nursing home in Madera, CA
Madera Rehabilitation & Nursing Center
517 South A Street, Madera, CA 93638 · (559) 673-9228
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★3
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Madera Rehabilitation & Nursing Center at a glance
Madera Rehabilitation & Nursing Center is a 176-bed for-profit nursing home in Madera, California (Madera County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the California average of 3.2.
Residents receive about 3.8 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 4.5 hours.
Its most recent standard health inspection (August 14, 2025) found 24 health citations. The California average is 15.5.
Federal regulators fined it 3 times in the past three years, totaling $373,733.
Nursing staff turnover is 45.5% per year (state average 36.7%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 176
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Cambridge Healthcare Services
- Medicare-certified since
- January 1, 1967
- Resident/family council
- None
- County
- Madera County
- CMS Certification Number
- 055147
Ratings
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3.2 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.3 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 4.1 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 5 / 5 | 4.4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.6 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.82 hrs | 4.52 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.53 hrs | 0.67 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.57 hrs | 2.65 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.55 hrs | 4.09 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 45.5% | 36.7% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 58.1% | 38.1% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 0 | 1 | Worse |
Inspections
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 24 | 16 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 4 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 259.3 | 105.8 | 80.6 | Worse |
Penalties
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 3 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $373,733 | $23,986 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 5 | 1 | 1 | Worse |
Size
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 176 | 99 | 107 | |
| Average residents per day | 168 | 88 | 86 | |
| Occupancy | 95.4% | 88.4% | 80.9% |
Long-stay residents
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.1% | 1.6% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 1.3% | 4.3% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 13.6% | 12% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 1.1% | 1.2% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.2% | 0.8% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 6.3% | 10.2% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 10.2% | 9.8% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 3.6% | 4% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 5.8% | 7.3% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.4% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 11.6% | 13.7% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 13.9% | 10.2% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98.2% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 98.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 95.9% | 93.2% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 96.1% | 94.4% | 82% | Better |
Inspection citations
State inspectors cited this home for 71 health deficiencies and 29 fire safety deficiencies in the inspection records CMS currently publishes. 7 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| February 24, 2026 Complaint | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | E Potential harm, pattern | Corrected March 9, 2026 |
| February 11, 2026 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected March 6, 2026 |
| February 11, 2026 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | E Potential harm, pattern | Corrected March 6, 2026 |
| August 14, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected September 5, 2025 |
| August 14, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected September 5, 2025 |
| August 14, 2025 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected September 5, 2025 |
| August 14, 2025 Fire safety | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0919 | D Potential harm, isolated | Corrected September 5, 2025 |
| August 14, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected September 5, 2025 |
| August 14, 2025 Fire safety | Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0929 | D Potential harm, isolated | Corrected September 5, 2025 |
| August 14, 2025 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | D Potential harm, isolated | Corrected September 5, 2025 |
| August 14, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | C No harm, widespread | Corrected September 5, 2025 |
| August 14, 2025 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | G Actual harm, isolated | Corrected September 27, 2025 |
| August 14, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected September 27, 2025 |
| August 14, 2025 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | F Potential harm, widespread | Corrected September 27, 2025 |
