CCN 555083 · Sacramento County, California
Manzanita Healthcare Center
5318 Manzanita Avenue, Carmichael, CA 95608
Manzanita Healthcare Center is a 99-bed for-profit nursing home in Carmichael, California, first certified for Medicare or Medicaid in 1978. CMS rates it 5 out of 5 stars overall in its September 2026 data, and it averaged 94.0 residents a day, about 95% of its certified beds. It has an active FHA-insured Section 232 loan: $15.7 million originally, at 6.17%, with $15.7 million outstanding as of September 30, 2026 and maturity in July 2059.
Facility facts
- Certified beds
- 99
- Average residents per day
- 94.0 (94.9% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Baleen LLC
- Certified since
- Mar 2, 1978
- Chain or affiliated group
- Cypress Healthcare Group (13 facilities, chain average 3.8 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | California median | US median |
|---|---|---|---|
| Overall rating | 5 of 5 | State spread: 186 at 1, 213 at 2, 244 at 3, 240 at 4, 270 at 5 | |
| Health inspections | 4 of 5 | ||
| Quality measures | 5 of 5 | ||
| Staffing | 5 of 5 | ||
| Total nurse hours per resident per day | 4.75 | 4.24 | 3.68 |
| RN hours per resident per day | 0.83 | 0.50 | 0.58 |
| Weekend nurse hours per resident per day | 4.31 | ||
| Nursing staff turnover | 30.6% | 36.4% | 44.9% |
| Occupancy (residents / beds) | 94.9% | 92.0% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 7 (Apr 15, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Manzanita Healthcare Center meets that part today: 5 stars overall, 4 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Dhir, SunilIndividual | Operational / Managerial Control | n/a | 01/01/2024 |
| Fulkerson, JessicaIndividual | Operational / Managerial Control | n/a | 02/18/2025 |
| Jackson, MatthewIndividual | Operational / Managerial Control | n/a | 09/29/2023 |
| Jackson, RobertIndividual | Operational / Managerial Control | n/a | 09/29/2023 |
| Kaur, ShalendarIndividual | Operational / Managerial Control | n/a | 01/01/2025 |
| Sanofsky, JackIndividual | Operational / Managerial Control | n/a | 09/29/2023 |
| Tyson, ZacharyIndividual | Operational / Managerial Control | n/a | 09/29/2023 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Sep 29, 2023 | Baleen LLC | Eskaton Properties Incorporated |
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Jun 25, 2026 | 223(f) refinance or purchaseHUD project name: Manzanita Healthcare Center, 99 beds. Lender at endorsement: Capital Funding LLC | $15,748,600 | Active: 6.17%, $15,724,077 balanceMatures Jul 1, 2059. Servicer: Capital Funding LLC | 13622103 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.