GoodStanding

Nursing home report

LA SIERRA CARE CENTER

MERCED, CA · Medicare-certified · 68 beds

In good standing
For-profitChain member
Data as of July 1, 2026
3 of 5 overall

LA SIERRA CARE CENTER in Merced has a 3 out of 5 star overall rating, with 3-star health inspection, staffing, and quality ratings. It reported 3.93 nurse staffing hours per resident per day versus the 4.1 federal benchmark, with $0 in fines in the last 24 months and recent inspection citations related to food handling, room space, and food temperature.

Facility ratings

Health inspections

Staffing

3.9275 hrs/resident/day

Quality measures

Last inspection: January 23, 2026Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9275.

Staffing detail

Registered nurses
0.52
Licensed practical nurses
0.88
Nurse aides
2.53
Weekend nursing
3.66

Hours per resident per day.

Total staff turnover: 55%
Registered nurse turnover: 86%

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

13.6%12.9%Improving

Residents with a fall causing major injury

0%1.6%Worsening

Residents with pressure ulcers (bedsores)

0%2.6%Worsening

Residents with a urinary tract infection

3.8%0%Improving

Residents who lost too much weight

7.7%0%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

8.3%0%Improving

Residents whose ability to walk got worse

13%

Long-stay residents on antianxiety or sleep medication

28.2%22%Improving

Short-stay residents newly given an antipsychotic

3.3%4%Worsening

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

16.9%7.4%Improving

Residents with depressive symptoms

26.9%0%Improving

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

100%

Short-stay residents given the pneumonia vaccine

100%100%No change

What the inspectors found

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 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 ensure resident rooms were large enough for each person to have enough personal space. Cited August 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 912 — 42 CFR §483.90 — S/S: F

The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited August 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 804 — 42 CFR §483.60 — S/S: F

The nursing home failed to make sure its quality review group had the required members and met at least every three months. Cited April 2021 — widespread issue, potential for harm.

View the original federal record

F-Tag 868 — 42 CFR §483.75 — S/S: F

The home failed to have enough qualified staff to properly provide food and nutrition services. Cited January 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 801 — 42 CFR §483.60 — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 11 health deficiencies.

    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

Operator & ownership

Ownership
For profit - Limited Liability company
Chain
Part of CAMBRIDGE HEALTHCARE SERVICES · 32 homes · 2.5 stars avg
Occupancy
65.8 residents on an average day (97% of 68 beds)
Resident voice
Resident council
Medicare history
Certified for 59 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.