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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeCaliforniaLa Sierra Care Center

La Sierra Care Center

2424 M Street, Merced, CA 953402097234224
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
3/5
Staffing
3/5
Quality
3/5
Beds
68
certified

Key Findings

• CMS rates this facility 3/5 stars (average)

• Has 68 certified beds with an average of 64.6 residents per day (95% occupancy)

• Last health inspection found 14 deficiencies (inspected Aug 23, 2024)

• No fines on record

• Total nursing staff: 3.91 hours per resident per day

• Staff turnover rate: 39.1%

• Part of the Cambridge Healthcare Services chain (32 facilities)

La Sierra Care Center is a 3-star Medicare and Medicaid certified nursing home in Merced, California with 68 certified beds. It has been operating since 1967. The facility scored at average compared to California facilities.

Beds
68
Avg Residents/Day
64.6
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jan 1, 1967
Sprinklers
Yes
Council
Resident
County
Merced
Last Inspection
Aug 23, 2024
Deficiencies (Cycle 1)
14
Weighted Score
83.0
Infection Citations
0

Deficiency Citations (34)

F0655Potential for Harm

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

Survey: Nov 19, 2025Corrected: NoCycle: 1
F0658Potential for Harm

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

Survey: Apr 3, 2025Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Aug 23, 2024Corrected: NoCycle: 1
F0645Potential for Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey: Aug 23, 2024Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Aug 23, 2024Corrected: NoCycle: 1
F0692Potential for Harm

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

Survey: Aug 23, 2024Corrected: NoCycle: 1
F0695Potential for Harm

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

Survey: Aug 23, 2024Corrected: NoCycle: 1
F0732Minimal Harm

Post nurse staffing information every day.

Survey: Aug 23, 2024Corrected: NoCycle: 1
F0755Potential for Harm

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

Survey: Aug 23, 2024Corrected: NoCycle: 1
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Aug 23, 2024Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Aug 23, 2024Corrected: NoCycle: 1
F0804Potential for Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey: Aug 23, 2024Corrected: NoCycle: 1
F0812Potential for Harm

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

Survey: Aug 23, 2024Corrected: NoCycle: 1
F0842Potential for Harm

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

Survey: Aug 23, 2024Corrected: NoCycle: 1
F0912Potential for Harm

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Survey: Aug 23, 2024Corrected: NoCycle: 1
F0800Potential for Harm

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Survey: Oct 23, 2024Corrected: NoCycle: 2
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Apr 29, 2021Corrected: NoCycle: 2
F0565Potential for Harm

Honor the resident's right to organize and participate in resident/family groups in the facility.

Survey: Apr 29, 2021Corrected: NoCycle: 2
F0658Potential for Harm

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

Survey: Apr 29, 2021Corrected: NoCycle: 2
F0679Potential for Harm

Provide activities to meet all resident's needs.

Survey: Apr 29, 2021Corrected: NoCycle: 2
F0689Potential for Harm

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

Survey: Apr 29, 2021Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Apr 29, 2021Corrected: NoCycle: 2
F0812Potential for Harm

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

Survey: Apr 29, 2021Corrected: NoCycle: 2
F0868Potential for Harm

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Survey: Apr 29, 2021Corrected: NoCycle: 2
F0912Potential for Harm

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Survey: Apr 29, 2021Corrected: NoCycle: 2
F0920Potential for Harm

Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.

Survey: Apr 29, 2021Corrected: NoCycle: 2
F0656Potential for Harm

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

Survey: Oct 9, 2023Corrected: NoCycle: 3
F0658Potential for Harm

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

Survey: Mar 28, 2019Corrected: NoCycle: 3
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Mar 28, 2019Corrected: NoCycle: 3
F0690Potential for Harm

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

Survey: Mar 28, 2019Corrected: NoCycle: 3

+ 4 more deficiencies

Total Fines
$0
Number of Fines
0
Payment Denials
0
Total Penalties
0

No penalties on record.

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.50 hrs
National avg: 2.35 hrs
LPN1.05 hrs
National avg: 0.86 hrs
RN0.37 hrs
National avg: 0.68 hrs
Total Nursing3.91 hrs
National avg: 3.89 hrs
Weekend Total3.51 hrs
National avg: 0.00 hrs
Physical Therapist0.03 hrs
National avg: 0.07 hrs
Total Turnover
39.1%
RN Turnover
33.3%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (24)

NameRoleTypeOwnership %Since
CRESCENT FACILITIES OPERATIONS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Feb 7, 2007
BERING PROPERTIES LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 1, 2007
IRA & RACHEL SMEDRA FAMILY IRREVOCABLE GIFT TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 1, 2007
JENMAX ENTERPRISES LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 1, 2007
JENNIFER NURIT SMEDRA TRUST 1997 TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 1, 2007
JK-CSH JV LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/ANov 1, 2006
MANHATTAN FIVE PARTNERS LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/ANov 1, 2006
THE HYMAN & BETTY INGBER FAMILY TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AOct 10, 2013
WIN WIN ENTERPRISES, LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 1, 2007
SMEDRA, IRA5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/AFeb 1, 2007
CAMBRIDGE HEALTHCARE SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 1, 2014
BRETSCH, GREGORYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 25, 2019
BUTENKO, JULIEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 24, 2023
CAPELA, HEIDIOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 3, 2023
DAROUZE, MICHAELOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 22, 2024
HASSELL, LANCEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 25, 2022
LUTZ, LINDAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2012
MANOHARAN, ARUNOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 24, 2024
SALAZAR, PAULINAOPERATIONAL/MANAGERIAL CONTROLIndividualN/ADec 1, 2020
SILVEIRA, SKYLEROPERATIONAL/MANAGERIAL CONTROLIndividualN/ADec 1, 2021
SMEDRA, IRAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2014
WINTNER, JACOBOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2007
SMEDRA, IRACORPORATE OFFICERIndividualN/AApr 1, 2014
WINTNER, JACOBCORPORATE OFFICERIndividualN/AFeb 1, 2007

Nearby Nursing Homes

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Merced Nursing & Rehabilitation Ctr

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Golden Merced Care Center

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Franciscan Post-Acute Care Center

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Merced Behavioral Center

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For profit
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1.4 mi

Anberry Transitional Care

Merced, CA · 120 beds

For profit$7,443 in fines
Health
Staffing
Quality
3.0 mi

Frequently Asked Questions

What is the CMS rating for La Sierra Care Center?▾
La Sierra Care Center has an overall CMS rating of 3 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 3/5, and quality measures rating of 3/5. This facility is rated average.
Has La Sierra Care Center had any health inspection violations?▾
La Sierra Care Center had 14 deficiency citations in its most recent health inspection (Aug 23, 2024). The facility has no fines on record.
What are the staffing levels at La Sierra Care Center?▾
La Sierra Care Center provides 3.91 total nursing staff hours per resident per day, including 0.37 RN hours, 1.05 LPN hours, and 2.50 nurse aide hours. The total staff turnover rate is 39.1%.
How many beds does La Sierra Care Center have?▾
La Sierra Care Center has 68 certified beds with an average of 64.6 residents per day, resulting in approximately 95% occupancy. The facility is For profit - Corporation owned and is part of the Cambridge Healthcare Services chain.
Are there other nursing homes near La Sierra Care Center?▾
Yes, there are 5 other nursing homes in Merced, California with an average rating of 3.3/5. You can compare all facilities on the Merced nursing homes page.

Part of Cambridge Healthcare Services

This chain operates 32 facilities. View all →