Inspection citations
12’19
1’23
13’24
42’25
3’26
71 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Feb 24, 2026 | E · potential | Keep all essential equipment working safely. | Complaint |
| Feb 11, 2026 | E · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Feb 11, 2026 | E · potential | Provide and implement an infection prevention and control program. | Complaint |
| Aug 14, 2025 | E · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Aug 14, 2025 | D · potential | Ensure that residents are fully informed and understand their health status, care and treatments. | Routine |
| Aug 14, 2025 | D · potential | Ensure each resident receives an accurate assessment. | Routine |
| Aug 14, 2025 | E · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Aug 14, 2025 | F · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Aug 14, 2025 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Routine |
| Aug 14, 2025 | G · harm | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Aug 14, 2025 | G · harm | Provide enough food/fluids to maintain a resident's health. | Routine |
| Aug 14, 2025 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Aug 14, 2025 | D · potential | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Routine |
| Aug 14, 2025 | D · potential | Ensure each resident’s drug regimen must be free from unnecessary drugs. | Routine |
| Aug 14, 2025 | D · potential | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Routine |
| Aug 14, 2025 | F · potential | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Routine |
| Aug 14, 2025 | D · potential | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Routine |
| Aug 14, 2025 | F · potential | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Routine |
| Aug 14, 2025 | E · potential | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Routine |
| Aug 14, 2025 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Aug 14, 2025 | D · potential | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Routine |
| Aug 14, 2025 | F · potential | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Routine |
| Aug 14, 2025 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Aug 14, 2025 | B · minimal | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Routine |
| Jun 10, 2025 | E · potential | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Complaint |
| Jun 10, 2025 | E · potential | Provide and implement an infection prevention and control program. | Complaint |
| Apr 15, 2025 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Apr 15, 2025 | G · harm | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Apr 15, 2025 | E · potential | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Complaint |
| Mar 7, 2025 | D · potential | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Complaint |
| Mar 7, 2025 | D · potential | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Complaint |
| Mar 7, 2025 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Mar 7, 2025 | E · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Mar 7, 2025 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Mar 7, 2025 | K · harm | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Mar 7, 2025 | E · potential | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Complaint |
| Mar 7, 2025 | F · potential | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Complaint |
| Mar 7, 2025 | E · potential | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Complaint |
| Mar 7, 2025 | E · potential | Have a plan that describes the process for conducting QAPI and QAA activities. | Complaint |
| Mar 7, 2025 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Jan 9, 2025 | D · potential | Ensure each resident receives an accurate assessment. | Complaint |
| Jan 9, 2025 | E · potential | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Complaint |
| Jan 9, 2025 | E · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Jan 9, 2025 | G · harm | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Jan 9, 2025 | F · potential | Provide and implement an infection prevention and control program. | Complaint |
| Nov 22, 2024 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Jun 21, 2024 | E · potential | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Routine |
| Jun 21, 2024 | E · potential | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Routine |
| Jun 21, 2024 | E · potential | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | Routine |
| Jun 21, 2024 | E · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Jun 21, 2024 | D · potential | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Routine |
| Jun 21, 2024 | F · potential | Provide and implement an infection prevention and control program. | Routine |
| Jun 21, 2024 | E · potential | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Routine |
| May 2, 2024 | G · harm | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Apr 4, 2024 | G · harm | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Complaint |
| Apr 4, 2024 | E · potential | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Complaint |
| Apr 4, 2024 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Mar 8, 2024 | D · potential | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Complaint |
| Nov 15, 2023 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Apr 26, 2019 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Apr 26, 2019 | E · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Apr 26, 2019 | F · potential | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Routine |
| Apr 26, 2019 | E · potential | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Routine |
| Apr 26, 2019 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Routine |
| Apr 26, 2019 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Apr 26, 2019 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Routine |
| Apr 26, 2019 | E · potential | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Routine |
| Apr 26, 2019 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Apr 26, 2019 | D · potential | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Routine |
| Apr 26, 2019 | E · potential | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Routine |
| Apr 26, 2019 | E · potential | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Routine |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
Madera Rehabilitation & Nursing Center
517 South A Street, Madera, CA 93638 · (559) 673-9228
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 055147
- Certified beds
- 176
- Legal owner
- Cf Madera, LLC
- Part of
- Cambridge Healthcare Services
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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Other nursing homes in Madera
- Madera Care Center4 of 5 stars overall