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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.
HomeCaliforniaMadera Rehabilitation & Nursing Center

Madera Rehabilitation & Nursing Center

517 South a Street, Madera, CA 936385596739228
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
3/5
Quality
5/5
Beds
176
certified
4 fine(s) totaling $386,733

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 176 certified beds with an average of 169.1 residents per day (96% occupancy)

• Last health inspection found 24 deficiencies (inspected Jun 21, 2024)

• Has been fined a total of $386,733 across 4 fine(s)

• Total nursing staff: 3.92 hours per resident per day

• Staff turnover rate: 40.0%

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

Madera Rehabilitation & Nursing Center is a 2-star Medicare and Medicaid certified nursing home in Madera, California with 176 certified beds. It has been operating since 1967. The facility scored below average compared to California facilities.

Beds
176
Avg Residents/Day
169.1
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jan 1, 1967
Sprinklers
Yes
Council
Resident
County
Madera
Last Inspection
Jun 21, 2024
Deficiencies (Cycle 1)
24
Weighted Score
291.8
Infection Citations
1

Deficiency Citations (65)

F0689Actual Harm

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

Survey: Aug 14, 2025Corrected: NoCycle: 1
F0584Potential for Harm

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.

Survey: Jun 10, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jun 10, 2025Corrected: NoCycle: 1
F0609Potential for Harm

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

Survey: Apr 15, 2025Corrected: NoCycle: 1
F0689Actual Harm

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

Survey: Apr 15, 2025Corrected: NoCycle: 1
F0726Potential for Harm

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.

Survey: Apr 15, 2025Corrected: NoCycle: 1
F0580Potential for Harm

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

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0584Potential for Harm

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.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0609Potential for Harm

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

Survey: Mar 7, 2025Corrected: NoCycle: 1
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: Mar 7, 2025Corrected: NoCycle: 1
F0658Potential for Harm

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

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0689Immediate Jeopardy

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

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0726Potential for Harm

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.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0835Potential for Harm

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

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0849Potential for Harm

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.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0865Potential for Harm

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

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0578Potential for Harm

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.

Survey: Jun 21, 2024Corrected: NoCycle: 1
F0623Potential for Harm

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

Survey: Jun 21, 2024Corrected: NoCycle: 1
F0625Potential for Harm

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.

Survey: Jun 21, 2024Corrected: NoCycle: 1
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: Jun 21, 2024Corrected: NoCycle: 1
F0840Potential for Harm

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.

Survey: Jun 21, 2024Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jun 21, 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: Jun 21, 2024Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Jan 9, 2025Corrected: NoCycle: 2
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: Jan 9, 2025Corrected: NoCycle: 2
F0658Potential for Harm

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

Survey: Jan 9, 2025Corrected: NoCycle: 2
F0689Actual Harm

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

Survey: Jan 9, 2025Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jan 9, 2025Corrected: NoCycle: 2
F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Nov 22, 2024Corrected: NoCycle: 2

+ 35 more deficiencies

Total Fines
$386,733
Number of Fines
4
Payment Denials
3
Total Penalties
7

Penalty History

FineMar 9, 2023
$13,000
FineMar 8, 2024
$52,688
FineAug 14, 2025
$126,900
FineJan 9, 2025
$194,145
Payment DenialAug 14, 2025
15 days denied
Payment DenialJan 9, 2025
83 days denied
Payment DenialMar 9, 2023
29 days denied

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

Nurse Aide2.61 hrs
National avg: 2.35 hrs
LPN0.70 hrs
National avg: 0.86 hrs
RN0.60 hrs
National avg: 0.68 hrs
Total Nursing3.92 hrs
National avg: 3.89 hrs
Weekend Total3.68 hrs
National avg: 0.00 hrs
Physical Therapist0.04 hrs
National avg: 0.07 hrs
Total Turnover
40.0%
RN Turnover
48.0%
Administrators Left
2

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

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (20)

NameRoleTypeOwnership %Since
CRESCENT FACILITIES OPERATIONS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Dec 19, 2006
BERING PROPERTIES LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization6%Oct 10, 2013
JENMAX ENTERPRISES LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization23%Feb 1, 2007
JK-CSH JV LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization12%Nov 1, 2006
MANHATTAN FIVE PARTNERS LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization7%Nov 1, 2006
WIN WIN ENTERPRISES, LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization35%Feb 1, 2007
SMEDRA, IRA5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual6%Feb 1, 2007
CAMBRIDGE HEALTHCARE SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 1, 2014
BRETSCH, GREGORYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 25, 2019
BULOSAN, JULIAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 27, 2025
BUTENKO, JULIEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 24, 2023
CAPELA, HEIDIOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 3, 2023
HASSELL, LANCEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 25, 2022
LAL, AKASHOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 28, 2024
LUTZ, LINDAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2012
SALAZAR, PAULINAOPERATIONAL/MANAGERIAL CONTROLIndividualN/ADec 14, 2020
SINGH, RANJEETOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 8, 2024
SMEDRA, IRAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2007
WINTNER, JACOBOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2007
WINTNER, JACOBCORPORATE OFFICERIndividualN/AFeb 1, 2007

Nearby Nursing Homes

All California facilities

Golden Madera Care Center

Madera, CA · 64 beds

For profit$41,597 in fines
Health
Staffing
Quality
1.7 mi

Frequently Asked Questions

What is the CMS rating for Madera Rehabilitation & Nursing Center?▾
Madera Rehabilitation & Nursing Center has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 3/5, and quality measures rating of 5/5. This facility is rated below average.
Has Madera Rehabilitation & Nursing Center had any health inspection violations?▾
Madera Rehabilitation & Nursing Center had 24 deficiency citations in its most recent health inspection (Jun 21, 2024). The facility has been fined a total of $386,733 across 4 fine(s). It also has 1 infection control citation(s).
What are the staffing levels at Madera Rehabilitation & Nursing Center?▾
Madera Rehabilitation & Nursing Center provides 3.92 total nursing staff hours per resident per day, including 0.60 RN hours, 0.70 LPN hours, and 2.61 nurse aide hours. The total staff turnover rate is 40.0%.
How many beds does Madera Rehabilitation & Nursing Center have?▾
Madera Rehabilitation & Nursing Center has 176 certified beds with an average of 169.1 residents per day, resulting in approximately 96% occupancy. The facility is For profit - Limited Liability company owned and is part of the Cambridge Healthcare Services chain.
Are there other nursing homes near Madera Rehabilitation & Nursing Center?▾
Yes, there are 1 other nursing home in Madera, California with an average rating of 3/5. You can compare all facilities on the Madera nursing homes page.

Part of Cambridge Healthcare Services

This chain operates 32 facilities. View all →