California › Los Angeles County › El Monte
Madera Post Acute Center
11900 Ramona Boulevard, El Monte, CA 91732
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.
Certified for 148 beds, Madera Post Acute Center serves El Monte in Los Angeles County, California and has taken Medicare and Medicaid residents since 1971.
CMS gives it 1 of 5 stars overall, below the California median of 3; the health inspection rating is 1, staffing 3 and quality measures 4.
Inspectors recorded 70 health deficiencies across the three most recent survey cycles (29, 19, 22 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 47.3 per 100 beds, about the same as the state median of 51.1.
CMS lists 2 penalties in the period covered: fines totalling $30K.
Reported nurse staffing is 4.0 hours per resident per day (0.3 RN), close to the California median of 4.2; nursing staff turnover is 49.7%.
Compared with county, state and nation
| Measure | This facility | Los Angeles Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 70 | 61 | 44 | 28.7 |
| Citations per 100 beds | 47.3 | 69.1 | 51.1 | 26.8 |
| Total nurse hours per resident day | 4.0 | 4.3 | 4.2 | 3.9 |
| RN hours per resident day | 0.3 | 0.4 | 0.5 | 0.7 |
| Nursing staff turnover | 49.7% | 34.4% | 36.4% | 45.8% |
| Fines listed | $29,517 | $12,831 | $0 | — |
County and state figures are medians across facilities (369 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: 10 Jul 2025, 19 Jul 2024.
Severity mix: K ×1 G ×1 D ×43 E ×23 B ×2
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 |
|---|---|---|---|---|---|
| 15 May 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 10 Jun 2026 |
| 15 May 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 10 Jun 2026 |
| 15 May 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 9 Jun 2026 |
| 23 Apr 2026 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 15 May 2026 |
| 23 Apr 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 14 May 2026 |
| 23 Apr 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 11 May 2026 |
| 23 Apr 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 14 May 2026 |
| 8 Apr 2026 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 1 May 2026 |
| 16 Mar 2026 | 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 | 2 Apr 2026 |
| 16 Mar 2026 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint investigation | 2 Apr 2026 |
| 16 Mar 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 | Complaint investigation | 2 Apr 2026 |
| 16 Mar 2026 | F0926 | Have policies on smoking. | D | Complaint investigation | 2 Apr 2026 |
| 28 Jan 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Complaint investigation | 14 Feb 2026 |
| 6 Jan 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 30 Jan 2026 |
| 6 Jan 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 30 Jan 2026 |
| 6 Jan 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 30 Jan 2026 |
| 21 Aug 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 12 Sep 2025 |
| 10 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Standard survey | 24 Jul 2025 |
| 10 Jul 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 30 Jul 2025 |
| 10 Jul 2025 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 30 Jul 2025 |
| 10 Jul 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 30 Jul 2025 |
| 10 Jul 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 25 Jul 2025 |
| 10 Jul 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 30 Jul 2025 |
| 10 Jul 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. | D | Standard survey | 30 Jul 2025 |
| 10 Jul 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 30 Jul 2025 |
| 10 Jul 2025 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard survey | 30 Jul 2025 |
| 10 Jul 2025 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Standard survey | 30 Jul 2025 |
| 10 Jul 2025 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 30 Jul 2025 |
| 10 Jul 2025 | F0732 | Post nurse staffing information every day. | B | Standard survey | 30 Jul 2025 |
| 7 Apr 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 1 May 2025 |
| 19 Mar 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 9 Apr 2025 |
| 5 Feb 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 3 Mar 2025 |
| 5 Feb 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 3 Mar 2025 |
| 16 Dec 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 7 Jan 2025 |
| 10 Oct 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 1 Nov 2024 |
| 9 Oct 2024 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Complaint investigation | 28 Oct 2024 |
| 19 Jul 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard survey | 6 Aug 2024 |
| 19 Jul 2024 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | E | Standard survey | 5 Aug 2024 |
| 19 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 8 Aug 2024 |
| 19 Jul 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Standard survey | 8 Aug 2024 |
| 19 Jul 2024 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | E | Standard survey | 8 Aug 2024 |
| 19 Jul 2024 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | Standard survey | 12 Aug 2024 |