| August 14, 2025 Standard | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · Tag F0838 | F Potential harm, widespread | Corrected September 27, 2025 |
| August 14, 2025 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | F Potential harm, widespread | Corrected September 27, 2025 |
| August 14, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected September 27, 2025 |
| August 14, 2025 Standard | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Nutrition and Dietary Deficiencies · Tag F0808 | F Potential harm, widespread | Corrected September 27, 2025 |
| August 14, 2025 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected September 27, 2025 |
| August 14, 2025 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected September 27, 2025 |
| August 14, 2025 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected September 27, 2025 |
| August 14, 2025 Standard | Provide special eating equipment and utensils for residents who need them and appropriate assistance. Nutrition and Dietary Deficiencies · Tag F0810 | E Potential harm, pattern | Corrected September 27, 2025 |
| August 14, 2025 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected September 27, 2025 |
| August 14, 2025 Standard | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Tag F0813 | D Potential harm, isolated | Corrected September 27, 2025 |
| August 14, 2025 Standard | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Tag F0805 | D Potential harm, isolated | Corrected September 27, 2025 |
| August 14, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected September 27, 2025 |
| August 14, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected September 27, 2025 |
| August 14, 2025 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected September 27, 2025 |
| August 14, 2025 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected September 27, 2025 |
| August 14, 2025 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected September 27, 2025 |
| August 14, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected September 27, 2025 |
| August 14, 2025 Standard | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Tag F0912 | B No harm, pattern | Corrected September 27, 2025 |
| June 10, 2025 Complaint | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected June 10, 2025 |
| June 10, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected June 10, 2025 |
| April 15, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected May 7, 2025 |
| April 15, 2025 Complaint | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Tag F0726 | E Potential harm, pattern | Corrected May 7, 2025 |
| April 15, 2025 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected May 7, 2025 |
| March 7, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | K Immediate jeopardy, pattern | Corrected May 7, 2025 |
| March 7, 2025 Complaint | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Tag F0835 | F Potential harm, widespread | Corrected May 7, 2025 |
| March 7, 2025 Complaint | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Tag F0865 | E Potential harm, pattern | Corrected May 7, 2025 |
| March 7, 2025 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected May 7, 2025 |
| March 7, 2025 Complaint | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Tag F0726 | E Potential harm, pattern | Corrected May 7, 2025 |
| March 7, 2025 Complaint | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Tag F0849 | E Potential harm, pattern | Corrected May 7, 2025 |
| March 7, 2025 Complaint | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected May 7, 2025 |
| March 7, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 7, 2025 |
| March 7, 2025 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected May 7, 2025 |
| March 7, 2025 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected May 7, 2025 |
| March 7, 2025 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected May 7, 2025 |
| January 9, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected May 7, 2025 |
| January 9, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected May 7, 2025 |
| January 9, 2025 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected May 7, 2025 |
| January 9, 2025 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | E Potential harm, pattern | Corrected May 7, 2025 |
| January 9, 2025 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected May 7, 2025 |
| November 22, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected January 2, 2025 |
| June 21, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected July 22, 2024 |
| June 21, 2024 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected July 22, 2024 |
| June 21, 2024 Fire safety | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Tag K0347 | F Potential harm, widespread | Corrected July 22, 2024 |
| June 21, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected July 22, 2024 |
| June 21, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected July 22, 2024 |
| June 21, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected July 22, 2024 |
| June 21, 2024 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected July 22, 2024 |
| June 21, 2024 Fire safety | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0919 | D Potential harm, isolated | Corrected July 22, 2024 |
