LA SIERRA CARE CENTER
2424 M STREET, MERCED, CA 95340 · CCN 055271
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 68
- Avg residents/day
- 64.6
- Phone
- 2097234224
Inspection history vs California & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | California avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-08-23 | 15 | 15.6 | 9.5 | -0.6 better |
| 2 | 2021-04-29 | 11 | 17.4 | 9.8 | -6.4 better |
| 3 | 2019-03-28 | 8 | 17.1 | 9.3 | -9.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 2 |
| Resident assessment and care planning | 6 |
| Nursing and physician services | 1 |
| Nutrition and dietary | 2 |
| Pharmacy service | 3 |
| Environmental | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.91 | 39.1% |
| RN staffing (reported) | 0.37 | 33.3% |
| Total nurse staffing (adjusted) | 3.72 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- CAMBRIDGE HEALTHCARE SERVICES
- Facilities in chain
- 32
- Chain avg overall
- 2.60 / 5
Inspection citations (34)
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-11-19 · Health · corrected 2025-12-11
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-04-03 · Health · corrected 2025-04-21
Potential for more than minimal harm
- EF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.2024-10-23 · Health · corrected 2024-11-04
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-08-23 · Health · corrected 2024-09-23
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-08-23 · Health · corrected 2024-09-23
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-08-23 · Health · corrected 2024-09-23
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2024-08-23 · Health · corrected 2024-09-23
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-08-23 · Health · corrected 2024-09-23
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2024-08-23 · Health · corrected 2024-09-23
Potential for minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-08-23 · Health · corrected 2024-09-23
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2024-08-23 · Health · corrected 2024-09-23
Potential for more than minimal harm
- EF0760Ensure that residents are free from significant medication errors.2024-08-23 · Health · corrected 2024-09-23
Potential for more than minimal harm
- FF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-08-23 · Health · corrected 2024-09-23
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-08-23 · Health · corrected 2024-09-23
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-08-23 · Health · corrected 2024-09-23
Potential for more than minimal harm
- FF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2024-08-23 · Health · corrected 2024-09-23
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-10-09 · Health · corrected 2023-10-26
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2021-04-29 · Health · corrected 2021-05-11
Potential for more than minimal harm
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2021-04-29 · Health · corrected 2021-04-29
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2021-04-29 · Health · corrected 2021-05-20
Potential for more than minimal harm
- EF0679Provide activities to meet all resident's needs.2021-04-29 · Health · corrected 2021-06-10
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-04-29 · Health · corrected 2021-06-10
Potential for more than minimal harm
- DF0761Ensure 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.2021-04-29 · Health · corrected 2021-05-20
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-04-29 · Health · corrected 2021-06-10
Potential for more than minimal harm
- FF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2021-04-29 · Health · corrected 2021-06-10
Potential for more than minimal harm
- EF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2021-04-29 · Health · corrected 2021-06-10
Potential for more than minimal harm
- DF0920Provide 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.2021-04-29 · Health · corrected 2021-05-11
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2019-03-28 · Health · corrected 2019-05-21
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2019-03-28 · Health · corrected 2019-05-21
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2019-03-28 · Health · corrected 2019-05-21
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-03-28 · Health · corrected 2019-05-21
Potential for more than minimal harm
- FF0838Conduct 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.2019-03-28 · Health · corrected 2019-05-21
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2019-03-28 · Health · corrected 2019-05-21
Potential for more than minimal harm
- BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2019-03-28 · Health · corrected 2019-05-21
Potential for minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CRESCENT FACILITIES OPERATIONS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2007-02-07 |
| BERING PROPERTIES LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2007-02-01 |
| IRA & RACHEL SMEDRA FAMILY IRREVOCABLE GIFT TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2007-02-01 |
| JENMAX ENTERPRISES LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2007-02-01 |
| JENNIFER NURIT SMEDRA TRUST 1997 TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2007-02-01 |
| JK-CSH JV LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2006-11-01 |
| MANHATTAN FIVE PARTNERS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2006-11-01 |
| THE HYMAN & BETTY INGBER FAMILY TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2013-10-10 |
| WIN WIN ENTERPRISES, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2007-02-01 |
| SMEDRA, IRA | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2007-02-01 |
| CAMBRIDGE HEALTHCARE SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2014-04-01 |
| BRETSCH, GREGORY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-02-25 |
| BUTENKO, JULIE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-24 |
| CAPELA, HEIDI | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-04-03 |
| DAROUZE, MICHAEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-22 |
| HASSELL, LANCE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-25 |
| LUTZ, LINDA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2012-02-01 |
| MANOHARAN, ARUN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-24 |
| SALAZAR, PAULINA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-12-01 |
| SILVEIRA, SKYLER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-12-01 |
| SMEDRA, IRA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2014-04-01 |
| WINTNER, JACOB | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2007-02-01 |
| SMEDRA, IRA | Individual | CORPORATE OFFICER | — | 2014-04-01 |
| WINTNER, JACOB | Individual | CORPORATE OFFICER | — | 2007-02-01 |
Other facilities in MERCED
| Name | Overall | Beds |
|---|---|---|
| Merced Behavioral Center | ★★★★★ | 96 |
| MERCED NURSING & REHABILITATION CTR | ★★★★☆ | 79 |
| FRANCISCAN POST-ACUTE CARE CENTER | ★★★★☆ | 71 |
| GOLDEN MERCED CARE CENTER | ★★☆☆☆ | 121 |
| ANBERRY TRANSITIONAL CARE | ★★☆☆☆ | 120 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.