Skilled nursing facility · CMS certification number 555083
Manzanita Healthcare Center
Carmichael, California · Medicare and Medicaid · 99 certified beds in Care Compare
Download Manzanita Healthcare Center’s record (CSV, each figure with its worksheet, line and column)
Manzanita 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 18, 2025.
- Net patient revenue rose from $4.8M in fiscal year 2023 to $20.8M in fiscal year 2024.
- Its result from service to patients: −$3.5M (2022), $639K (2023), $3.1M (2024).
- Its cost reports on file run from fiscal year 1996 to fiscal year 2024.
- Its net patient revenue of $20.8M ranks 206th of the 951 nursing facilities in California whose latest cost report on file is fiscal year 2024.
- 3 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.
Manzanita Healthcare Center: Medicare cost reports
Form CMS-2540-10: every report is settled.
| Form CMS-2540-10 | 2024 · report 1432282 | 2023 · report 1393039 | 2022 · report 1365937 | 2021 · report 1334641 | 2020 · report 1306268 | 2019 · report 1280441 | 2018 · report 1243138 | 2017 · report 1210371 | 2016 · report 1172179 | 2015 · report 1142657 | 2014 · report 1108911 | 2013 · report 1073382 | 2012 · report 1031573 | 2011 · report 1023625 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2024 | September 29, 2023 | January 1, 2022 | January 1, 2021 | January 1, 2020 | January 1, 2019 | January 1, 2018 | January 1, 2017 | January 1, 2016 | January 1, 2015 | January 1, 2014 | January 1, 2013 | January 1, 2012 | January 1, 2011 |
| Period ended | December 31, 2024 | December 31, 2023 | December 31, 2022 | December 31, 2021 | December 31, 2020 | December 31, 2019 | December 31, 2018 | December 31, 2017 | December 31, 2016 | December 31, 2015 | December 31, 2014 | December 31, 2013 | December 31, 2012 | December 31, 2011 |
| Days, where not a full year | — | 93 | — | — | — | — | — | — | — | — | — | — | — | — |
| Processed by CMS | June 18, 2025 | August 23, 2024 | October 11, 2023 | September 29, 2022 | December 3, 2021 | February 22, 2021 | September 19, 2019 | August 23, 2018 | August 7, 2017 | August 26, 2016 | August 27, 2015 | July 23, 2014 | June 3, 2013 | January 24, 2013 |
| Total patient revenue | $28,922,248 | $4,656,739 | $12,199,999 | $11,940,453 | $12,186,435 | $14,855,281 | $12,841,912 | $13,811,610 | $14,152,424 | $13,505,236 | $11,440,096 | $11,622,670 | $12,086,000 | $11,885,731 |
| Contractual allowances and discounts | $8,076,194 | −$102,529 | $797,439 | $1,180,397 | $1,210,661 | $1,791,030 | $1,055,231 | $1,272,075 | $2,035,445 | $1,920,897 | $898,764 | $274,329 | $499,146 | $1,260,588 |
| Net patient revenue | $20,846,054 | $4,759,268 | $11,402,560 | $10,760,056 | $10,975,774 | $13,064,251 | $11,786,681 | $12,539,535 | $12,116,979 | $11,584,339 | $10,541,332 | $11,348,341 | $11,586,854 | $10,625,143 |
| Total operating expenses | $17,730,639 | $4,120,039 | $14,932,419 | $13,508,481 | $13,561,757 | $14,814,094 | $12,429,009 | $11,800,519 | $11,668,820 | $11,661,912 | $11,021,696 | $10,829,872 | $10,364,818 | $10,353,972 |
| Net income from service to patients | $3,115,415 | $639,229 | −$3,529,859 | −$2,748,425 | −$2,585,983 | −$1,749,843 | −$642,328 | $739,016 | $448,159 | −$77,573 | −$480,364 | $518,469 | $1,222,036 | $271,171 |
| Total other income | $6,808 | $251 | $26,683 | $38,847 | $47,969 | $97,643 | $94,245 | −$85,053 | $103,341 | $97,945 | $116,056 | $96,505 | $93,465 | $211,393 |
| Net income after other income | $3,122,223 | $639,480 | −$3,503,176 | −$2,709,578 | −$2,538,014 | −$1,652,200 | −$548,083 | $653,963 | $551,500 | $20,372 | −$364,308 | $614,974 | $1,315,501 | $482,564 |
| Net income | $3,122,223 | $639,480 | −$3,503,176 | −$2,709,578 | −$2,538,014 | −$1,652,200 | −$548,456 | $653,963 | $551,500 | $20,372 | −$364,308 | $612,562 | $1,315,501 | $482,564 |
| Total facility beds, all components | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 |
