Nursing HomeInspections

Madera Care Center

Nursing home in Madera, CA

Medicare & Medicaid certified4★ overall (CMS)

Call (559) 673-9278Send a messageMap ↗

Public-record details

Address
1700 Howard Road, Madera, CA 93637
Phone
(559) 673-9278
Listed under
For-profit, 4–5 star overall rating
Medicare CCN
055191
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
4 of 5
Staffing rating
3 of 5
Quality measures rating
4 of 5
Certified beds
64
Average residents per day
61
Ownership
For-profit, limited Liability company
Legal business name
Madera Post Acute LLC
Chain
Golden SNF Operations (7 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 1, 1971
Changed ownership in last 12 months
Yes
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 055191. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 3, 2025. CMS lists 38 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 13, 2023 to Mar 19, 2026): 11 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Mar 19, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		E
Potential for more than minimal harm, pattern
Feb 27, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 16, 2025Honor 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.
Resident Rights · complaint inspection		E
Potential for more than minimal harm, pattern
Apr 4, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 3, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Feb 26, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 3, 2024Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 19, 2024Safeguard 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		D
Potential for more than minimal harm, isolated
Feb 20, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Feb 20, 2024Provide appropriate foot care.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 20, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Feb 20, 2024Ensure 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

Showing the 12 most recent of 38. 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 Aug 1, 2026.

Fines and payment denials

CMS records 8 fines totalling $41,597 in the last three years.

Jan 8, 2024Fine: $4,938
Jan 2, 2024Fine: $4,587
Dec 11, 2023Fine: $12,703
Nov 6, 2023Fine: $9,527
Oct 17, 2023Fine: $2,787
Oct 10, 2023Fine: $2,117
Oct 2, 2023Fine: $1,764
Sep 11, 2023Fine: $3,174

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

Staffing

Total nurse staffing per resident per day
4.04 hours
Registered nurse (RN) time per resident per day
0.66 hours
Nurse aide time per resident per day
2.65 hours
Total nurse staffing on weekends
3.71 hours
Nursing staff turnover (yearly)
49%
RN turnover (yearly)
38%
Administrators who left in the past year
0

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 Rehabilitation & Nursing Center517 South a Street · Madera, CA 93638 · (559) 673-9228 · For-profit71 health citations in 3 inspection cycles · last standard inspection Aug 14, 2025 · $373,733 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

All 2 in Madera →