Nursing HomeInspections

Madera Rehabilitation & Nursing Center

Nursing home in Madera, CA

Medicare & Medicaid certified1★ overall (CMS)

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Public-record details

Address
517 South a Street, Madera, CA 93638
Phone
(559) 673-9228
Listed under
For-profit
Medicare CCN
055147
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measures rating
4 of 5
Certified beds
176
Average residents per day
169
Ownership
For-profit, limited Liability company
Legal business name
Cf Madera, LLC
Chain
Cambridge Healthcare Services (32 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 1, 1967
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Sprinklers in all required areas
Yes

CMS certification number 055147. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Aug 14, 2025. CMS lists 71 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 26, 2019 to Feb 24, 2026): 32 from complaint inspections, 7 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Feb 24, 2026Keep all essential equipment working safely.
Environmental · complaint inspection		E
Potential for more than minimal harm, pattern
Feb 11, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection		E
Potential for more than minimal harm, pattern
Feb 11, 2026Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		E
Potential for more than minimal harm, pattern
Aug 14, 2025Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental		B
Potential for minimal harm, pattern
Aug 14, 2025Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights		D
Potential for more than minimal harm, isolated
Aug 14, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Aug 14, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 14, 2025Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Aug 14, 2025Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Aug 14, 2025Ensure 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…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Aug 14, 2025Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Aug 14, 2025Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 71. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 3 fines totalling $373,733 and 2 denials of Medicare payment for new admissions in the last three years.

Aug 14, 2025Fine: $126,900
Aug 14, 2025Payment denial for 15 days from Sep 12, 2025
Jan 9, 2025Fine: $194,145
Jan 9, 2025Payment denial for 83 days from Feb 13, 2025
Mar 8, 2024Fine: $52,688

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.98 hours
Registered nurse (RN) time per resident per day
0.52 hours
Nurse aide time per resident per day
2.71 hours
Total nurse staffing on weekends
3.66 hours
Nursing staff turnover (yearly)
50%
RN turnover (yearly)
61%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Madera

Madera Care Center1700 Howard Road · Madera, CA 93637 · (559) 673-9278 · For-profit38 health citations in 3 inspection cycles · last standard inspection Apr 3, 2025 · $34,542 in CMS fines (3 yrs)Medicare & Medicaid certified4★ overall (CMS)

All 2 in Madera →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error