Oak Ridge Healthcare Center
310 Oak Ridge Drive, Roseville, CA 95661 · Placer County · 67 certified beds · avg 65 residents/day · certified since Oct 1, 1978
Part of chain: CYPRESS HEALTHCARE GROUP (13 facilities, chain avg rating 3.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (27)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 8, 2026 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| May 8, 2026 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| May 8, 2026 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| May 8, 2026 | E · Potential for harm, repeated | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| May 8, 2026 | E · Potential for harm, repeated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| May 8, 2026 | E · Potential for harm, repeated | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| May 8, 2026 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| May 8, 2026 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| May 8, 2026 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| May 8, 2026 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| May 8, 2026 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| May 8, 2026 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Jan 22, 2026 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint |
| Aug 27, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Feb 28, 2025 | F · Potential for harm, facility-wide | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. |
| Feb 28, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Feb 28, 2025 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Feb 28, 2025 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Feb 28, 2025 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Feb 28, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Feb 28, 2025 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Feb 28, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Feb 28, 2025 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Jan 31, 2024 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Jan 31, 2024 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Jan 31, 2024 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Nov 23, 2023 | D · Potential for harm, one-off | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. · from a complaint |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (9 → 11).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | D |
| 2024 | 3 | 0 | E |
| 2025 | 10 | 0 | F |
| 2026 | 13 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | California avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.34 | 4.31 | 3.95 | top 36% in California; top 28% in the U.S. |
| Registered Nurse hours | 0.71 | 0.61 | 0.69 | top 23% in California; top 36% in the U.S. |
| Weekend total nurse staffing | 3.92 | 3.90 | 3.50 | top 38% in California; top 25% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.54 | 0.51 | 0.48 | top 27% in California; top 29% in the U.S. |
| Total nursing staff turnover (%) | 29.2 | 36.7 | 45.8 | top 27% in California; top 13% in the U.S. |
| RN turnover (%) | 28.6 | 38.1 | 42.9 | top 33% in California; top 26% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.15, RN 0.68, weekend 3.74. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Canfeild, Jessica | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2019 |
| Canfeild, Jessica | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2019 |
| Costa, Marcel | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2019 |
| Costa, Marcel | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2019 |
| Delos Santos, Yesenia | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/10/2023 |
| Delos Santos, Yesenia | Individual | ADP of the SNF | NOT APPLICABLE | 02/10/2023 |
| Furniss, Kevin | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/11/2024 |
| Furniss, Kevin | Individual | ADP of the SNF | NOT APPLICABLE | 11/11/2024 |
| Jackson, Matthew | Individual | Corporate Officer | NOT APPLICABLE | 03/20/2019 |
| Jackson, Matthew | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/25/2026 |
| Jackson, Robert | Individual | Corporate Officer | NOT APPLICABLE | 03/20/2019 |
| Jackson, Robert | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2019 |
| Jackson, Robert | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2019 |
| Koga, Valentina | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2019 |
| Koga, Valentina | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2019 |
| Larios, Joni | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/18/2024 |
| Larios, Joni | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2019 |
| Meyer, Jodean | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/10/2022 |
| Meyer, Jodean | Individual | ADP of the SNF | NOT APPLICABLE | 01/10/2022 |
| Morkoc, Fikir | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2019 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Roseville Point Health & Wellness Center | 0.3 mi | Roseville, CA | ★★☆☆☆ | 2/5 | abuse |
| Roseville Care Center | 0.9 mi | Roseville, CA | ★★★☆☆ | 2/5 | abuse |
| Pine Creek Care Center | 0.9 mi | Roseville, CA | ★★★★★ | 4/5 | |
| Citrus Heights Post Acute | 5.3 mi | Citrus Heights, CA | ★★★★☆ | 3/5 | |
| Fair Oaks Healthcare Center | 6.0 mi | Fair Oaks, CA | ★★★☆☆ | 2/5 | |
| Manzanita Healthcare Center | 6.4 mi | Carmichael, CA | ★★★★★ | 3/5 | |
| Sacramento Post-Acute | 6.7 mi | Sacramento, CA | ★★★★☆ | 3/5 | |
| Folsom Care Center | 6.9 mi | Folsom, CA | ★★★★☆ | 3/5 | |
| College Oak Nursing and Rehabilitation Center | 7.8 mi | Sacramento, CA | ★★★☆☆ | 3/5 | |
| American River Center | 8.3 mi | Carmichael, CA | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 055491.