Madera Rehabilitation & Nursing Center
517 South a Street, Madera, CA 93638
Madera Rehabilitation & Nursing Center, a 176-bed for profit - limited liability company nursing facility in Madera, CA, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #1,040 of 1,154 rated homes in CA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 5 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: 5596739228
Build a private shortlist as you compare, saved on this device, no account needed.
Subscribe to CMS updates for this home (RSS) for inspection findings and Care Compare snapshot refreshes, no email.
- 1 / 5
- Much below average · CMS overall · nat'l 3.0
- #1,040 of 1,154
- In-state rank among rated CA homes
- 3.82
- About average · nurse hrs/day · nat'l 3.86
- 50
- Inspection findings · 5 serious
If a nursing-home resident is in immediate danger, call 911.
For elder abuse or neglect concerns, contact your state's Adult Protective Services (search "APS" + your state) or call the Eldercare Locator at 1-800-677-1116. For facility advocacy, reach your Long-Term Care Ombudsman. CMS ratings and inspection data below are a research screen, not an emergency channel.
The verdict
Madera Rehabilitation & Nursing Center, a 176-bed for profit - limited liability company nursing facility in Madera, CA, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #1,040 of 1,154 rated homes in CA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 5 inspection findings reached the actual-harm or immediate-jeopardy level.
- 1 / 5
- CMS overall · national 3.0
- #1,040 of 1,154
- In-state rank among rated CA homes
- 3.82
- Nurse hrs/resident-day · national 3.86
- 50
- Inspection findings · 5 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 - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 055147
- Ownership
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Beds
- 176
- Residents
- 168
- In Hospital
- No
- County
- Madera
- Last Inspection
- Aug 14, 2025
Staffing Data
How the 3.82 total nursing hours per resident-day are staffed:
- RN Hours
- 0.53 (nat'l avg: 0.69)
- LPN Hours
- 0.72
- CNA Hours
- 2.57
- Total Nursing Hours
- 3.82 (nat'l avg: 3.86)
- PT Hours
- 0.02
- Nursing Turnover
- 45.5%
- RN Turnover
- 58.1%
What the CMS Record Reveals About Madera Rehabilitation & Nursing Center
According to CMS Nursing Home Compare, Madera Rehabilitation & Nursing Center ranks #1,040 of 1,154 rated nursing homes in CA on overall stars (tie-broken by health+staffing+quality, then fewer fines). Madera Rehabilitation & Nursing Center operates 176 certified beds in Madera, CA with approximately 168 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 5 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider has been fined 3 times by CMS, for a combined $374K. Per resident day, this facility reports 3.82 total nursing hours (national average 3.86) and 0.53 RN hours.
Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Madera Rehabilitation & Nursing Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 45.5% (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)
Keep all essential equipment working safely.
Category: Environmental Deficiencies
Corrected: Mar 9, 2026
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Mar 6, 2026
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: Mar 6, 2026
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Category: Environmental Deficiencies
Corrected: Sep 27, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Sep 27, 2025
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Category: Nutrition and Dietary Deficiencies
Corrected: Sep 27, 2025
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Category: Nutrition and Dietary Deficiencies
Corrected: Sep 27, 2025
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: Sep 27, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Category: Pharmacy Service Deficiencies
Corrected: Sep 27, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Category: Pharmacy Service Deficiencies
Corrected: Sep 27, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Sep 27, 2025
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Sep 27, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Category: Resident Rights Deficiencies
Corrected: Sep 27, 2025
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Category: Nutrition and Dietary Deficiencies
Corrected: Sep 27, 2025
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: Sep 27, 2025
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: Sep 27, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category: Resident Rights Deficiencies
Corrected: Sep 27, 2025
Conduct 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.
Category: Administration Deficiencies
Corrected: Sep 27, 2025
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: Sep 27, 2025
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Category: Nutrition and Dietary Deficiencies
Corrected: Sep 27, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Category: Nutrition and Dietary Deficiencies
Corrected: Sep 27, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Sep 27, 2025
Provide enough food/fluids to maintain a resident's health.
Category: Quality of Life and Care Deficiencies
Corrected: Sep 27, 2025
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: Sep 27, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jun 10, 2025
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: Jun 10, 2025
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: May 7, 2025
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Category: Nursing and Physician Services Deficiencies
Corrected: May 7, 2025
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 7, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: May 7, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 7, 2025
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: May 7, 2025
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: May 7, 2025
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 7, 2025
Have a plan that describes the process for conducting QAPI and QAA activities.
Category: Administration Deficiencies
Corrected: May 7, 2025
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: May 7, 2025
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Category: Nursing and Physician Services Deficiencies
Corrected: May 7, 2025
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: May 7, 2025
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Category: Administration Deficiencies
Corrected: May 7, 2025
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 7, 2025
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 7, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 7, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 7, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: May 7, 2025
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 7, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jan 2, 2025
Employ 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.
Category: Administration Deficiencies
Corrected: Jul 20, 2024
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Category: Environmental Deficiencies
Corrected: Jul 20, 2024
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 20, 2024
Notify 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.
Category: Resident Rights Deficiencies
Corrected: Jul 20, 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 | 6.3% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.2% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.1% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.1% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.2% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.3% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.6% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.0% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 3.6% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 5.8% | 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 | 11.6% | 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 | 13.9% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 96.1% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 95.9% | No |
Penalty History 3 penalties totaling $374K
| Date | Type | Amount |
|---|---|---|
| Aug 14, 2025 | Fine | $127K |
| Aug 14, 2025 | Payment Denial | - |
| Jan 9, 2025 | Fine | $194K |
| Jan 9, 2025 | Payment Denial | - |
| Mar 8, 2024 | Fine | $53K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Madera Rehabilitation & Nursing Center, both outside CA so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside CA (176 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside CA (3.97 here).
Nearby Nursing Homes in CA
1,164 other nursing homes are on record in CA; 6 are shown here.
A Grace Sub Acute & Skilled Care
San Jose, CA
Acc Care Center
Sacramento, CA
Advanced Health Care of Sacramento
Sacramento, CA
Advanced Rehab Center of Tustin
Santa Ana, CA
Adventist Health Delano
Delano, CA
Adventist Health Sonora - D/P SNF
Sonora, CA
Understanding Nursing Home Data
What the CMS records show for Madera Rehabilitation & Nursing 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 176 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 Rehabilitation & Nursing Center?
Where does Madera Rehabilitation & Nursing Center rank among nursing homes in CA?
What are the staffing levels at Madera Rehabilitation & Nursing Center?
How many beds does Madera Rehabilitation & Nursing Center have?
Does Madera Rehabilitation & Nursing Center have any deficiencies on record?
Has Madera Rehabilitation & Nursing Center received any fines or penalties?
Who owns Madera Rehabilitation & Nursing Center?
When was Madera Rehabilitation & Nursing Center last inspected?
What quality measures are tracked for Madera Rehabilitation & Nursing Center?
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.
Read our methodology - how this data is sourced, computed, and verified.
