Madera Rehabilitation & Nursing Center

517 South a Street, Madera, CA 93638 · (559) 673-9228
For profit - Limited Liability company · 176 certified beds

Madera Rehabilitation & Nursing Center has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in August 2025, found 21 citations, 2 for actual harm or immediate jeopardy (the California average is 15.6). It was fined 3 times in the last three years, $373,733 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on August 14, 2025 found 21 citations. What an inspection citation means

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.August 14, 2025 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Provide enough food/fluids to maintain a resident's health.August 14, 2025 · F0692 · Level of harm: Actual harm · Residents affected: Few
• Ensure services provided by the nursing facility meet professional standards of quality.August 14, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.August 14, 2025 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• 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.August 14, 2025 · F0808 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.August 14, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• 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.August 14, 2025 · F0838 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.August 14, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.August 14, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.August 14, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide special eating equipment and utensils for residents who need them and appropriate assistance.August 14, 2025 · F0810 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that residents are fully informed and understand their health status, care and treatments.August 14, 2025 · F0552 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives an accurate assessment.August 14, 2025 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.August 14, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.August 14, 2025 · F0756 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident’s drug regimen must be free from unnecessary drugs.August 14, 2025 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.August 14, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.August 14, 2025 · F0805 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Have a policy regarding use and storage of foods brought to residents by family and other visitors.August 14, 2025 · F0813 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.August 14, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.August 14, 2025 · F0912 · Level of harm: Potential for minimal harm · Residents affected: Some

Complaint inspections, last three years

Inspections after complaints found 32 citations.

• Keep all essential equipment working safely.February 24, 2026 · F0908 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.February 11, 2026 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide and implement an infection prevention and control program.February 11, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.August 14, 2025 · F0689 · Level of harm: Actual harm · Residents affected: Few
• 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.June 10, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide and implement an infection prevention and control program.June 10, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.April 15, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.April 15, 2025 · F0689 · Level of harm: Actual harm · Residents affected: Few
• 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.April 15, 2025 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.March 7, 2025 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.March 7, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.March 7, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.March 7, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure services provided by the nursing facility meet professional standards of quality.March 7, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.March 7, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
• 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.March 7, 2025 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Administer the facility in a manner that enables it to use its resources effectively and efficiently.March 7, 2025 · F0835 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• 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.March 7, 2025 · F0849 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Have a plan that describes the process for conducting QAPI and QAA activities.March 7, 2025 · F0865 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide and implement an infection prevention and control program.March 7, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives an accurate assessment.January 9, 2025 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.January 9, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure services provided by the nursing facility meet professional standards of quality.January 9, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.January 9, 2025 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.January 9, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.November 22, 2024 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.May 2, 2024 · F0684 · Level of harm: Actual harm · Residents affected: Few
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.April 4, 2024 · F0580 · Level of harm: Actual harm · Residents affected: Few
• Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedApril 4, 2024 · F0655 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure services provided by the nursing facility meet professional standards of quality.April 4, 2024 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.March 8, 2024 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.November 15, 2023 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Fines and payment denials

• Fine of $126,900August 14, 2025
• Fine of $194,145January 9, 2025
• Fine of $52,688March 8, 2024
• Medicare payment denial for 15 daysStarting September 12, 2025
• Medicare payment denial for 83 daysStarting February 13, 2025

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home