| Bed days available, all components | 36,234 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 3,435 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 3,162 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 26,832 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 33,429 | 8,502 | 21,439 | 21,252 | 20,808 | 27,969 | 30,468 | 31,068 | 31,605 | 31,673 | 29,362 | 32,288 | 32,390 | 32,222 |
| Medicare discharges | 115 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 17 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 687 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 819 | 210 | 562 | 96 | 563 | 786 | 692 | 809 | 810 | 743 | 670 | 582 | 569 | 526 |
| Average length of stay, Medicare, in days | 29.87 | 27.9 | 18.01 | 15.45 | 17.63 | 15.56 | 15.36 | 14.23 | 15.67 | 16.1 | 15.74 | 17.7 | 20.35 | 17.03 |
| Average length of stay, Medicaid, in days | 186 | 240.65 | 46.77 | — | 130.42 | 195.43 | 196.42 | 231.43 | 289.78 | 155.73 | 169.26 | 162.38 | 160.68 | 254.21 |
| Average length of stay, all patients, in days | 40.82 | 40.49 | 38.15 | 221.38 | 36.96 | 35.58 | 44.03 | 38.4 | 39.02 | 42.63 | 43.82 | 55.48 | 56.92 | 61.26 |
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.
Form CMS-2540-96: each report covers January 1 to December 31 of its year.
| Form CMS-2540-96 | 2010 · report 405279 | 2009 · report 381976 | 2008 · report 354592 | 2007 · report 311383 | 2006 · report 288953 | 2005 · report 254423 | 2004 · report 225011 | 2003 · report 198401 | 2002 · report 175468 | 2001 · report 134634 | 2000 · report 134729 | 1999 · report 97248 | 1998 · report 97247 | 1997 · report 97245 | 1996 · report 97243 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Report status | settled | settled | settled | settled | settled | settled | settled | settled | settled | as submitted | settled | settled | as submitted | settled | settled with audit |
| Processed by CMS | June 17, 2011 | July 16, 2010 | August 13, 2009 | June 4, 2008 | July 25, 2007 | June 19, 2006 | June 23, 2005 | October 28, 2004 | May 5, 2004 | April 3, 2003 | April 3, 2003 | October 31, 2001 | November 12, 1999 | September 30, 1999 | April 29, 1998 |
| Net patient revenue | $10,495,462 | $9,771,427 | $9,556,259 | $8,873,899 | $8,288,815 | $7,472,998 | $6,152,575 | $5,762,506 | $5,817,393 | $5,580,250 | $5,295,170 | $5,496,317 | $5,637,936 | $4,596,816 | $4,513,114 |
| Total operating expenses | $9,734,095 | $9,432,888 | $9,593,444 | $8,749,914 | $7,524,472 | $6,920,453 | $6,181,812 | $5,971,546 | $5,869,101 | $5,872,009 | $6,215,242 | $5,939,230 | $6,163,217 | $4,992,018 | $4,398,250 |
| Net income from service to patients | $761,367 | $338,539 | −$37,185 | $123,985 | $764,343 | $552,545 | −$29,237 | −$209,040 | −$51,708 | −$291,759 | −$920,072 | −$442,913 | −$525,281 | −$395,202 | $114,864 |
| Total other income | $88,899 | $98,066 | $268,767 | $125,680 | $97,134 | $134,555 | $112,014 | $72,011 | $83,981 | $73,508 | $65,336 | $75,289 | $56,283 | $29,398 | $26,252 |
| Total other expenses | $2 | $4 | $44,916 | $140,322 | $3,638 | — | $4 | $43,282 | $105,338 | — | $4,526 | — | $5 | — | — |
| Net income | $850,264 | $436,601 | $186,666 | $109,343 | $857,839 | $687,100 | $82,773 | −$180,311 | −$73,065 | −$218,251 | −$859,262 | −$367,624 | −$469,003 | −$365,804 | $141,116 |
| Total facility beds, all components | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 |
| Total patient days, all components | 31,750 | 31,285 | 31,972 | 31,285 | 30,650 | 31,318 | 31,921 | 33,065 | 33,575 | 34,484 | 32,623 | 34,117 | 33,408 | 32,197 | 31,547 |
| Total discharges, all components | 550 | 601 | 599 | 657 | 788 | 687 | 391 | 332 | 341 | 314 | 555 | 640 | 548 | 480 | 313 |
| Average length of stay, Medicare, in days | 17.01 | 14.48 | 14.96 | 16.13 | 15.46 | 17.33 | 17.16 | 20.18 | 27.55 | 31.69 | 22.13 | 16.95 | 20.99 | 15.85 | 17.99 |
| Average length of stay, Medicaid, in days | 152.42 | 284.58 | 219.42 | 155.57 | 153.25 | 69.18 | 299.45 | 352.53 | 297.06 | 296.58 | 142.62 | — | 288.76 | 318.92 | — |
| Average length of stay, all patients, in days | 57.73 | 52.05 | 53.38 | 47.62 | 38.9 | 45.59 | 81.64 | 99.59 | 98.46 | 109.82 | 58.78 | 53.31 | 60.96 | 67.08 | 100.79 |
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.
