PlainNursing
CMS Nursing Home Compare · August 2026

Madera Post Acute Center

11900 Ramona Boulevard, El Monte, CA 91732

Madera Post Acute Center, a 148-bed for profit - corporation nursing facility in El Monte, CA, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #1,007 of 1,154 rated homes in CA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 6264425721

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1 / 5
Much below average · CMS overall · nat'l 3.0
#1,007 of 1,154
In-state rank among rated CA homes
3.99
About average · nurse hrs/day · nat'l 3.86
50
Inspection findings · 2 serious

The verdict

Madera Post Acute Center, a 148-bed for profit - corporation nursing facility in El Monte, CA, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #1,007 of 1,154 rated homes in CA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

1 / 5
CMS overall · national 3.0
#1,007 of 1,154
In-state rank among rated CA homes
3.99
Nurse hrs/resident-day · national 3.86
50
Inspection findings · 2 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 1,165 CA nursing homes split by ownership sector

This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

1/5

Staffing

3/5

Quality Measures

4/5

Long-Stay Quality

5/5

Facility Information

Provider Number
055141
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
148
Residents
134
In Hospital
No
County
Los Angeles
Last Inspection
Jul 10, 2025

Staffing Data

How the 3.99 total nursing hours per resident-day are staffed:

RN Hours
0.34 (nat'l avg: 0.69)
LPN Hours
1.08
CNA Hours
2.57
Total Nursing Hours
3.99 (nat'l avg: 3.86)
PT Hours
0.11
Nursing Turnover
49.7%
RN Turnover
35.7%

What the CMS Record Reveals About Madera Post Acute Center

According to CMS Nursing Home Compare, Madera Post Acute Center ranks #1,007 of 1,154 rated nursing homes in CA on overall stars (tie-broken by health+staffing+quality, then fewer fines). Madera Post Acute Center operates 148 certified beds in El Monte, CA with approximately 134 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 3★ · quality 4★).

The inspection file contains 50 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $30K against this provider. Per resident day, this facility reports 3.99 total nursing hours (national average 3.86) and 0.34 RN hours.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Madera Post Acute Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 49.7% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

D - Isolated - Minimal harm May 15, 2026 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Jun 9, 2026

E - Pattern - Minimal harm May 15, 2026 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Jun 10, 2026

E - Pattern - Minimal harm May 15, 2026 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 10, 2026

D - Isolated - Minimal harm Apr 23, 2026 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 14, 2026

D - Isolated - Minimal harm Apr 23, 2026 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: May 11, 2026

D - Isolated - Minimal harm Apr 23, 2026 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: May 14, 2026

D - Isolated - Minimal harm Apr 23, 2026 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: May 15, 2026

D - Isolated - Minimal harm Apr 8, 2026 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: May 1, 2026

D - Isolated - Minimal harm Mar 16, 2026 Tag: 0926

Have policies on smoking.

Category: Environmental Deficiencies

Corrected: Apr 2, 2026

D - Isolated - Minimal harm Mar 16, 2026 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Apr 2, 2026

D - Isolated - Minimal harm Mar 16, 2026 Tag: 0557

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Category: Resident Rights Deficiencies

Corrected: Apr 2, 2026

E - Pattern - Minimal harm Mar 16, 2026 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 2, 2026

E - Pattern - Minimal harm Jan 28, 2026 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 14, 2026

E - Pattern - Minimal harm Jan 6, 2026 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jan 30, 2026

E - Pattern - Minimal harm Jan 6, 2026 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 30, 2026

E - Pattern - Minimal harm Jan 6, 2026 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jan 30, 2026

E - Pattern - Minimal harm Aug 21, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 12, 2025

B - Pattern - No harm Jul 10, 2025 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Jul 30, 2025

D - Isolated - Minimal harm Jul 10, 2025 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

Corrected: Jul 30, 2025

D - Isolated - Minimal harm Jul 10, 2025 Tag: 0810

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 30, 2025

D - Isolated - Minimal harm Jul 10, 2025 Tag: 0700

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 30, 2025

D - Isolated - Minimal harm Jul 10, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 30, 2025

D - Isolated - Minimal harm Jul 10, 2025 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Jul 30, 2025

E - Pattern - Minimal harm Jul 10, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jul 30, 2025

