La Sierra Care Center
2424 M Street · Merced, CA · 95340 · 2097234224
68 certified beds For profit - Limited Liability company Chain: Cambridge Healthcare Services
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 74 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.90 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.47 | 0.55–0.75 |
| Weekend hours / resident-day | 3.55 | ≈ weekday level |
| Nursing turnover / year | 58% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (38 in the current record)
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Potential for harm · D January 23, 2026
Reasonably accommodate the needs and preferences of each resident.
Corrected February 23, 2026 · Resident Rights
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Potential for harm · D January 23, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 23, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 23, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 23, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 23, 2026
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.
Corrected February 23, 2026 · Pharmacy Service
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Potential for harm · E January 23, 2026
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected February 23, 2026 · Nutrition and Dietary
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Potential for harm · E January 23, 2026
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected February 23, 2026 · Nutrition and Dietary
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Potential for harm · E January 23, 2026
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected February 23, 2026 · Nutrition and Dietary
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Potential for harm · E January 23, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 23, 2026 · Nutrition and Dietary
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Potential for harm · E January 23, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 23, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 23, 2026
Provide and implement an infection prevention and control program.
Corrected February 23, 2026 · Infection Control
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Potential for harm · E January 23, 2026
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected February 23, 2026 · Environmental
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Potential for harm · D November 19, 2025 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected December 11, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 3, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · E October 23, 2024 · found via complaint
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected November 4, 2024 · Nutrition and Dietary
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Potential for harm · D August 23, 2024
Ensure each resident receives an accurate assessment.
Corrected September 23, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 23, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected September 23, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 23, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected September 23, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 23, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected September 23, 2024 · Quality of Life and Care
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Potential for harm · D August 23, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 23, 2024 · Quality of Life and Care
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Potential for harm · D August 23, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 23, 2024 · Pharmacy Service
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Potential for harm · E August 23, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected September 23, 2024 · Pharmacy Service
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Potential for harm · E August 23, 2024
Ensure that residents are free from significant medication errors.
Corrected September 23, 2024 · Pharmacy Service
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Potential for harm · F August 23, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected September 23, 2024 · Nutrition and Dietary
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Potential for harm · F August 23, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 23, 2024 · Nutrition and Dietary
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Potential for harm · D August 23, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 23, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055271 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.