California › Madera County › Madera
Madera Rehabilitation & Nursing Center
517 South A Street, Madera, CA 93638
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★
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 Rehabilitation & Nursing Center, in Madera, California, is certified for 176 beds under for-profit, limited liability company ownership and belongs to the Cambridge Healthcare Services chain.
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 71 health deficiencies across the three most recent survey cycles (24, 29, 18 by cycle, most recent first), 7 of them at the actual-harm or immediate-jeopardy level. That is 40.3 per 100 beds, fewer than the state median of 51.1.
CMS lists 5 penalties in the period covered: fines totalling $374K and 2 payment denials.
Reported nurse staffing is 3.8 hours per resident per day (0.5 RN), close to the California median of 4.2; nursing staff turnover is 45.5%.
71health deficiencies, 3 survey cycles7 at actual harm or worse
$374Kfines listed by CMS5 penalties in period
3.8nurse hours per resident per daystate median 4.2
95%occupancy (residents ÷ beds)168 residents a day
Compared with county, state and nation
| Measure | This facility | Madera Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 71 | 39 | 44 | 28.7 |
| Citations per 100 beds | 40.3 | 60.0 | 51.1 | 26.8 |
| Total nurse hours per resident day | 3.8 | 4.0 | 4.2 | 3.9 |
| RN hours per resident day | 0.5 | 0.3 | 0.5 | 0.7 |
| Nursing staff turnover | 45.5% | 45.5% | 36.4% | 45.8% |
| Fines listed | $373,733 | $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: 14 Aug 2025, 21 Jun 2024.
Severity mix: K ×1 G ×6 D ×26 E ×27 F ×10 B ×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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 24 Feb 2026 | F0908 | Keep all essential equipment working safely. | E | Complaint investigation | 9 Mar 2026 |
| 11 Feb 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 6 Mar 2026 |
| 11 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 6 Mar 2026 |
| 14 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 27 Sep 2025 |
| 14 Aug 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Standard survey | 27 Sep 2025 |
| 14 Aug 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | F | Standard survey | 27 Sep 2025 |
| 14 Aug 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Standard survey | 27 Sep 2025 |
| 14 Aug 2025 | F0808 | 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. | F | Standard survey | 27 Sep 2025 |
| 14 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 27 Sep 2025 |
| 14 Aug 2025 | F0838 | 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. | F | Standard survey | 27 Sep 2025 |
| 14 Aug 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 27 Sep 2025 |
| 14 Aug 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 | 27 Sep 2025 |
| 14 Aug 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 27 Sep 2025 |
| 14 Aug 2025 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | E | Standard survey | 27 Sep 2025 |
| 14 Aug 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 27 Sep 2025 |
| 14 Aug 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 27 Sep 2025 |
| 14 Aug 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 27 Sep 2025 |
| 14 Aug 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 27 Sep 2025 |
| 14 Aug 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 27 Sep 2025 |
| 14 Aug 2025 | 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 | 27 Sep 2025 |
| 14 Aug 2025 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 27 Sep 2025 |
| 14 Aug 2025 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Standard survey | 27 Sep 2025 |
| 14 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 27 Sep 2025 |
| 14 Aug 2025 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard survey | 27 Sep 2025 |
| 10 Jun 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 | 10 Jun 2025 |
| 10 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 10 Jun 2025 |
| 15 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 7 May 2025 |
| 15 Apr 2025 | F0726 | 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. | E | Complaint investigation | 7 May 2025 |
| 15 Apr 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 7 May 2025 |
| 7 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Complaint investigation | 7 May 2025 |
| 7 Mar 2025 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Complaint investigation | 7 May 2025 |
| 7 Mar 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 | Complaint investigation | 7 May 2025 |
| 7 Mar 2025 | F0726 | 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. | E | Complaint investigation | 7 May 2025 |
| 7 Mar 2025 | 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. | E | Complaint investigation | 7 May 2025 |
| 7 Mar 2025 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | Complaint investigation | 7 May 2025 |
| 7 Mar 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 | 7 May 2025 |
| 7 Mar 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 | Complaint investigation | 7 May 2025 |
| 7 Mar 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 7 May 2025 |
| 7 Mar 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 7 May 2025 |
| 7 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 7 May 2025 |
| 9 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 7 May 2025 |
| 9 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 7 May 2025 |