Manzanita Healthcare Center: nurse staffing hours by quarter →
Who owns Manzanita Healthcare Center, as filed with CMS
Care Compare
- ADP OF THE SNF: DHIR, SUNIL (individual), since 12/10/2023; FULKERSON, JESSICA (individual), since 02/18/2025; JACKSON, MATTHEW (individual), since 09/29/2023; JACKSON, ROBERT (individual), since 09/29/2023; KAUR, SHALENDAR (individual), since 01/01/2025; SANOFSKY, JACK (individual), since 09/29/2023; TYSON, ZACHARY (individual), since 09/29/2023
- CORPORATE OFFICER: JACKSON, MATTHEW (individual), since 09/29/2023; JACKSON, ROBERT (individual), since 09/29/2023; SANOFSKY, JACK (individual), since 09/29/2023
- OPERATIONAL/MANAGERIAL CONTROL: DHIR, SUNIL (individual), since 01/01/2024; FULKERSON, JESSICA (individual), since 02/18/2025; JACKSON, MATTHEW (individual), since 09/29/2023; JACKSON, ROBERT (individual), since 09/29/2023; KAUR, SHALENDAR (individual), since 01/01/2025; SANOFSKY, JACK (individual), since 09/29/2023; TYSON, ZACHARY (individual), since 09/29/2023
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 BALEEN LLC (enrollment ID O20231205001969).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: CYPRESS HEALTHCARE GROUP LLC (organization), 100.00%, since 09/29/2023
- 5% OR GREATER INDIRECT OWNERSHIP INTEREST: JACK SANOFSKY (individual), 33.33%, since 09/29/2023; MATTHEW JACKSON (individual), 33.33%, since 09/29/2023; ROBERT JACKSON (individual), 33.33%, since 09/29/2023
- ADP OF THE SNF: JACK SANOFSKY (individual), since 09/29/2023; JESSICA FULKERSON (individual), since 02/18/2025; MATTHEW JACKSON (individual), since 09/29/2023; ROBERT JACKSON (individual), since 09/29/2023; SHALENDAR S. KAUR (individual), since 01/01/2025; SUNIL DHIR (individual), since 12/10/2023; ZACHARY RYAN TYSON (individual), since 09/29/2023
- CORPORATE OFFICER: JACK SANOFSKY (individual), since 09/29/2023; MATTHEW JACKSON (individual), since 09/29/2023; ROBERT JACKSON (individual), since 09/29/2023
- OPERATIONAL/MANAGERIAL CONTROL: JACK SANOFSKY (individual), since 09/29/2023; JESSICA FULKERSON (individual), since 02/18/2025; MATTHEW JACKSON (individual), since 09/29/2023; ROBERT JACKSON (individual), since 09/29/2023; SHALENDAR S. KAUR (individual), since 01/01/2025; SUNIL DHIR (individual), since 01/01/2024; ZACHARY RYAN TYSON (individual), since 09/29/2023
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: CYPRESS HEALTHCARE GROUP LLC.
Private equity company, real estate investment trust and holding company: Paused by CMS: JACK SANOFSKY; MATTHEW JACKSON; ROBERT JACKSON; JACK SANOFSKY; JESSICA FULKERSON; MATTHEW JACKSON; ROBERT JACKSON; SHALENDAR S. KAUR; SUNIL DHIR; ZACHARY RYAN TYSON; JACK SANOFSKY; MATTHEW JACKSON; ROBERT JACKSON; JACK SANOFSKY; JESSICA FULKERSON; MATTHEW JACKSON; ROBERT JACKSON; SHALENDAR S. KAUR; SUNIL DHIR; ZACHARY RYAN TYSON.
