Madera Rehabilitation & Nursing Center
517 South a Street · Madera, CA · 93638 · 5596739228
176 certified beds For profit - Limited Liability company Chain: Cambridge Healthcare Services
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $321,045 in fines in the last 24 months.
- 6 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
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
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 3 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$321,045 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.82 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.57 | 0.55–0.75 |
| Weekend hours / resident-day | 3.59 | ≈ weekday level |
| Nursing turnover / year | 45% | median 45% |
| Fines (3-yr window) | 3 · $373,733 |
Inspection citations (66 in the current record)
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Potential for harm · E February 24, 2026 · found via complaint
Keep all essential equipment working safely.
Corrected March 9, 2026 · Environmental
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Potential for harm · E February 11, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 6, 2026 · Resident Assessment and Care Planning
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Potential for harm · E February 11, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 6, 2026 · Infection Control
-
Actual harm · G August 14, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 27, 2025 · Quality of Life and Care
-
Potential for harm · E June 10, 2025 · found via complaint
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.
Corrected June 10, 2025 · Resident Rights
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Potential for harm · E June 10, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected June 10, 2025 · Infection Control
-
Actual harm · G April 15, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 7, 2025 · Quality of Life and Care
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Potential for harm · D April 15, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 7, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E April 15, 2025 · found via complaint
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.
Corrected May 7, 2025 · Nursing and Physician Services
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Immediate jeopardy · K March 7, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 7, 2025 · Quality of Life and Care
-
Potential for harm · D March 7, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected May 7, 2025 · Resident Rights
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Potential for harm · D March 7, 2025 · found via complaint
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.
Corrected May 7, 2025 · Resident Rights
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Potential for harm · D March 7, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 7, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E March 7, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 7, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · E March 7, 2025 · found via complaint
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.
Corrected May 7, 2025 · Nursing and Physician Services
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Potential for harm · F March 7, 2025 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected May 7, 2025 · Administration
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Potential for harm · E March 7, 2025 · found via complaint
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.
Corrected May 7, 2025 · Administration
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Potential for harm · E March 7, 2025 · found via complaint
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected May 7, 2025 · Administration
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Potential for harm · D March 7, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected May 7, 2025 · Infection Control
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Actual harm · G January 9, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 7, 2025 · Quality of Life and Care
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Potential for harm · D January 9, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected May 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · E January 9, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · E January 9, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · F January 9, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected May 7, 2025 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 14, 2025 | Fine | $126,900 |
| August 14, 2025 | Payment Denial | 15 days |
| January 9, 2025 | Fine | $194,145 |
| January 9, 2025 | Payment Denial | 83 days |
| March 8, 2024 | Fine | $52,688 |
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 055147 · 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.