442.9626.8836.434.41
Average length of stay, Medicaid, in days10.189.8596.56240.14190.13181.43201.24173.56163.24324.77322.75296.28743.34360.24
Average length of stay, all patients, in days76.3277.7191.19129.22121.12112.9690.7184.75106.0187.5496.7456.9563.6854.1

Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.

Cost reports on form CMS-2540-96, fiscal years 1996 to 2010
Form CMS-2540-962010 · report 4139622009 · report 4148342008 · report 3873692007 · report 3212672006 · report 3062292005 · report 3061312004 · report 2403162003 · report 2011482002 · report 1928052001 · report 1470312000 · report 1965441999 · report 823081998 · report 741451997 · report 823061996 · report 82304
Period beganJanuary 1, 2010January 1, 2009January 1, 2008January 1, 2007January 1, 2006August 1, 2005January 1, 2004January 1, 2003August 1, 2001August 1, 2000August 1, 1999August 1, 1998January 1, 1998January 1, 1997June 1, 1996
Period endedDecember 31, 2010December 31, 2009December 31, 2008December 31, 2007December 31, 2006December 31, 2005December 31, 2004December 31, 2003July 31, 2002July 31, 2001July 31, 2000July 31, 1999July 31, 1998December 31, 1997December 31, 1996
Days, where not a full year—————152——————211—213
Report statussettledsettledreopenedsettledsettledsettledsettledsettledsettledas submittedsettledsettledreopenedsettled with auditsettled
Processed by CMSAugust 1, 2011August 8, 2011September 9, 2010July 25, 2008April 23, 2008April 23, 2008January 20, 2006December 1, 2004September 1, 2004June 3, 2003September 30, 2004November 2, 2001February 13, 2002March 18, 1999October 15, 1998
Net patient revenue$14,393,233$14,182,185$13,840,016$13,599,226$12,983,901$5,111,416$10,082,094$9,552,344$9,132,017$8,456,962$7,380,114$7,114,574$4,025,764$14,459,778$8,539,239
Total operating expenses$14,884,696$15,308,220$14,790,709$13,318,307$12,433,891$4,947,810$9,422,708$8,865,765$8,023,147$7,910,209$6,400,157$6,430,847$4,386,962$7,401,075$4,366,205
Net income from service to patients−$491,463−$1,126,035−$950,693$280,919$550,010$163,606$659,386$686,579$1,108,870$546,753$979,957$683,727−$361,198$7,058,703$4,173,034
Total other income$651$8,088$1,962$1,789$5,194$1,000$3,532$92,103$2,254,902$3,773$9,855$7,752$31,035$43,810$20,175
Total other expenses——————————————$7
Net income−$490,812−$1,117,947−$948,731$282,708$555,204$164,606$662,918$778,682$3,363,772$550,526$989,812$691,479−$330,163$7,102,513$4,193,202
Total facility beds, all components135135135135135135135135135135135135134132132
Total patient days, all components44,21544,41644,99245,14545,84819,34946,34246,18246,49146,83247,31945,70126,46545,08526,638
Total discharges, all components1,1381,0931,0441,1461,091489994938980909867917463772403
Average length of stay, Medicare, in days27.827.492421.1223.0120.4318.6625.1523.7723.3318.418.8116.7315.5221.22
Average length of stay, Medicaid, in days288.55278.62589.42300.97400.74408.68368.13525.49327.35345.18565.75378.52389.39385.11391.44
Average length of stay, all patients, in days38.8540.6443.139.3942.0239.5746.6249.2347.4451.5254.5849.8457.1658.466.1

Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2001, 2000, 1999, 1998, 1997, 1996. Checked against the form’s own arithmetic: what that check shows.