Changes in ownership
- July 1, 2026, enrollment ownership file; first listed: SUNIL DHIR (ADP OF THE SNF), associated since December 10, 2023; SUNIL DHIR (OPERATIONAL/MANAGERIAL CONTROL), associated since January 1, 2024; JACK SANOFSKY (ADP OF THE SNF), associated since September 29, 2023; ROBERT JACKSON (ADP OF THE SNF), associated since September 29, 2023; ROBERT JACKSON (OPERATIONAL/MANAGERIAL CONTROL), associated since September 29, 2023; MATTHEW JACKSON (ADP OF THE SNF), associated since September 29, 2023; MATTHEW JACKSON (OPERATIONAL/MANAGERIAL CONTROL), associated since September 29, 2023; JESSICA FULKERSON (ADP OF THE SNF), associated since February 18, 2025; JESSICA FULKERSON (OPERATIONAL/MANAGERIAL CONTROL), associated since February 18, 2025; SHALENDAR S. KAUR (ADP OF THE SNF), associated since January 1, 2025; SHALENDAR S. KAUR (OPERATIONAL/MANAGERIAL CONTROL), associated since January 1, 2025; ZACHARY RYAN TYSON (ADP OF THE SNF), associated since September 29, 2023; ZACHARY RYAN TYSON (OPERATIONAL/MANAGERIAL CONTROL), associated since September 29, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2025, enrollment ownership file; no longer listed: JACK SANOFSKY (W-2 MANAGING EMPLOYEE); first listed: JACK SANOFSKY (OPERATIONAL/MANAGERIAL CONTROL), associated since September 29, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- March 1, 2024, enrollment ownership file; no longer listed: LYDIA RAMIREZ (DIRECTOR); PATRICIA L MCFARLAND (DIRECTOR); DAVID LINDEMAN (DIRECTOR); MAUREEN HEWITT (DIRECTOR); DANIEL SEILER (W-2 MANAGING EMPLOYEE); MARK E JENKINS (OFFICER); AMY YOTOPOULOS (DIRECTOR); LAWRENCE B GARCIA (DIRECTOR); MARIANN SHELDON (DIRECTOR); JORDAN P ROSE (DIRECTOR); ESKATON PROPERTIES INCORPORATED (OPERATIONAL/MANAGERIAL CONTROL); ESKATON PROPERTIES INCORPORATED (5% OR GREATER DIRECT OWNERSHIP INTEREST); TODD S MURCH (DIRECTOR); TODD S MURCH (OFFICER); NANCY HEFFERNAN (DIRECTOR); SHERI D PEIFER (OFFICER); first listed: JACK SANOFSKY (W-2 MANAGING EMPLOYEE), associated since September 29, 2023; JACK SANOFSKY (OFFICER), associated since September 29, 2023; JACK SANOFSKY (5% OR GREATER INDIRECT OWNERSHIP INTEREST), associated since September 29, 2023; ROBERT JACKSON (OFFICER), associated since September 29, 2023; ROBERT JACKSON (5% OR GREATER INDIRECT OWNERSHIP INTEREST), associated since September 29, 2023; MATTHEW JACKSON (OFFICER), associated since September 29, 2023; MATTHEW JACKSON (5% OR GREATER INDIRECT OWNERSHIP INTEREST), associated since September 29, 2023; CYPRESS HEALTHCARE GROUP LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since September 29, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- August 1, 2023, enrollment ownership file; no longer listed: JACQUELYN KUNG (DIRECTOR); SARAH S STEENHAUSEN (DIRECTOR); first listed: LYDIA RAMIREZ (DIRECTOR), associated since March 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
Inspections of Manzanita Healthcare Center
- Cycle 1: health April 15, 2026 (7 deficiencies), fire safety April 15, 2026 (8)
- Cycle 2: health February 6, 2025 (15 deficiencies), fire safety February 6, 2025 (6)
- Cycle 3: health December 7, 2023 (24 deficiencies), fire safety December 7, 2023 (7)
Deficiencies cited at Manzanita Healthcare Center
46 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 7 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0609, freedom from abuse, neglect, and exploitation: April 15, 2026 (D, corrected May 1, 2026).
