Golden Madera Care Center in Madera, CA has a 4 out of 5 star overall rating, with 4-star health inspection, staffing, and quality ratings. Reported nurse staffing is 4.18 hours per resident per day, slightly above the federal benchmark of 4.1, and there were no fines in the last 24 months.
Last inspection: March 19, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.1841.
Staffing detail
Registered nurses
0.67
Licensed practical nurses
0.82
Nurse aides
2.69
Weekend nursing
3.80
Hours per resident per day.
Total staff turnover: 44%
Registered nurse turnover: 44%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
0%3.6%Worsening
Residents with a fall causing major injury
0%2.1%Worsening
Residents with pressure ulcers (bedsores)
6.9%3.1%Improving
Residents with a urinary tract infection
0%2.2%Worsening
Residents who lost too much weight
0%2.7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
9.7%3.1%Improving
Long-stay residents on antianxiety or sleep medication
22.2%10.3%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
1.7%0%Improving
Residents with new or worsening incontinence
28%22.4%Improving
Residents with depressive symptoms
0%7.3%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—94.4%—
Short-stay residents given the pneumonia vaccine
94.4%97.3%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to have enough qualified staff to properly provide food and nutrition services. Cited April 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 801 — 42 CFR §483.60 — S/S: F
The home failed to provide enough support staff to safely and effectively run food and nutrition services. Cited April 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 802 — 42 CFR §483.60 — S/S: F
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited April 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 8 fines · $41,597 in total fines.
Federal fine
Jan 8, 2024
$4,938
Federal fine
Jan 2, 2024
$4,587
Federal fine
Dec 11, 2023
$12,703
Federal fine
Nov 6, 2023
$9,527
Federal fine
Oct 17, 2023
$2,787
Federal fine
Oct 10, 2023
$2,117
Federal fine
Oct 2, 2023
$1,764
Federal fine
Sep 11, 2023
$3,174
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of GOLDEN SNF OPERATIONS · 7 homes · 2.6 stars avg
Occupancy
56.6 residents on an average day (88% of 64 beds)
Resident voice
Resident council
Medicare history
Certified for 55 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.