Mission Carmichael Healthcare Center: nurse staffing hours by quarter →

Who owns Mission Carmichael Healthcare Center, as filed with CMS

Care Compare

  • ADP OF THE SNF: BALECHA, RUDOLPH (individual), since 12/11/2023; CIBC BANK USA (organization), since 09/01/2021; DEHGHANMANESH, ADRIAN (individual), since 06/01/2021; DHIR, SUNIL (individual), since 01/01/2015; FARRALES, MARY (individual), since 01/01/2023; JOHNSON, DAVID (individual), since 02/11/2021; KOCHEK, JOSHUA (individual), since 04/01/2022; MISSION CARMICHAEL POST ACUTE LLC (organization), since 02/03/2022; OXFORD, MICHEAL (individual), since 01/03/2022; SMV CARMICHAEL LLC (organization), since 01/01/2005; SUN MERIDIAN MANAGEMENT SERVICES LLC (organization), since 03/22/2021
  • DIRECT OWNERSHIP INTEREST: MISSION CARMICHAEL POST ACUTE LLC (organization), since 02/03/2022
  • MANAGING CONTROL - GOVERNING BODY: JOHNSON, DAVID (individual), since 02/11/2021; JOHNSON, FRANK (individual), since 02/11/2021
  • OPERATIONAL/MANAGERIAL CONTROL: BALECHA, RUDOLPH (individual), since 12/11/2023; DEHGHANMANESH, ADRIAN (individual), since 06/01/2021; JOHNSON, DAVID (individual), since 02/11/2021; JOHNSON, FRANK (individual), since 02/11/2021; KOCHEK, JOSHUA (individual), since 04/01/2022; MISSION CARMICHAEL POST ACUTE LLC (organization), since 02/03/2022; OXFORD, MICHEAL (individual), since 01/03/2022; VILLAMOR, LORENA (individual), since 01/08/2024

Ownership percentage for each: NOT APPLICABLE.

Medicare enrollment

As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of MISSION CARMICHAEL POST ACUTE LLC (enrollment ID O20211006002015).

  • 5% OR GREATER INDIRECT OWNERSHIP INTEREST: DAVID A JOHNSON (individual), 50.00%, since 02/11/2021; FRANK A JOHNSON (individual), 50.00%, since 02/11/2021
  • ADP OF THE SNF: ADRIAN DEHGHANMANESH (individual), since 06/01/2021; CIBC BANK USA (organization), since 09/01/2021; DAVID A JOHNSON (individual), since 02/11/2021; JOSHUA KOCHEK (individual), since 04/01/2022; MARY FARRALES (individual), since 01/01/2023; MICHEAL D OXFORD (individual), since 01/03/2022; MISSION CARMICHAEL POST ACUTE LLC (organization), since 02/03/2022; RUDOLPH BALECHA (individual), since 12/11/2023; SMV CARMICHAEL LLC (organization), since 01/01/2005; SUN MERIDIAN MANAGEMENT SERVICES LLC (organization), since 03/22/2021; SUNIL DHIR (individual), since 01/01/2015
  • DIRECT OWNERSHIP INTEREST: MISSION CARMICHAEL POST ACUTE LLC (organization), 100.00%, since 02/03/2022
  • MANAGING CONTROL - GOVERNING BODY: DAVID A JOHNSON (individual), since 02/11/2021; FRANK A JOHNSON (individual), since 02/11/2021
  • OPERATIONAL/MANAGERIAL CONTROL: ADRIAN DEHGHANMANESH (individual), since 06/01/2021; DAVID A JOHNSON (individual), since 02/11/2021; FRANK A JOHNSON (individual), since 02/11/2021; JOSHUA KOCHEK (individual), since 04/01/2022; LORENA VILLAMOR (individual), since 01/08/2024; MICHEAL D OXFORD (individual), since 01/03/2022; MISSION CARMICHAEL POST ACUTE LLC (organization), since 02/03/2022; RUDOLPH BALECHA (individual), since 12/11/2023

Paused by CMS: Form CMS-855A, December 11, 2025.

Private equity company, real estate investment trust and holding company: Paused by CMS: DAVID A JOHNSON; FRANK A JOHNSON; ADRIAN DEHGHANMANESH; DAVID A JOHNSON; JOSHUA KOCHEK; MARY FARRALES; MICHEAL D OXFORD; RUDOLPH BALECHA; SUNIL DHIR; DAVID A JOHNSON; FRANK A JOHNSON; ADRIAN DEHGHANMANESH; DAVID A JOHNSON; FRANK A JOHNSON; JOSHUA KOCHEK; LORENA VILLAMOR; MICHEAL D OXFORD; RUDOLPH BALECHA.

Private equity company, real estate investment trust and holding company: No: CIBC BANK USA; MISSION CARMICHAEL POST ACUTE LLC; SUN MERIDIAN MANAGEMENT SERVICES LLC; MISSION CARMICHAEL POST ACUTE LLC; MISSION CARMICHAEL POST ACUTE LLC.

