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HomeCaliforniaMadera Rehabilitation & Nursing Center

Madera Rehabilitation & Nursing Center

517 South a Street, Madera, CA 936385596739228WebsiteGoogle Maps
3.7on Google(41 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
1/5
Staffing
3/5
Quality
4/5
Beds
176
certified
3 fine(s) totaling $373,733

How Madera Rehabilitation & Nursing Center Compares in California

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.

CMS overall rating
1/5
CA average
3.2/5
Below state average
Health inspection rating
1/5
CA average
2.8/5
Below state average
Staffing rating
3/5
CA average
3.3/5
Below state average
Nursing hours per resident
3.82 hrs/day
CA average
4.52 hrs/day
Below state average
RN hours per resident
0.53 hrs/day
CA average
0.67 hrs/day
Below state average
Staff turnover
45.5%
CA average
36.7%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the California average of 3.2/5.
Its 1/5 health inspection rating is below the California average of 2.8/5.
Reported nursing time is 3.82 hours per resident per day, below the state average of 4.52.
Reported RN time is 0.53 hours per resident per day, below the state average of 0.67.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
34
deficiency citations
Inspected Jun 21, 2024
Most recent cycle
24
deficiency citations
Inspected Aug 14, 2025
The most recent cycle recorded 10 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$11,476/mo
California median
Private Room
$13,870/mo
California median
Madera County 65+
22,292
14.2% of county
County Population
157,243
Madera County

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.

Beds
176
Avg Residents/Day
167.9
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jan 1, 1967
Sprinklers
Yes
Council
None
County
Madera
Last Inspection
Aug 14, 2025
Deficiencies (Cycle 1)
24
Weighted Score
259.3
Infection Citations
0

Deficiency Citations (71)

F0908Potential for Harm

Keep all essential equipment working safely.

Survey: Feb 24, 2026Corrected: 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: Feb 11, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 11, 2026Corrected: NoCycle: 1
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
F0692Actual Harm

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

Survey: Aug 14, 2025Corrected: NoCycle: 1
F0658Potential for Harm

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

Survey: Aug 14, 2025Corrected: NoCycle: 1
F0804Potential for Harm

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

Survey: Aug 14, 2025Corrected: NoCycle: 1
F0808Potential for Harm

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.

Survey: Aug 14, 2025Corrected: 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 14, 2025Corrected: NoCycle: 1
F0838Potential for Harm

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.

Survey: Aug 14, 2025Corrected: NoCycle: 1
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Aug 14, 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: Aug 14, 2025Corrected: 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 14, 2025Corrected: NoCycle: 1
F0810Potential for Harm

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Survey: Aug 14, 2025Corrected: NoCycle: 1
F0552Potential for Harm

Ensure that residents are fully informed and understand their health status, care and treatments.

Survey: Aug 14, 2025Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Aug 14, 2025Corrected: NoCycle: 1
F0677Potential for Harm

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

Survey: Aug 14, 2025Corrected: NoCycle: 1
F0756Potential for Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey: Aug 14, 2025Corrected: NoCycle: 1
F0757Potential for Harm

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Survey: Aug 14, 2025Corrected: NoCycle: 1
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: Aug 14, 2025Corrected: NoCycle: 1
F0805Potential for Harm

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Survey: Aug 14, 2025Corrected: NoCycle: 1
F0813Potential for Harm

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

Survey: Aug 14, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Aug 14, 2025Corrected: NoCycle: 1
F0912Minimal 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 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: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jun 10, 2025Corrected: NoCycle: 2
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: 2
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: 2
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: 2
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: 2

+ 41 more deficiencies

Total Fines
$373,733
Number of Fines
3
Payment Denials
2
Total Penalties
5

Penalty History

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

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

Nurse Aide2.57 hrs
National avg: 2.32 hrs
LPN0.72 hrs
National avg: 0.86 hrs
RN0.53 hrs
National avg: 0.69 hrs
Total Nursing3.82 hrs
National avg: 3.86 hrs
Weekend Total3.55 hrs
National avg: 0.00 hrs
Physical Therapist0.02 hrs
National avg: 0.07 hrs
Total Turnover
45.5%
RN Turnover
58.1%
Administrators Left
1

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

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (40)