| 19 Jul 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 12 Aug 2024 |
| 19 Jul 2024 | F0578 | 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. | D | Standard survey | 7 Aug 2024 |
| 19 Jul 2024 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 9 Aug 2024 |
| 19 Jul 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 8 Aug 2024 |
| 19 Jul 2024 | F0849 | 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. | D | Standard survey | 8 Aug 2024 |
| 19 Jul 2024 | F0732 | Post nurse staffing information every day. | B | Standard survey | 7 Aug 2024 |
| 17 May 2024 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | G | Complaint investigation | 14 Jun 2024 |
| 17 May 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 | 14 Jun 2024 |
| 8 Mar 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Complaint investigation | 27 Mar 2024 |
| 8 Mar 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint investigation | 27 Mar 2024 |
| 21 Oct 2021 | F0578 | 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. | E | Standard survey | 1 Dec 2021 |
| 21 Oct 2021 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 1 Dec 2021 |
| 21 Oct 2021 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 1 Dec 2021 |
| 21 Oct 2021 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 1 Dec 2021 |
| 21 Oct 2021 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 1 Dec 2021 |
| 21 Oct 2021 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 1 Dec 2021 |
| 21 Oct 2021 | 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 | 1 Dec 2021 |
| 21 Oct 2021 | 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 | 1 Dec 2021 |
| 21 Oct 2021 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 1 Dec 2021 |
| 21 Oct 2021 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 1 Dec 2021 |
| 21 Oct 2021 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 1 Dec 2021 |
| 21 Oct 2021 | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | Standard survey | 1 Dec 2021 |
| 21 Oct 2021 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 1 Dec 2021 |
| 21 Oct 2021 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 1 Dec 2021 |
| 21 Oct 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 | 1 Dec 2021 |
| 21 Oct 2021 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Standard survey | 1 Dec 2021 |
| 21 Oct 2021 | F0849 | 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. | D | Standard survey | 1 Dec 2021 |
| 21 Oct 2021 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 1 Dec 2021 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 10 Jul 2025 | Fine | $13,319 | |
| 17 May 2024 | Fine | $16,198 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 49.7%, RNs 35.7%; 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 | 7.0% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.2% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.3% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.8% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.5% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.9% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 9.7% | 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, corporation. Legal business name: Glimmer Healthcare Inc. Chain: The Ensign Group (342 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Twomagnets LLC | Operational/managerial control | NOT APPLICABLE | 02/01/2023 |
| Ensign Services Inc | Adp of the snf | NOT APPLICABLE | 11/01/2022 |
| Twomagnets LLC | Adp of the snf | NOT APPLICABLE | 08/18/2025 |
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 Los Angeles County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Alcott Rehabilitation Hospital | Los Angeles | 121 | 5 | 4 | 4 | 42 | 34.7 | $9K | 23 Dec 2025 |
| Alden Terrace Convalescent Hospital | Los Angeles | 210 | 5 | 4 | 4 | 35 | 16.7 | — | 20 Nov 2025 |
| Angels Nursing Health Center | Los Angeles | 49 | 5 | 4 | 4 | 37 | 75.5 | $72K | 11 Jun 2026 |
| Ararat Post Acute | Glendale | 28 | 5 | 4 | 5 | 30 | 107.1 | $42K | 23 Jan 2026 |
| Atherton Baptist Home | Alhambra | 113 | 5 | 4 | 4 | 28 | 24.8 | — | 16 Jan 2026 |
| Atlantic Memorial Healthcare Center | Long Beach | 104 | 5 | 5 | 4 | 25 | 24.0 | — | 16 Jun 2026 |
| Beachside Post Acute | Torrance | 110 | 5 | 4 | 4 | 31 | 28.2 | — | 19 Dec 2025 |
| Beacon Healthcare Center | West Covina | 54 | 5 | 4 | 3 | 32 | 59.3 | — | 14 May 2026 |
All 369 facilities in Los Angeles County
Questions and answers
How many deficiencies has Madera Post Acute Center been cited for?
70 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has Madera Post Acute Center been fined?
Yes. CMS lists fines totalling $30K in the period covered.
How does staffing at Madera Post Acute 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 Post Acute Center?
It is part of the The Ensign Group chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Twomagnets LLC. Individual owners and managers are not listed on this site.
When was Madera Post Acute Center last inspected?
The most recent survey or investigation in the CMS record is dated 15 May 2026; the most recent standard health survey was 10 Jul 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.