| 9 Jan 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Complaint investigation | 7 May 2025 |
| 9 Jan 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | 7 May 2025 |
| 9 Jan 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 7 May 2025 |
| 22 Nov 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 2 Jan 2025 |
| 21 Jun 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 20 Jul 2024 |
| 21 Jun 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. | E | Standard survey | 20 Jul 2024 |
| 21 Jun 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 20 Jul 2024 |
| 21 Jun 2024 | F0625 | 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. | E | Standard survey | 20 Jul 2024 |
| 21 Jun 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 | Standard survey | 20 Jul 2024 |
| 21 Jun 2024 | 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 | 20 Jul 2024 |
| 21 Jun 2024 | F0840 | 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. | D | Standard survey | 20 Jul 2024 |
| 2 May 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation (under dispute review) | 26 Apr 2024 |
| 4 Apr 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | Complaint investigation | 26 Apr 2024 |
| 4 Apr 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Complaint investigation | 26 Apr 2024 |
| 4 Apr 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 26 Apr 2024 |
| 8 Mar 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 | Complaint investigation | 24 Apr 2024 |
| 15 Nov 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 8 Dec 2023 |
| 26 Apr 2019 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | F | Standard survey | 25 Jun 2019 |
| 26 Apr 2019 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 25 Jun 2019 |
| 26 Apr 2019 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard survey | 25 Jun 2019 |
| 26 Apr 2019 | 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 | 25 Jun 2019 |
| 26 Apr 2019 | 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. | E | Standard survey | 25 Jun 2019 |
| 26 Apr 2019 | 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 | 25 Jun 2019 |
| 26 Apr 2019 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 25 Jun 2019 |
| 26 Apr 2019 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 25 Jun 2019 |
| 26 Apr 2019 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 25 Jun 2019 |
| 26 Apr 2019 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 25 Jun 2019 |
| 26 Apr 2019 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 25 Jun 2019 |
| 26 Apr 2019 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Standard survey | 25 Jun 2019 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 14 Aug 2025 | Payment denial | — | 15 days |
| 14 Aug 2025 | Fine | $126,900 | |
| 9 Jan 2025 | Payment denial | — | 83 days |
| 9 Jan 2025 | Fine | $194,145 | |
| 8 Mar 2024 | Fine | $52,688 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 45.5%, RNs 58.1%; 1 administrator 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 | 6.3% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.2% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.1% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.1% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.0% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.2% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.3% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.6% | 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 Madera, 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% | 12/19/2006 |
| Bering Properties LLC | 5% or greater indirect ownership interest | 6% | 10/10/2013 |
| Jenmax Enterprises LLC | 5% or greater indirect ownership interest | 23% | 02/01/2007 |
| Jk-Csh Jv LLC | 5% or greater indirect ownership interest | 12% | 11/01/2006 |
| Manhattan Five Partners LLC | 5% or greater indirect ownership interest | 7% | 11/01/2006 |
| Win Win Enterprises, LLC | 5% or greater indirect ownership interest | 35% | 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 |
| 517 S. A Street LLC | Adp of the snf | NOT APPLICABLE | 12/15/2006 |
| Cambridge Healthcare Services LLC | Adp of the snf | NOT APPLICABLE | 07/24/2025 |
| Jenmax Enterprises LLC | Adp of the snf | NOT APPLICABLE | 12/15/2006 |
| Jk-Csh Jv LLC | Adp of the snf | NOT APPLICABLE | 12/15/2006 |
| Win Win Enterprises, LLC | Adp of the snf | NOT APPLICABLE | 12/15/2006 |
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 |
| Madera Care Center | Madera | 64 | 4 | 4 | 3 | 38 | 59.4 | $42K | 19 Mar 2026 |
| Palms Care Center | Chowchilla | 65 | 4 | 4 | 3 | 39 | 60.0 | — | 4 Apr 2025 |
| 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 Rehabilitation & Nursing Center been cited for?
71 health deficiencies across the three most recent survey cycles, 7 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has Madera Rehabilitation & Nursing Center been fined?
Yes. CMS lists fines totalling $374K in the period covered, plus 2 payment denials.
How does staffing at Madera Rehabilitation & Nursing Center compare?
Reported total nurse staffing is 3.8 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Madera Rehabilitation & Nursing 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 Madera Rehabilitation & Nursing Center last inspected?
The most recent survey or investigation in the CMS record is dated 24 Feb 2026; the most recent standard health survey was 14 Aug 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.