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Madera Care Center
1700 Howard Road, Madera, CA 93637
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.
Madera Care Center is a For-profit, limited liability company nursing home in Madera, California, certified for 64 beds and caring for about 61 residents a day.
CMS gives it 4 of 5 stars overall, above the California median of 3; the health inspection rating is 4, staffing 3 and quality measures 4.
Inspectors recorded 38 health deficiencies across the three most recent survey cycles (3, 13, 22 by cycle, most recent first), none at the actual-harm level. That is 59.4 per 100 beds, about the same as the state median of 51.1.
CMS lists 8 penalties in the period covered: fines totalling $42K.
Reported nurse staffing is 4.0 hours per resident per day (0.7 RN), close to the California median of 4.2; nursing staff turnover is 49.3%.
CMS flags that the facility changed ownership in the last 12 months.
Compared with county, state and nation
| Measure | This facility | Madera Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 38 | 39 | 44 | 28.7 |
| Citations per 100 beds | 59.4 | 60.0 | 51.1 | 26.8 |
| Total nurse hours per resident day | 4.0 | 4.0 | 4.2 | 3.9 |
| RN hours per resident day | 0.7 | 0.3 | 0.5 | 0.7 |
| Nursing staff turnover | 49.3% | 45.5% | 36.4% | 45.8% |
| Fines listed | $41,597 | $112,195 | $0 | — |
County and state figures are medians across facilities (5 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: 3 Apr 2025, 20 Feb 2024.
Severity mix: D ×20 E ×14 F ×4
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 |
|---|---|---|---|---|---|
| 19 Mar 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 6 Apr 2026 |
| 27 Feb 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 23 Mar 2026 |
| 16 Apr 2025 | F0584 | 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. | E | Complaint investigation | 24 Apr 2025 |
| 4 Apr 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 3 Apr 2025 |
| 3 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 14 Apr 2025 |
| 26 Feb 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 25 Mar 2025 |
| 3 Jul 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 25 Jul 2024 |
| 19 Jun 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 12 Aug 2024 |
| 20 Feb 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 | 20 Mar 2024 |
| 20 Feb 2024 | F0584 | 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. | E | Complaint investigation | 20 Mar 2024 |
| 20 Feb 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 20 Mar 2024 |
| 20 Feb 2024 | 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 | 20 Mar 2024 |
| 20 Feb 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 20 Mar 2024 |
| 20 Feb 2024 | F0687 | Provide appropriate foot care. | D | Complaint investigation | 20 Mar 2024 |
| 20 Feb 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 | 20 Mar 2024 |
| 20 Feb 2024 | 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 Mar 2024 |
| 20 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 20 Mar 2024 |
| 20 Feb 2024 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 20 Mar 2024 |
| 9 Nov 2023 | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | Complaint investigation | 21 Nov 2023 |
| 13 Apr 2023 | 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. | F | Standard survey | 21 Aug 2023 |
| 13 Apr 2023 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | Standard survey | 21 Jun 2023 |
| 13 Apr 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 21 Aug 2023 |
| 13 Apr 2023 | F0584 | 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. | E | Standard survey | 21 Jun 2023 |
| 13 Apr 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 21 Jun 2023 |
| 13 Apr 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 21 Aug 2023 |
| 13 Apr 2023 | F0732 | Post nurse staffing information every day. | E | Standard survey | 21 Jun 2023 |
| 13 Apr 2023 | 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 | 21 Jun 2023 |
| 13 Apr 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 21 Aug 2023 |
| 13 Apr 2023 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard survey | 20 Jun 2023 |
| 13 Apr 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 21 Jun 2023 |
| 13 Apr 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 21 Jun 2023 |
| 13 Apr 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 21 Jun 2023 |
| 13 Apr 2023 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 21 Jun 2023 |
| 13 Apr 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 21 Jun 2023 |
| 13 Apr 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 21 Jun 2023 |
| 13 Apr 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 21 Aug 2023 |
| 13 Apr 2023 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 21 Jun 2023 |
| 13 Apr 2023 | F0814 | Dispose of garbage and refuse properly. | D | Standard survey | 21 Jun 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 8 Jan 2024 | Fine | $4,938 | |
| 2 Jan 2024 | Fine | $4,587 | |
| 11 Dec 2023 | Fine | $12,703 | |
| 6 Nov 2023 | Fine | $9,527 | |
| 17 Oct 2023 | Fine | $2,787 | |
| 10 Oct 2023 | Fine | $2,117 | |
| 2 Oct 2023 | Fine | $1,764 | |
| 11 Sep 2023 | Fine | $3,174 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 49.3%, RNs 37.5%; 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 | 7.6% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.6% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.5% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.8% | 1.0% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.1% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 2.3% | 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: Madera Post Acute Llc. Chain: Golden Snf Operations (7 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Madera Post Acute LLC | 5% or greater direct ownership interest | 100% | 11/04/2025 |
| Sun Meridian Health Holdings LLC | 5% or greater indirect ownership interest | 100% | 11/04/2025 |
| Madera SNF Propco LLC | 5% or greater security interest | NOT APPLICABLE | 11/04/2025 |
| Madera Post Acute LLC | Operational/managerial control | NOT APPLICABLE | 11/04/2025 |
| Madera Post Acute LLC | Adp of the snf | NOT APPLICABLE | 11/04/2025 |
| Madera SNF Propco LLC | Adp of the snf | NOT APPLICABLE | 11/04/2025 |
| Sun Meridian Management Services LLC | Adp of the snf | NOT APPLICABLE | 11/04/2025 |
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 Madera County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Chowchilla Memorial Healthcare District | Chowchilla | 29 | 4 | 4 | 3 | 23 | 79.3 | $112K | 19 Feb 2026 |
| Palms Care Center | Chowchilla | 65 | 4 | 4 | 3 | 39 | 60.0 | — | 4 Apr 2025 |
| Madera Rehabilitation & Nursing Center | Madera | 176 | 1 | 1 | 3 | 71 | 40.3 | $374K | 24 Feb 2026 |
| Majestic Mountain Care Centerabuse iconSFF Candidate | Oakhurst | 66 | 1 | 1 | 2 | 63 | 95.5 | $253K | 6 May 2026 |
All 5 facilities in Madera County
Questions and answers
How many deficiencies has Madera 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 Madera Care Center been fined?
Yes. CMS lists fines totalling $42K in the period covered.
How does staffing at Madera Care Center compare?
Reported total nurse staffing is 4.0 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Madera Care Center?
It is part of the Golden Snf Operations chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Madera Post Acute LLC, Sun Meridian Health Holdings LLC and Madera Post Acute LLC. Individual owners and managers are not listed on this site.
When was Madera Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 19 Mar 2026; the most recent standard health survey was 3 Apr 2025.
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.