Nursing home report
MADERA, CA · Medicare-certified · 176 beds
Madera Rehabilitation & Nursing Center has a 1-star overall rating, with a 1-star health inspection rating, 3-star staffing, and 4-star quality measures. It has reported nurse staffing below the federal benchmark (3.82 vs. 4.1 hours/resident/day) and has had $321,045 in fines in the last 24 months, including a recent federal penalty.
Health inspections
Staffing
3.8199 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8199.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
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
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
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 provide enough food and fluids to keep residents healthy. Cited August 2025 — isolated incident, actual harm.
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
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 provide services that met professional standards of quality. Cited August 2025 — widespread issue, potential for harm.
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: F
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.
