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Nursing home report

GOLDEN MADERA CARE CENTER

MADERA, CA · Medicare-certified · 64 beds

In good standing
For-profitChain member
4 of 5 overall

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.

Facility ratings

Health inspections

Staffing

4.1841 hrs/resident/day

Quality measures

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).

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).

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

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. 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.