California › Merced County › Merced
La Sierra Care Center
2424 M Street, Merced, CA 95340
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
La Sierra Care Center, in Merced, California, is certified for 68 beds under for-profit, limited liability company ownership and belongs to the Cambridge Healthcare Services chain.
CMS gives it 3 of 5 stars overall, equal to the California median; the health inspection rating is 3, staffing 3 and quality measures 3.
Inspectors recorded 38 health deficiencies across the three most recent survey cycles (12, 15, 11 by cycle, most recent first), none at the actual-harm level. That is 55.9 per 100 beds, about the same as the state median of 51.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.9 hours per resident per day (0.5 RN), close to the California median of 4.2; nursing staff turnover is 54.9%.
Compared with county, state and nation
| Measure | This facility | Merced Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 38 | 29 | 44 | 28.7 |
| Citations per 100 beds | 55.9 | 40.7 | 51.1 | 26.8 |
| Total nurse hours per resident day | 3.9 | 4.1 | 4.2 | 3.9 |
| RN hours per resident day | 0.5 | 0.4 | 0.5 | 0.7 |
| Nursing staff turnover | 54.9% | 36.7% | 36.4% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (10 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 23 Jan 2026, 23 Aug 2024.
Severity mix: D ×20 E ×13 F ×4 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 23 Jan 2026 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | E | Standard survey | 23 Feb 2026 |
| 23 Jan 2026 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Standard survey | 23 Feb 2026 |
| 23 Jan 2026 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Standard survey | 23 Feb 2026 |
| 23 Jan 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 23 Feb 2026 |
| 23 Jan 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 23 Feb 2026 |
| 23 Jan 2026 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | E | Standard survey | 23 Feb 2026 |
| 23 Jan 2026 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 23 Feb 2026 |
| 23 Jan 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 23 Feb 2026 |
| 23 Jan 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 23 Feb 2026 |
| 23 Jan 2026 | F0761 | 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. | D | Standard survey | 23 Feb 2026 |
| 23 Jan 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 23 Feb 2026 |
| 19 Nov 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 11 Dec 2025 |
| 3 Apr 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 21 Apr 2025 |
| 23 Oct 2024 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | E | Complaint investigation | 4 Nov 2024 |
| 23 Aug 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Standard survey | 23 Sep 2024 |
| 23 Aug 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 23 Sep 2024 |
| 23 Aug 2024 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | F | Standard survey | 23 Sep 2024 |
| 23 Aug 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 23 Sep 2024 |
| 23 Aug 2024 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 23 Sep 2024 |
| 23 Aug 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 23 Sep 2024 |
| 23 Aug 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 23 Sep 2024 |
| 23 Aug 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 23 Sep 2024 |
| 23 Aug 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 23 Sep 2024 |
| 23 Aug 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 23 Sep 2024 |
| 23 Aug 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 23 Sep 2024 |
| 23 Aug 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 23 Sep 2024 |
| 23 Aug 2024 | F0732 | Post nurse staffing information every day. | C | Standard survey | 23 Sep 2024 |
| 9 Oct 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 26 Oct 2023 |
| 29 Apr 2021 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Standard survey | 10 Jun 2021 |
| 29 Apr 2021 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 29 Apr 2021 |
| 29 Apr 2021 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 10 Jun 2021 |
| 29 Apr 2021 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 10 Jun 2021 |
| 29 Apr 2021 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | E | Standard survey | 10 Jun 2021 |
| 29 Apr 2021 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 11 May 2021 |
| 29 Apr 2021 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 20 May 2021 |
| 29 Apr 2021 | F0761 | 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. | D | Standard survey | 20 May 2021 |
| 29 Apr 2021 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 10 Jun 2021 |
| 29 Apr 2021 | F0920 | Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | D | Standard survey | 11 May 2021 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 54.9%, RNs 85.7%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 4.1% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.3% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.9% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 5.3% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.0% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.5% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.0% | 9.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Cf Merced La Sierra, Llc. Chain: Cambridge Healthcare Services (32 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Crescent Facilities Operations LLC | 5% or greater direct ownership interest | 100% | 02/07/2007 |
| Bering Properties LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 02/01/2007 |
| Jenmax Enterprises LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 02/01/2007 |
| Jk-Csh Jv LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 11/01/2006 |
| Manhattan Five Partners LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 11/01/2006 |
| Win Win Enterprises, LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 02/01/2007 |
| Bh Alliance | Indirect ownership interest | NOT APPLICABLE | 11/01/2006 |
| Cambridge Healthcare Services LLC | Operational/managerial control | NOT APPLICABLE | 04/01/2014 |
| 2424 M Street LLC | Adp of the snf | NOT APPLICABLE | 12/15/2006 |
| Cambridge Healthcare Services LLC | Adp of the snf | NOT APPLICABLE | 07/15/2025 |
| Jenmax Enterprises LLC | Adp of the snf | NOT APPLICABLE | 02/01/2007 |
| Jk-Csh Jv LLC | Adp of the snf | NOT APPLICABLE | 11/01/2006 |
| Win Win Enterprises, LLC | Adp of the snf | NOT APPLICABLE | 02/01/2007 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Merced County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Anberry Nursing and Rehabilitation Center | Atwater | 99 | 5 | 4 | 4 | 19 | 19.2 | — | 23 Jan 2026 |
| Grace Home Inc. | Livingston | 33 | 5 | 5 | 4 | 18 | 54.5 | — | 22 May 2026 |
| Merced Behavioral Center | Merced | 96 | 5 | 5 | 5 | 17 | 17.7 | — | 5 Jun 2023 |
| Franciscan Post-Acute Care Center | Merced | 71 | 4 | 4 | 3 | 30 | 42.3 | $9K | 20 Apr 2026 |
| Merced Nursing & Rehabilitation Ctr | Merced | 79 | 4 | 3 | 3 | 24 | 30.4 | — | 23 Mar 2026 |
| Anberry Post Acute | Merced | 120 | 3 | 3 | 1 | 38 | 31.7 | — | 19 Jun 2026 |
| Golden Merced Care Center | Merced | 121 | 3 | 3 | 3 | 33 | 27.3 | $84K | 19 May 2026 |
| Los Banos Post Acute | Los Banos | 59 | 2 | 2 | 2 | 24 | 40.7 | — | 8 Aug 2025 |
All 10 facilities in Merced County
Questions and answers
How many deficiencies has La Sierra Care Center been cited for?
38 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has La Sierra Care Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at La Sierra Care Center compare?
Reported total nurse staffing is 3.9 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates La Sierra Care Center?
It is part of the Cambridge Healthcare Services chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Crescent Facilities Operations LLC, Bering Properties LLC and Jenmax Enterprises LLC. Individual owners and managers are not listed on this site.
When was La Sierra Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 23 Jan 2026; the most recent standard health survey was 23 Jan 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.