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MADERA REHABILITATION & NURSING CENTER

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MADERA REHABILITATION & NURSING CENTER is a for profit - limited liability company facility in MADERA, CA with 176 certified beds and a 2-star overall CMS rating. The facility has 50 deficiency records on file. Total penalties: $374K.

517 SOUTH A STREET, MADERA, CA 93638

Phone: 5596739228

Overall Rating

2/5

Health Inspection

1/5

Staffing

3/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
055147
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
176
Residents
169
In Hospital
No
County
Madera
Last Inspection
Jun 21, 2024

Staffing Data

RN Hours
0.60 (nat'l avg: 0.68)
LPN Hours
0.70
CNA Hours
2.61
Total Nursing Hours
3.92 (nat'l avg: 3.89)
PT Hours
0.04
Nursing Turnover
40.0%
RN Turnover
48.0%

What the CMS Record Reveals About MADERA REHABILITATION & NURSING CENTER

MADERA REHABILITATION & NURSING CENTER operates 176 certified beds in MADERA, CA with approximately 169 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (3★), and quality measures (5★). 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.

The inspection file contains 50 deficiency records from recent surveys, of which 6 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 3 penalties totaling $374K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.92 total nursing hours per resident day (national average 3.89), with RN coverage at 0.60 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

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. 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. Reported nursing turnover at this facility is 40.0%, within a range generally associated with stable care teams. 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 details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

G — Isolated - Actual harm Aug 14, 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: Sep 27, 2025

E — Pattern - Minimal harm Jun 10, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 10, 2025

E — Pattern - Minimal harm Jun 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: Jun 10, 2025

E — Pattern - Minimal harm Apr 15, 2025 Tag: 0726

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

G — Isolated - Actual harm Apr 15, 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: May 7, 2025

D — Isolated - Minimal harm Apr 15, 2025 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: May 7, 2025

D — Isolated - Minimal harm Mar 7, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 7, 2025

E — Pattern - Minimal harm Mar 7, 2025 Tag: 0865

Have a plan that describes the process for conducting QAPI and QAA activities.

Category: Administration Deficiencies

Corrected: May 7, 2025

E — Pattern - Minimal harm Mar 7, 2025 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: May 7, 2025

F — Widespread - Minimal harm Mar 7, 2025 Tag: 0835

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Category: Administration Deficiencies

Corrected: May 7, 2025

E — Pattern - Minimal harm Mar 7, 2025 Tag: 0726

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

K — Pattern - Jeopardy Mar 7, 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: May 7, 2025

D — Isolated - Minimal harm Mar 7, 2025 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 7, 2025

E — Pattern - Minimal harm Mar 7, 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: May 7, 2025

D — Isolated - Minimal harm Mar 7, 2025 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: May 7, 2025

D — Isolated - Minimal harm Mar 7, 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: May 7, 2025

D — Isolated - Minimal harm Mar 7, 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: May 7, 2025

F — Widespread - Minimal harm Jan 9, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 7, 2025

G — Isolated - Actual harm Jan 9, 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: May 7, 2025

E — Pattern - Minimal harm Jan 9, 2025 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 7, 2025

E — Pattern - Minimal harm Jan 9, 2025 Tag: 0657

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

D — Isolated - Minimal harm Jan 9, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 7, 2025

D — Isolated - Minimal harm Nov 22, 2024 Tag: 0600

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

E — Pattern - Minimal harm Jun 21, 2024 Tag: 0912

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

F — Widespread - Minimal harm Jun 21, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jul 20, 2024

D — Isolated - Minimal harm Jun 21, 2024 Tag: 0840

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

E — Pattern - Minimal harm Jun 21, 2024 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 20, 2024

E — Pattern - Minimal harm Jun 21, 2024 Tag: 0625

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

E — Pattern - Minimal harm Jun 21, 2024 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Jul 20, 2024

E — Pattern - Minimal harm Jun 21, 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: Jul 20, 2024