| June 21, 2024 Fire safety | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Tag E0015 | D Potential harm, isolated | Corrected July 22, 2024 |
| June 21, 2024 Fire safety | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Tag E0030 | D Potential harm, isolated | Corrected July 22, 2024 |
| June 21, 2024 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | D Potential harm, isolated | Corrected July 22, 2024 |
| June 21, 2024 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected July 22, 2024 |
| June 21, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected July 22, 2024 |
| June 21, 2024 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | D Potential harm, isolated | Corrected July 22, 2024 |
| June 21, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected July 20, 2024 |
| June 21, 2024 Standard | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Tag F0578 | E Potential harm, pattern | Corrected July 20, 2024 |
| June 21, 2024 Standard | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Tag F0912 | E Potential harm, pattern | Corrected July 20, 2024 |
| June 21, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected July 20, 2024 |
| June 21, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0625 | E Potential harm, pattern | Corrected July 20, 2024 |
| June 21, 2024 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | E Potential harm, pattern | Corrected July 20, 2024 |
| June 21, 2024 Standard | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. Administration Deficiencies · Tag F0840 | D Potential harm, isolated | Corrected July 20, 2024 |
| May 2, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | G Actual harm, isolated | Corrected April 26, 2024 |
| April 4, 2024 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | G Actual harm, isolated | Corrected April 26, 2024 |
| April 4, 2024 Complaint | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | E Potential harm, pattern | Corrected April 26, 2024 |
| April 4, 2024 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected April 26, 2024 |
| March 8, 2024 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected April 24, 2024 |
| November 15, 2023 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected December 8, 2023 |
| April 26, 2019 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | D Potential harm, isolated | Corrected July 9, 2019 |
| April 26, 2019 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | D Potential harm, isolated | Corrected July 9, 2019 |
| April 26, 2019 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected July 9, 2019 |
| April 26, 2019 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected July 9, 2019 |
| April 26, 2019 Fire safety | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Tag E0041 | D Potential harm, isolated | Corrected July 9, 2019 |
| April 26, 2019 Fire safety | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Tag E0030 | D Potential harm, isolated | Corrected July 9, 2019 |
| April 26, 2019 Fire safety | Establish procedures for tracking staff and patients during an emergency. Emergency Preparedness Deficiencies · Tag E0018 | D Potential harm, isolated | Corrected July 9, 2019 |
| April 26, 2019 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected June 25, 2019 |
| April 26, 2019 Standard | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Tag F0577 | F Potential harm, widespread | Corrected June 25, 2019 |
| April 26, 2019 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected June 25, 2019 |
| April 26, 2019 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected June 25, 2019 |
| April 26, 2019 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | E Potential harm, pattern | Corrected June 25, 2019 |
| April 26, 2019 Standard | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Tag F0912 | E Potential harm, pattern | Corrected June 25, 2019 |
| April 26, 2019 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | E Potential harm, pattern | Corrected June 25, 2019 |
| April 26, 2019 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected June 25, 2019 |
| April 26, 2019 Standard | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Tag F0813 | D Potential harm, isolated | Corrected June 25, 2019 |
| April 26, 2019 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected June 25, 2019 |
| April 26, 2019 Standard | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected June 25, 2019 |
| April 26, 2019 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected June 25, 2019 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 5 federal penalties in the past three years, including $373,733 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| August 14, 2025 | Payment Denial | 15 days from September 12, 2025 |
| August 14, 2025 | Fine | $126,900 |
| January 9, 2025 | Payment Denial | 83 days from February 13, 2025 |
| January 9, 2025 | Fine | $194,145 |
| March 8, 2024 | Fine | $52,688 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| CRESCENT FACILITIES OPERATIONS LLC Organization | 5% or greater direct ownership interest | 100% | 12/19/2006 |
| BERING PROPERTIES LLC Organization | 5% or greater indirect ownership interest | 6% | 10/10/2013 |
