MADERA REHABILITATION & NURSING CENTER
517 SOUTH A STREET, MADERA, CA 93638 · CCN 055147
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 176
- Avg residents/day
- 169.1
- Phone
- 5596739228
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 | 2024-06-21 | 24 | 15.6 | 9.5 | +8.4 worse |
| 2 | 2019-04-26 | 23 | 17.4 | 9.8 | +5.6 worse |
| 3 | 2018-07-03 | 18 | 17.1 | 9.3 | +0.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 3 |
| Resident assessment and care planning | 3 |
| Nursing and physician services | 2 |
| Resident rights | 6 |
| Environmental | 1 |
| Administration | 4 |
| Infection control | 3 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.92 | 40.0% |
| RN staffing (reported) | 0.60 | 48.0% |
| Total nurse staffing (adjusted) | 4.06 | — |
Fines & penalties
- Total fines
- $373,733
- Number of fines
- 3
- Number of penalties
- 5
- Payment denials
- 2
Chain
- Chain
- CAMBRIDGE HEALTHCARE SERVICES
- Facilities in chain
- 32
- Chain avg overall
- 2.60 / 5
Inspection citations (65)2 immediate jeopardy6 actual harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-14 · Health · corrected 2025-09-27
Actual harm
- EF0584Honor 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.2025-06-10 · Health · corrected 2025-06-10
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-06-10 · Health · corrected 2025-06-10
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-04-15 · Health · corrected 2025-05-07
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-15 · Health · corrected 2025-05-07
Actual harm
- EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-04-15 · Health · corrected 2025-05-07
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-03-07 · Health · corrected 2025-05-07
Potential for more than minimal harm
- DF0584Honor 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.2025-03-07 · Health · corrected 2025-05-07
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-03-07 · Health · corrected 2025-05-07
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-07 · Health · corrected 2025-05-07
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-03-07 · Health · corrected 2025-05-07
Potential for more than minimal harm
- KF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-07 · Health · corrected 2025-05-07
Immediate jeopardy
- EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-03-07 · Health · corrected 2025-05-07
Potential for more than minimal harm
- FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2025-03-07 · Health · corrected 2025-05-07
Potential for more than minimal harm
- EF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2025-03-07 · Health · corrected 2025-05-07
Potential for more than minimal harm
- EF0865Have a plan that describes the process for conducting QAPI and QAA activities.2025-03-07 · Health · corrected 2025-05-07
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-03-07 · Health · corrected 2025-05-07
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-01-09 · Health · corrected 2025-05-07
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-01-09 · Health · corrected 2025-05-07
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-01-09 · Health · corrected 2025-05-07
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-09 · Health · corrected 2025-05-07
Actual harm
- FF0880Provide and implement an infection prevention and control program.2025-01-09 · Health · corrected 2025-05-07
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-11-22 · Health · corrected 2025-01-02
Potential for more than minimal harm
- EF0578Honor 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.2024-06-21 · Health · corrected 2024-07-20
Potential for more than minimal harm
- EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-06-21 · Health · corrected 2024-07-20
Potential for more than minimal harm
- EF0625Notify 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.2024-06-21 · Health · corrected 2024-07-20
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-06-21 · Health · corrected 2024-07-20
Potential for more than minimal harm
- DF0840Employ 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.2024-06-21 · Health · corrected 2024-07-20
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2024-06-21 · Health · corrected 2024-07-20
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.2024-06-21 · Health · corrected 2024-07-20
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-05-02 · Health · corrected 2024-04-26
Actual harm
- GF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-04-04 · Health · corrected 2024-04-26
Actual harm
- EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-04-04 · Health · corrected 2024-04-26
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-04-04 · Health · corrected 2024-04-26
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.2024-03-08 · Health · corrected 2024-04-24
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-11-15 · Health · corrected 2023-12-08
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-03-21 · Health · corrected 2023-05-19
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2023-03-09 · Health · corrected 2023-05-05
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2019-04-26 · Health · corrected 2019-06-25
Potential for more than minimal harm
- EF0558Reasonably accommodate the needs and preferences of each resident.2019-04-26 · Health · corrected 2019-06-25
Potential for more than minimal harm
- FF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2019-04-26 · Health · corrected 2019-06-25
Potential for more than minimal harm
- EF0584Honor 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.2019-04-26 · Health · corrected 2019-06-25
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2019-04-26 · Health · corrected 2019-06-25
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2019-04-26 · Health · corrected 2019-06-25
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2019-04-26 · Health · corrected 2019-06-25
Potential for more than minimal harm
- EF0761Ensure 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.2019-04-26 · Health · corrected 2019-06-25
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.2019-04-26 · Health · corrected 2019-06-25
Potential for more than minimal harm
- DF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2019-04-26 · Health · corrected 2019-06-25
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.2019-04-26 · Health · corrected 2019-06-25
Potential for more than minimal harm
- EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2019-04-26 · Health · corrected 2019-06-25
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2018-07-03 · Health · corrected 2018-09-14
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2018-07-03 · Health · corrected 2018-09-14
Potential for more than minimal harm
- FF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2018-07-03 · Health · corrected 2018-09-14
Potential for more than minimal harm
- GF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2018-07-03 · Health · corrected 2018-09-14
Actual harm
- DF0760Ensure that residents are free from significant medication errors.2018-07-03 · Health · corrected 2018-09-14
Potential for more than minimal harm
- KF0761Ensure 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.2018-07-03 · Health · corrected 2018-09-14
Immediate jeopardy
- FF0803Ensure 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.2018-07-03 · Health · corrected 2018-09-14
Potential for more than minimal harm
- EF0807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.2018-07-03 · Health · corrected 2018-09-14
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2018-07-03 · Health · corrected 2018-09-14
Potential for more than minimal harm
- FF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2018-07-03 · Health · corrected 2018-09-14
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2018-07-03 · Health · corrected 2018-09-14
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2018-07-03 · Health · corrected 2018-09-14
Potential for more than minimal harm
- DF0908Keep all essential equipment working safely.2018-07-03 · Health · corrected 2018-09-14
Potential for more than minimal harm
- CF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2018-07-03 · Health · corrected 2018-09-14
Potential for minimal harm
- EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2018-07-03 · Health · corrected 2018-09-14
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CRESCENT FACILITIES OPERATIONS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2006-12-19 |
| WIN WIN ENTERPRISES, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 35% | 2007-02-01 |
| JENMAX ENTERPRISES LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 23% | 2007-02-01 |
| JK-CSH JV LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 12% | 2006-11-01 |
| MANHATTAN FIVE PARTNERS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7% | 2006-11-01 |
| SMEDRA, IRA | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | 2007-02-01 |
| BERING PROPERTIES LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | 2013-10-10 |
| LAL, AKASH | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-28 |
| LUTZ, LINDA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2012-02-01 |
| SALAZAR, PAULINA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-12-14 |
| SINGH, RANJEET | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-04-08 |
| SMEDRA, IRA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2007-02-01 |
| WINTNER, JACOB | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2007-02-01 |
| WINTNER, JACOB | Individual | CORPORATE OFFICER | — | 2007-02-01 |
| CAMBRIDGE HEALTHCARE SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2014-04-01 |
| BRETSCH, GREGORY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-02-25 |
| BULOSAN, JULIA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-27 |
| BUTENKO, JULIE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-24 |
| CAPELA, HEIDI | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-04-03 |
| HASSELL, LANCE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-25 |
Other facilities in MADERA
| Name | Overall | Beds |
|---|---|---|
| GOLDEN MADERA CARE CENTER | ★★★★☆ | 64 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.