Private equity company: Yes, Real estate investment trust: No, Holding company: No: SMV CARMICHAEL LLC.

Changes in ownership

  • October 1, 2025, enrollment ownership file; no longer listed: WAGNER B TULEU (W-2 MANAGING EMPLOYEE); ADRIAN DEHGHANMANESH (CORPORATE OFFICER); MISSION CARMICHAEL POST ACUTE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST); FRANK A JOHNSON (OTHER); DAVID A JOHNSON (OTHER); first listed: SUNIL DHIR (ADP OF THE SNF), associated since January 1, 2015; CIBC BANK USA (ADP OF THE SNF), associated since September 1, 2021; RUDOLPH BALECHA (ADP OF THE SNF), associated since December 11, 2023; RUDOLPH BALECHA (OPERATIONAL/MANAGERIAL CONTROL), associated since December 11, 2023; MARY FARRALES (ADP OF THE SNF), associated since January 1, 2023; ADRIAN DEHGHANMANESH (ADP OF THE SNF), associated since June 1, 2021; ADRIAN DEHGHANMANESH (OPERATIONAL/MANAGERIAL CONTROL), associated since June 1, 2021; SUN MERIDIAN MANAGEMENT SERVICES LLC (ADP OF THE SNF), associated since March 22, 2021; MISSION CARMICHAEL POST ACUTE LLC (DIRECT OWNERSHIP INTEREST), associated since February 3, 2022; MISSION CARMICHAEL POST ACUTE LLC (ADP OF THE SNF), associated since February 3, 2022; MISSION CARMICHAEL POST ACUTE LLC (OPERATIONAL/MANAGERIAL CONTROL), associated since February 3, 2022; JOSHUA KOCHEK (ADP OF THE SNF), associated since April 1, 2022; JOSHUA KOCHEK (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2022; LORENA VILLAMOR (OPERATIONAL/MANAGERIAL CONTROL), associated since January 8, 2024; FRANK A JOHNSON (MANAGING CONTROL - GOVERNING BODY), associated since February 11, 2021; FRANK A JOHNSON (OPERATIONAL/MANAGERIAL CONTROL), associated since February 11, 2021; MICHEAL D OXFORD (ADP OF THE SNF), associated since January 3, 2022; MICHEAL D OXFORD (OPERATIONAL/MANAGERIAL CONTROL), associated since January 3, 2022; DAVID A JOHNSON (ADP OF THE SNF), associated since February 11, 2021; DAVID A JOHNSON (MANAGING CONTROL - GOVERNING BODY), associated since February 11, 2021; DAVID A JOHNSON (OPERATIONAL/MANAGERIAL CONTROL), associated since February 11, 2021; SMV CARMICHAEL LLC (ADP OF THE SNF), associated since January 1, 2005. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv

Inspections of Mission Carmichael Healthcare Center

  • Cycle 1: health May 22, 2026 (14 deficiencies), fire safety May 22, 2026 (9)
  • Cycle 2: health March 27, 2025 (16 deficiencies), fire safety March 27, 2025 (9)
  • Cycle 3: health March 21, 2024 (20 deficiencies), fire safety March 21, 2024 (13)

Deficiencies cited at Mission Carmichael Healthcare Center

50 deficiencies on file, by tag, newest citation first

every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 8 cited from a complaint, marked below. Letter after a date: scope and severity grade.

