CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in California. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
Madera Rehabilitation & Nursing Center is a 1-star Medicare and Medicaid certified nursing home in Madera, California with 176 certified beds. It has been operating since 1967. Its overall CMS rating is 1 out of 5.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure services provided by the nursing facility meet professional standards of quality.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Ensure that residents are fully informed and understand their health status, care and treatments.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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.
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
+ 41 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| CRESCENT FACILITIES OPERATIONS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Dec 19, 2006 |
| BERING PROPERTIES LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 6% | Oct 10, 2013 |
| JENMAX ENTERPRISES LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 23% | Feb 1, 2007 |
| JK-CSH JV LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 12% | Nov 1, 2006 |
| MANHATTAN FIVE PARTNERS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 7% | Nov 1, 2006 |
| WIN WIN ENTERPRISES, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 35% | Feb 1, 2007 |
| BH ALLIANCE | INDIRECT OWNERSHIP INTEREST | Organization | N/A | Nov 1, 2006 |
| THE JACOB WINTNER TRUST | INDIRECT OWNERSHIP INTEREST | Organization | N/A | Nov 1, 2006 |
| THE WINTNER LIVING TRUST DATED 7/08/1992 | INDIRECT OWNERSHIP INTEREST | Organization | N/A | Feb 1, 2007 |
| BRETSCH, GREGORY | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Feb 25, 2019 |
| LAL, AKASH | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Oct 28, 2024 |
| WINTNER, JACOB | CORPORATE OFFICER | Individual | N/A | Feb 1, 2007 |
| CAMBRIDGE HEALTHCARE SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Apr 1, 2014 |
| BRETSCH, GREGORY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 25, 2019 |
| BULOSAN, JULIA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | May 27, 2025 |
| BUTENKO, JULIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jul 24, 2023 |
| CAPELA, HEIDI | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 3, 2023 |
| HASSELL, LANCE | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 25, 2022 |
| LAL, AKASH | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Oct 28, 2024 |
| LUTZ, LINDA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2012 |
| SALAZAR, PAULINA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Dec 14, 2020 |
| SINGH, RANJEET | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 8, 2024 |
| SMEDRA, IRA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2007 |
| WINTNER, JACOB | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2007 |
| 517 S. A STREET LLC | ADP OF THE SNF | Organization | N/A | Dec 15, 2006 |
| CAMBRIDGE HEALTHCARE SERVICES LLC | ADP OF THE SNF | Organization | N/A | Jul 24, 2025 |
| JENMAX ENTERPRISES LLC | ADP OF THE SNF | Organization | N/A | Dec 15, 2006 |
| JK-CSH JV LLC | ADP OF THE SNF | Organization | N/A | Dec 15, 2006 |
| WIN WIN ENTERPRISES, LLC | ADP OF THE SNF | Organization | N/A | Dec 15, 2006 |
| BRETSCH, GREGORY | ADP OF THE SNF | Individual | N/A | Feb 25, 2019 |
| BULOSAN, JULIA | ADP OF THE SNF | Individual | N/A | May 27, 2025 |
| BUTENKO, JULIE | ADP OF THE SNF | Individual | N/A | Jul 24, 2023 |
| CAPELA, HEIDI | ADP OF THE SNF | Individual | N/A | Apr 3, 2023 |
| HASSELL, LANCE | ADP OF THE SNF | Individual | N/A | Apr 25, 2022 |
| LAL, AKASH | ADP OF THE SNF | Individual | N/A | Jul 22, 2025 |
| LUTZ, LINDA | ADP OF THE SNF | Individual | N/A | Feb 1, 2012 |
| SALAZAR, PAULINA | ADP OF THE SNF | Individual | N/A | Dec 14, 2020 |
| SINGH, RANJEET | ADP OF THE SNF | Individual | N/A | Apr 8, 2024 |
| SMEDRA, IRA | ADP OF THE SNF | Individual | N/A | Feb 1, 2007 |
| WINTNER, JACOB | ADP OF THE SNF | Individual | N/A | Feb 1, 2007 |
Compare CMS ratings and recorded fines for Madera Rehabilitation & Nursing Center and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.
This chain operates 32 facilities. View all →