- F 0658, resident assessment and care planning: April 15, 2026 (D, corrected May 1, 2026); July 1, 2024 (D, from a complaint, corrected July 25, 2024); December 7, 2023 (D, corrected December 12, 2023).
- F 0761, pharmacy service: April 15, 2026 (D, corrected May 1, 2026); February 6, 2025 (E, corrected February 27, 2025); December 7, 2023 (E, corrected December 12, 2023).
- F 0804, nutrition and dietary: April 15, 2026 (E, corrected May 1, 2026); February 6, 2025 (E, corrected February 27, 2025); December 7, 2023 (E, corrected December 12, 2023).
- F 0812, nutrition and dietary: April 15, 2026 (E, corrected May 1, 2026); February 6, 2025 (E, corrected February 27, 2025); December 7, 2023 (F, corrected December 12, 2023).
- F 0880, infection control: April 15, 2026 (E, corrected May 1, 2026); February 6, 2025 (D, corrected February 27, 2025); December 7, 2023 (D, corrected December 12, 2023).
- F 0686, quality of life and care: November 12, 2025 (G, from a complaint, corrected November 21, 2025).
- F 0925, environmental: August 12, 2025 (D, from a complaint, corrected August 14, 2025).
- F 0689, quality of life and care: April 14, 2025 (D, from a complaint, corrected April 17, 2025); July 1, 2024 (D, from a complaint, corrected July 25, 2024).
- F 0550, resident rights: February 6, 2025 (D, corrected February 27, 2025).
- F 0676, quality of life and care: February 6, 2025 (D, corrected February 27, 2025).
- F 0755, pharmacy service: February 6, 2025 (E, corrected February 27, 2025); December 7, 2023 (E, corrected December 12, 2023).
- F 0758, pharmacy service: February 6, 2025 (D, corrected February 27, 2025); December 7, 2023 (E, corrected December 12, 2023).
- F 0759, pharmacy service: February 6, 2025 (E, corrected February 27, 2025).
- F 0813, nutrition and dietary: February 6, 2025 (E, corrected February 27, 2025).
- F 0908, environmental: February 6, 2025 (E, corrected February 27, 2025); December 7, 2023 (F, corrected December 12, 2023).
- F 0600, freedom from abuse, neglect, and exploitation: December 19, 2024 (D, from a complaint, corrected December 19, 2024).
- F 0919, environmental: December 19, 2024 (D, from a complaint, corrected December 19, 2024); December 7, 2023 (E, corrected December 12, 2023).
- F 0557, resident rights: December 7, 2023 (D, corrected December 12, 2023).
- F 0578, resident rights: December 7, 2023 (D, corrected December 12, 2023).
- F 0584, resident rights: December 7, 2023 (D, corrected December 12, 2023).
- F 0637, resident assessment and care planning: December 7, 2023 (D, corrected December 12, 2023).
- F 0641, resident assessment and care planning: December 7, 2023 (D, corrected December 12, 2023).
- F 0655, resident assessment and care planning: December 7, 2023 (D, corrected December 12, 2023).
- F 0656, resident assessment and care planning: December 7, 2023 (D, corrected December 12, 2023).
- F 0685, quality of life and care: December 7, 2023 (D, corrected December 12, 2023).
- F 0695, quality of life and care: December 7, 2023 (D, corrected December 12, 2023).
- F 0745, quality of life and care: December 7, 2023 (D, corrected December 12, 2023).
- F 0801, nutrition and dietary: December 7, 2023 (F, corrected December 12, 2023).
- F 0842, resident assessment and care planning: December 7, 2023 (D, corrected December 12, 2023).
- F 0847, administration: December 7, 2023 (F, corrected December 12, 2023).
Manzanita Healthcare Center in Care Compare
- Ownership Type: For profit - Limited Liability company
- Legal Business Name: BALEEN LLC
- Date First Approved to Provide Medicare and Medicaid Services: 1978-03-02
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Sacramento
- Telephone Number: 9163318513
- Chain Name: CYPRESS HEALTHCARE GROUP
- Chain ID: 175
- 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: 90.6
- Overall Rating: 5
- Health Inspection Rating: 4
- QM Rating: 5
- Long-Stay QM Rating: 5
- Short-Stay QM Rating: 5
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 Manzanita Healthcare Center: no penalty in Care Compare.
Other nursing facilities in Carmichael and California
Report a figure on Manzanita Healthcare Center’s record that differs from its CMS file, quoting 555083.