  • F 0658, resident assessment and care planning: May 22, 2026 (D, corrected June 8, 2026); November 8, 2024 (D, from a complaint, corrected November 22, 2024).
  • F 0684, quality of life and care: May 22, 2026 (E, from a complaint, corrected June 8, 2026); March 27, 2025 (D, corrected April 16, 2025).
  • F 0687, quality of life and care: May 22, 2026 (D, corrected June 8, 2026).
  • F 0690, quality of life and care: May 22, 2026 (E, corrected June 8, 2026); March 27, 2025 (D, corrected April 16, 2025).
  • F 0692, quality of life and care: May 22, 2026 (E, corrected June 8, 2026).
  • F 0695, quality of life and care: May 22, 2026 (D, corrected June 8, 2026); March 27, 2025 (D, corrected April 16, 2025); March 21, 2024 (D, corrected April 12, 2024).
  • F 0698, quality of life and care: May 22, 2026 (D, corrected June 8, 2026).
  • F 0730, nursing and physician services: May 22, 2026 (D, corrected June 8, 2026).
  • F 0790, quality of life and care: May 22, 2026 (D, corrected June 8, 2026).
  • F 0806, nutrition and dietary: May 22, 2026 (E, corrected June 8, 2026); March 21, 2024 (E, corrected April 12, 2024).
  • F 0809, nutrition and dietary: May 22, 2026 (E, corrected June 8, 2026).
  • F 0812, nutrition and dietary: May 22, 2026 (E, corrected June 8, 2026); March 27, 2025 (E, corrected April 16, 2025); March 21, 2024 (F, corrected April 12, 2024).
  • F 0880, infection control: May 22, 2026 (E, corrected June 8, 2026); March 27, 2025 (E, corrected April 16, 2025); March 21, 2024 (E, corrected April 12, 2024).
  • F 0919, environmental: May 22, 2026 (D, corrected June 8, 2026); March 27, 2025 (E, corrected April 16, 2025); March 5, 2024 (D, from a complaint, corrected March 12, 2024).
  • F 0677, quality of life and care: April 9, 2025 (D, from a complaint, corrected April 10, 2025); March 21, 2024 (E, corrected April 12, 2024).
  • F 0655, resident assessment and care planning: March 27, 2025 (D, corrected April 16, 2025); March 21, 2024 (D, corrected April 12, 2024).
  • F 0688, quality of life and care: March 27, 2025 (D, corrected April 16, 2025); January 24, 2025 (D, from a complaint, corrected February 5, 2025); March 21, 2024 (D, corrected April 12, 2024).
  • F 0755, pharmacy service: March 27, 2025 (E, corrected April 16, 2025); March 21, 2024 (E, corrected April 12, 2024).
  • F 0756, pharmacy service: March 27, 2025 (D, corrected April 16, 2025).
  • F 0759, pharmacy service: March 27, 2025 (E, corrected April 16, 2025).
  • F 0761, pharmacy service: March 27, 2025 (E, corrected April 16, 2025); March 21, 2024 (E, corrected April 12, 2024).
  • F 0813, nutrition and dietary: March 27, 2025 (D, corrected April 16, 2025).
  • F 0600, freedom from abuse, neglect, and exploitation: August 30, 2024 (D, from a complaint, corrected September 19, 2024).
  • F 0609, freedom from abuse, neglect, and exploitation: August 22, 2024 (D, from a complaint, corrected August 28, 2024).
  • F 0550, resident rights: March 21, 2024 (D, corrected April 12, 2024).
  • F 0558, resident rights: March 21, 2024 (D, corrected April 12, 2024).
  • F 0636, resident assessment and care planning: March 21, 2024 (D, corrected April 12, 2024).
  • F 0689, quality of life and care: March 21, 2024 (D, corrected April 12, 2024).
  • F 0801, nutrition and dietary: March 21, 2024 (F, corrected April 12, 2024).
  • F 0804, nutrition and dietary: March 21, 2024 (E, corrected April 12, 2024).
  • F 0908, environmental: March 21, 2024 (E, corrected April 12, 2024).
  • F 0842, resident assessment and care planning: March 5, 2024 (D, from a complaint, corrected March 12, 2024).

Mission Carmichael Healthcare Center in Care Compare

  • Ownership Type: For profit - Limited Liability company
  • Legal Business Name: MISSION CARMICHAEL POST ACUTE LLC
  • Date First Approved to Provide Medicare and Medicaid Services: 1972-01-03
  • Provider Resides in Hospital: N
  • Continuing Care Retirement Community: N
  • Urban: Y
  • County/Parish: Sacramento
  • Telephone Number: 9164881580
  • Chain Name: DAVID JOHNSON
  • Chain ID: 851
  • Provider Changed Ownership in Last 12 Months: N
  • With a Resident and Family Council: Resident
  • Automatic Sprinkler Systems in All Required Areas: Yes
  • Average Number of Residents per Day: 123.2
  • Overall Rating: 3
  • Health Inspection Rating: 3
  • QM Rating: 4
  • Long-Stay QM Rating: 5
  • Short-Stay QM Rating: 2

Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.

Nothing on file for Mission Carmichael Healthcare Center: no penalty in Care Compare.

Other nursing facilities in Carmichael and California

Report a figure on Mission Carmichael Healthcare Center’s record that differs from its CMS file, quoting 056304.