| JENMAX ENTERPRISES LLC Organization | 5% or greater indirect ownership interest | 23% | 02/01/2007 |
| JK-CSH JV LLC Organization | 5% or greater indirect ownership interest | 12% | 11/01/2006 |
| MANHATTAN FIVE PARTNERS LLC Organization | 5% or greater indirect ownership interest | 7% | 11/01/2006 |
| WIN WIN ENTERPRISES, LLC Organization | 5% or greater indirect ownership interest | 35% | 02/01/2007 |
| 517 S. A STREET LLC Organization | adp of the snf | NOT APPLICABLE | 12/15/2006 |
| BRETSCH, GREGORY Individual | adp of the snf | NOT APPLICABLE | 02/25/2019 |
| BULOSAN, JULIA Individual | adp of the snf | NOT APPLICABLE | 05/27/2025 |
| BUTENKO, JULIE Individual | adp of the snf | NOT APPLICABLE | 07/24/2023 |
| CAMBRIDGE HEALTHCARE SERVICES LLC Organization | adp of the snf | NOT APPLICABLE | 07/24/2025 |
| CAPELA, HEIDI Individual | adp of the snf | NOT APPLICABLE | 04/03/2023 |
| HASSELL, LANCE Individual | adp of the snf | NOT APPLICABLE | 04/25/2022 |
| JENMAX ENTERPRISES LLC Organization | adp of the snf | NOT APPLICABLE | 12/15/2006 |
| JK-CSH JV LLC Organization | adp of the snf | NOT APPLICABLE | 12/15/2006 |
| LAL, AKASH Individual | adp of the snf | NOT APPLICABLE | 07/22/2025 |
| LUTZ, LINDA Individual | adp of the snf | NOT APPLICABLE | 02/01/2012 |
| SALAZAR, PAULINA Individual | adp of the snf | NOT APPLICABLE | 12/14/2020 |
| SINGH, RANJEET Individual | adp of the snf | NOT APPLICABLE | 04/08/2024 |
| SMEDRA, IRA Individual | adp of the snf | NOT APPLICABLE | 02/01/2007 |
| WINTNER, JACOB Individual | adp of the snf | NOT APPLICABLE | 02/01/2007 |
| WIN WIN ENTERPRISES, LLC Organization | adp of the snf | NOT APPLICABLE | 12/15/2006 |
| WINTNER, JACOB Individual | corporate officer | NOT APPLICABLE | 02/01/2007 |
| BH ALLIANCE Organization | indirect ownership interest | NOT APPLICABLE | 11/01/2006 |
| THE JACOB WINTNER TRUST Organization | indirect ownership interest | NOT APPLICABLE | 11/01/2006 |
| THE WINTNER LIVING TRUST DATED 7/08/1992 Organization | indirect ownership interest | NOT APPLICABLE | 02/01/2007 |
| BRETSCH, GREGORY Individual | managing control - governing body | NOT APPLICABLE | 02/25/2019 |
| LAL, AKASH Individual | managing control - governing body | NOT APPLICABLE | 10/28/2024 |
| BRETSCH, GREGORY Individual | operational/managerial control | NOT APPLICABLE | 02/25/2019 |
| BULOSAN, JULIA Individual | operational/managerial control | NOT APPLICABLE | 05/27/2025 |
| BUTENKO, JULIE Individual | operational/managerial control | NOT APPLICABLE | 07/24/2023 |
| CAMBRIDGE HEALTHCARE SERVICES LLC Organization | operational/managerial control | NOT APPLICABLE | 04/01/2014 |
| CAPELA, HEIDI Individual | operational/managerial control | NOT APPLICABLE | 04/03/2023 |
| HASSELL, LANCE Individual | operational/managerial control | NOT APPLICABLE | 04/25/2022 |
| LAL, AKASH Individual | operational/managerial control | NOT APPLICABLE | 10/28/2024 |
| LUTZ, LINDA Individual | operational/managerial control | NOT APPLICABLE | 02/01/2012 |
| SALAZAR, PAULINA Individual | operational/managerial control | NOT APPLICABLE | 12/14/2020 |
| SINGH, RANJEET Individual | operational/managerial control | NOT APPLICABLE | 04/08/2024 |
| SMEDRA, IRA Individual | operational/managerial control | NOT APPLICABLE | 02/01/2007 |
| WINTNER, JACOB Individual | operational/managerial control | NOT APPLICABLE | 02/01/2007 |
Other nursing homes near Madera Rehabilitation & Nursing Center
Madera Care Center
1700 Howard Road, Madera, CA 93637 · 1.7 mi
For-profit · 64 beds · Part of Golden SNF Operations
- New owner (last 12 months)
★★★★★4Above averageChowchilla Memorial Healthcare District
1104 Ventura Ave., Chowchilla, CA 93610 · 16.4 mi
Non-profit · 29 beds
★★★★★4Above averagePalms Care Center
1010 Ventura Avenue, Chowchilla, CA 93610 · 16.5 mi
For-profit · 65 beds · Part of Ajc Healthcare
★★★★★3AverageFoundation Skilled Nursing
925 North Cornelia, Fresno, CA 93706 · 17.4 mi
For-profit · 59 beds · Part of Jericho Care Group
★★★★★1Much below averageNorth Point Healthcare & Wellness Centre LP
668 E. Bullard, Fresno, CA 93710 · 17.7 mi
For-profit · 99 beds · Part of Corporate Interface Services
★★★★★5Much above averageThe Terraces at San Joaquin Gardens Village
5551 N. Fresno St, Fresno, CA 93710 · 17.9 mi
Non-profit · 54 beds · Part of Humangood
- CMS high performer
★★★★★5Much above average
Frequently asked questions
What is Madera Rehabilitation & Nursing Center's rating?
Madera Rehabilitation & Nursing Center has 1 out of 5 stars on the CMS overall star rating. The average for California nursing homes is 3.2 stars.
How many inspection citations did Madera Rehabilitation & Nursing Center receive?
Its most recent standard health inspection found 24 citations, compared with a California average of 15.5. Every citation is listed on this page with its severity.
Does Madera Rehabilitation & Nursing Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Madera Rehabilitation & Nursing Center?
It is for profit - limited liability company and part of Cambridge Healthcare Services. The ownership section on this page lists the owners and managers reported to CMS.
Where is Madera Rehabilitation & Nursing Center and how do I contact it?
Madera Rehabilitation & Nursing Center is at 517 South A Street, Madera, CA 93638. Phone: (559) 673-9228.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.