Nursing home report
MADERA, CA · Medicare-certified · 176 beds
MADERA REHABILITATION & NURSING CENTER in Madera, CA has a 2-star overall rating, with a 1-star health inspection rating, 3-star staffing, and 5-star quality measures. It has a recent federal penalty, $321,045 in fines over the last 24 months, and reported nurse staffing of 3.82 hours per resident per day, below the federal benchmark of 4.1.
Health inspections
Staffing
3.8173 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8173.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2025 — limited pattern, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
The home failed to properly label and securely store medications and biologicals. Cited July 2018 — limited pattern, immediate jeopardy to residents.
F-Tag 761 — 42 CFR §483.45(g) — S/S: K
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited May 2024 — isolated incident, actual harm.
F-Tag 684 — 42 CFR §483.25 — S/S: G
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited April 2024 — isolated incident, actual harm.
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: G
The nursing home failed to ensure residents received the behavioral health care and services they needed. Cited July 2018 — isolated incident, actual harm.
F-Tag 740 — 42 CFR §483.40 — S/S: G
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
Health inspection found 2 health deficiencies.
A federal payment denial was recorded.
A federal fine of $126,900 was recorded.
Health inspection found 1 health deficiency.
A federal payment denial was recorded.
A federal fine of $194,145 was recorded.
On record with Medicare: 3 fines · $373,733 in total fines · 2 payment denials.
Medicare/Medicaid payment denial
Aug 14, 2025
Federal fine
Aug 14, 2025
Medicare/Medicaid payment denial
Jan 9, 2025
Federal fine
Jan 9, 2025
Federal fine
Mar 8, 2024
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.