E - Pattern - Minimal harm Jul 10, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 25, 2025

E - Pattern - Minimal harm Jul 10, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 30, 2025

E - Pattern - Minimal harm Jul 10, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 30, 2025

E - Pattern - Minimal harm Jul 10, 2025 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Jul 30, 2025

K - Pattern - Jeopardy Jul 10, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 24, 2025

D - Isolated - Minimal harm Apr 7, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: May 1, 2025

D - Isolated - Minimal harm Mar 19, 2025 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 9, 2025

D - Isolated - Minimal harm Feb 5, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 3, 2025

D - Isolated - Minimal harm Feb 5, 2025 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Mar 3, 2025

D - Isolated - Minimal harm Dec 16, 2024 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 7, 2025

D - Isolated - Minimal harm Oct 10, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 1, 2024

D - Isolated - Minimal harm Oct 9, 2024 Tag: 0758

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category: Pharmacy Service Deficiencies

Corrected: Oct 28, 2024

B - Pattern - No harm Jul 19, 2024 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 7, 2024

D - Isolated - Minimal harm Jul 19, 2024 Tag: 0849

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.

Category: Administration Deficiencies

Corrected: Aug 8, 2024

D - Isolated - Minimal harm Jul 19, 2024 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 8, 2024

D - Isolated - Minimal harm Jul 19, 2024 Tag: 0688

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 9, 2024

D - Isolated - Minimal harm Jul 19, 2024 Tag: 0578

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.

Category: Resident Rights Deficiencies

Corrected: Aug 7, 2024

E - Pattern - Minimal harm Jul 19, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 12, 2024

E - Pattern - Minimal harm Jul 19, 2024 Tag: 0700

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 12, 2024

E - Pattern - Minimal harm Jul 19, 2024 Tag: 0693

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 8, 2024

E - Pattern - Minimal harm Jul 19, 2024 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 8, 2024

E - Pattern - Minimal harm Jul 19, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 8, 2024

E - Pattern - Minimal harm Jul 19, 2024 Tag: 0676

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 5, 2024

E - Pattern - Minimal harm Jul 19, 2024 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Aug 6, 2024

D - Isolated - Minimal harm May 17, 2024 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 14, 2024

G - Isolated - Actual harm May 17, 2024 Tag: 0694

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 14, 2024

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 7.0% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.5% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.2% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.3% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 8.5% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 3.9% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 9.7% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.8% Yes
Percentage of long-stay residents who lose too much weight Long Stay 0.2% No
Percentage of long-stay residents who have depressive symptoms Long Stay 4.2% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 15.8% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 15.1% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 99.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 96.7% No

Penalty History 2 penalties totaling $30K

Date Type Amount
Jul 10, 2025 Fine $13K
May 17, 2024 Fine $16K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Madera Post Acute Center, both outside CA so the neighborhoods are not the same-state geography list below.

What the CMS records show for Madera Post Acute Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The CA registry aggregates state averages and the highest-rated homes in this cohort. View CA registry
  • Peer homes near 148 beds show how CMS stars vary at a similar scale in CA. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Madera Post Acute Center?
Madera Post Acute Center has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (3★), and quality measures (4★).
Where does Madera Post Acute Center rank among nursing homes in CA?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Madera Post Acute Center ranks 1,007th among 1,154 rated nursing homes in CA (#1,007 of 1,154). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Madera Post Acute Center?
Madera Post Acute Center reports 3.99 total nursing hours per resident day (national average: 3.86). RN hours are 0.34 per resident day (national average: 0.69). Nursing staff turnover is 49.7%.
How many beds does Madera Post Acute Center have?
Madera Post Acute Center has 148 certified beds with approximately 134 residents. The facility is located at 11900 Ramona Boulevard, El Monte, CA 91732.
Does Madera Post Acute Center have any deficiencies on record?
Yes, Madera Post Acute Center has 50 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has Madera Post Acute Center received any fines or penalties?
Yes, Madera Post Acute Center has received 2 penalties totaling $30K.
Who owns Madera Post Acute Center?
Madera Post Acute Center is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Madera Post Acute Center last inspected?
The most recent health inspection for Madera Post Acute Center was on Jul 10, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Madera Post Acute Center?
Madera Post Acute Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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