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
BH ALLIANCEINDIRECT OWNERSHIP INTERESTOrganizationN/ANov 1, 2006
THE JACOB WINTNER TRUSTINDIRECT OWNERSHIP INTERESTOrganizationN/ANov 1, 2006
THE WINTNER LIVING TRUST DATED 7/08/1992INDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 1, 2007
BRETSCH, GREGORYMANAGING CONTROL - GOVERNING BODYIndividualN/AFeb 25, 2019
LAL, AKASHMANAGING CONTROL - GOVERNING BODYIndividualN/AOct 28, 2024
WINTNER, JACOBCORPORATE OFFICERIndividualN/AFeb 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
517 S. A STREET LLCADP OF THE SNFOrganizationN/ADec 15, 2006
CAMBRIDGE HEALTHCARE SERVICES LLCADP OF THE SNFOrganizationN/AJul 24, 2025
JENMAX ENTERPRISES LLCADP OF THE SNFOrganizationN/ADec 15, 2006
JK-CSH JV LLCADP OF THE SNFOrganizationN/ADec 15, 2006
WIN WIN ENTERPRISES, LLCADP OF THE SNFOrganizationN/ADec 15, 2006
BRETSCH, GREGORYADP OF THE SNFIndividualN/AFeb 25, 2019
BULOSAN, JULIAADP OF THE SNFIndividualN/AMay 27, 2025
BUTENKO, JULIEADP OF THE SNFIndividualN/AJul 24, 2023
CAPELA, HEIDIADP OF THE SNFIndividualN/AApr 3, 2023
HASSELL, LANCEADP OF THE SNFIndividualN/AApr 25, 2022
LAL, AKASHADP OF THE SNFIndividualN/AJul 22, 2025
LUTZ, LINDAADP OF THE SNFIndividualN/AFeb 1, 2012
SALAZAR, PAULINAADP OF THE SNFIndividualN/ADec 14, 2020
SINGH, RANJEETADP OF THE SNFIndividualN/AApr 8, 2024
SMEDRA, IRAADP OF THE SNFIndividualN/AFeb 1, 2007
WINTNER, JACOBADP OF THE SNFIndividualN/AFeb 1, 2007

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Madera Rehabilitation & Nursing Center and nearby alternatives.

All California facilities
Madera Rehabilitation & Nursing Center
Madera, CACurrent facility
CMS
1/5
Health
1/5
Staffing
3/5
Recorded fines: $373,733
Madera Care Center
Madera, CA1.7 mi
CMS
4/5
Health
4/5
Staffing
3/5
Recorded fines: $41,597
Chowchilla Memorial Healthcare District
Chowchilla, CA16.4 mi
CMS
4/5
Health
4/5
Staffing
3/5
Recorded fines: $131,603
Palms Care Center
Chowchilla, CA16.5 mi
CMS
4/5
Health
4/5
Staffing
3/5
Recorded fines: None
Foundation Skilled Nursing
Fresno, CA17.4 mi
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $96,763
North Point Healthcare & Wellness Centre LP
Fresno, CA17.7 mi
CMS
5/5
Health
5/5
Staffing
3/5
Recorded fines: None
The Terraces at San Joaquin Gardens Village
Fresno, CA17.9 mi
CMS
5/5
Health
3/5
Staffing
5/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Madera Rehabilitation & Nursing Center
Madera, CA · Current facility
—1/51/53/5$373,733
Madera Care Center
Madera, CA
1.7 mi4/54/53/5$41,597
Chowchilla Memorial Healthcare District
Chowchilla, CA
16.4 mi4/54/53/5$131,603
Palms Care Center
Chowchilla, CA
16.5 mi4/54/53/5None recorded
Foundation Skilled Nursing
Fresno, CA
17.4 mi1/51/51/5$96,763
North Point Healthcare & Wellness Centre LP
Fresno, CA
17.7 mi5/55/53/5None recorded
The Terraces at San Joaquin Gardens Village
Fresno, CA
17.9 mi5/53/55/5None recorded

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.

Frequently Asked Questions

What is the CMS rating for Madera Rehabilitation & Nursing Center?▾
Madera Rehabilitation & Nursing Center has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 3/5, and quality measures rating of 4/5. This facility is rated below average.
How much does Madera Rehabilitation & Nursing Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in California is $11,476/month for a semi-private room and $13,870/month for a private room (Genworth/CareScout 2024). Madera Rehabilitation & Nursing Center participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Madera Rehabilitation & Nursing Center had any health inspection violations?▾
Madera Rehabilitation & Nursing Center had 24 deficiency citations in its most recent health inspection (Aug 14, 2025). The current CMS dataset records 3 fine(s) totaling $373,733.
What are the staffing levels at Madera Rehabilitation & Nursing Center?▾
Madera Rehabilitation & Nursing Center provides 3.82 total nursing staff hours per resident per day, including 0.53 RN hours, 0.72 LPN hours, and 2.57 nurse aide hours. The total staff turnover rate is 45.5%.
How many beds does Madera Rehabilitation & Nursing Center have?▾
Madera Rehabilitation & Nursing Center has 176 certified beds with an average of 167.9 residents per day, resulting in approximately 95% 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. This page lists 6 nearby nursing homes in California, including 1 in Madera. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Madera Rehabilitation & Nursing Center?▾
On Google Maps, Madera Rehabilitation & Nursing Center has a rating of 3.7 out of 5 based on 41 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.

Part of Cambridge Healthcare Services

This chain operates 32 facilities. View all →