G — Isolated - Actual harm May 2, 2024 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Apr 26, 2024

D — Isolated - Minimal harm Apr 4, 2024 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 26, 2024

E — Pattern - Minimal harm Apr 4, 2024 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 26, 2024

G — Isolated - Actual harm Apr 4, 2024 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: Apr 26, 2024

D — Isolated - Minimal harm Mar 8, 2024 Tag: 0657

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: Apr 24, 2024

D — Isolated - Minimal harm Nov 15, 2023 Tag: 0600

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: Dec 8, 2023

D — Isolated - Minimal harm Mar 21, 2023 Tag: 0600

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: May 19, 2023

F — Widespread - Minimal harm Mar 9, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 5, 2023

E — Pattern - Minimal harm Apr 26, 2019 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Jun 25, 2019

E — Pattern - Minimal harm Apr 26, 2019 Tag: 0912

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: Jun 25, 2019

D — Isolated - Minimal harm Apr 26, 2019 Tag: 0813

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 25, 2019

F — Widespread - Minimal harm Apr 26, 2019 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: Jun 25, 2019

E — Pattern - Minimal harm Apr 26, 2019 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: Jun 25, 2019

D — Isolated - Minimal harm Apr 26, 2019 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 25, 2019

D — Isolated - Minimal harm Apr 26, 2019 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 25, 2019

D — Isolated - Minimal harm Apr 26, 2019 Tag: 0600

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: Jun 25, 2019

E — Pattern - Minimal harm Apr 26, 2019 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: Jun 25, 2019

F — Widespread - Minimal harm Apr 26, 2019 Tag: 0577

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Category: Resident Rights Deficiencies

Corrected: Jun 25, 2019

E — Pattern - Minimal harm Apr 26, 2019 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Jun 25, 2019

D — Isolated - Minimal harm Apr 26, 2019 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: Jun 25, 2019

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 9.3% Yes
Percentage of long-stay residents who lose too much weight Long Stay 5.0% No
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 0.9% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 6.2% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 4.2% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 96.2% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.7% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 21.4% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 11.0% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 95.9% No
Percentage of long-stay residents with pressure ulcers Long Stay 2.3% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 19.7% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 12.9% Yes

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
Mar 9, 2023 Fine $13K
Mar 9, 2023 Payment Denial -

Frequently Asked Questions

What is the overall CMS rating for MADERA REHABILITATION & NURSING CENTER?
MADERA REHABILITATION & NURSING CENTER has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (1★), staffing levels (3★), and quality measures (5★).
What are the staffing levels at MADERA REHABILITATION & NURSING CENTER?
MADERA REHABILITATION & NURSING CENTER reports 3.92 total nursing hours per resident day (national average: 3.89). RN hours are 0.60 per resident day (national average: 0.68). Nursing staff turnover is 40.0%.
How many beds does MADERA REHABILITATION & NURSING CENTER have?
MADERA REHABILITATION & NURSING CENTER has 176 certified beds with approximately 169 residents. The facility is located at 517 SOUTH A STREET, MADERA, CA 93638.
Does MADERA REHABILITATION & NURSING CENTER have any deficiencies on record?
Yes, MADERA REHABILITATION & NURSING CENTER has 50 deficiencies on record from recent inspections. Of these, 6 are classified as causing actual harm or jeopardy.
Has MADERA REHABILITATION & NURSING CENTER received any fines or penalties?
Yes, MADERA REHABILITATION & NURSING CENTER has received 3 penalties totaling $374K.
Who owns MADERA REHABILITATION & NURSING CENTER?
MADERA REHABILITATION & NURSING CENTER is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was MADERA REHABILITATION & NURSING CENTER last inspected?
The most recent health inspection for MADERA REHABILITATION & NURSING CENTER was on Jun 21, 2024. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for MADERA REHABILITATION & NURSING CENTER?
MADERA REHABILITATION & NURSING 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. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial