CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 0551912026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Madera Care Center

1700 Howard Road · Madera, CA 93637 · Madera County

CMS OVERALL RATING★★★★☆4/5CMS field—not our score or recommendation
Certified beds64CMS provider file
Recent citation rows61current CMS citation release
Penalty rows8current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12025-04-0332025-04-039
Cycle 22024-02-20132024-02-208
Cycle 32023-04-13222023-04-136
02 / CITATION DETAIL

61 rows in the current release

0 rows carry G–L scope/severity codes; 0 carry J–L. 14 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-03-19 · HEALTHF0609Severity E · pattern; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Correction field: Deficient, Provider has date of correction · 2026-04-06 · complaint
2026-02-27 · HEALTHF0689Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction field: Deficient, Provider has date of correction · 2026-03-23 · complaint
2025-04-16 · HEALTHF0584Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2025-04-24 · complaint
2025-04-04 · HEALTHF0550Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Correction field: Deficient, Provider has date of correction · 2025-04-03 · complaint
2025-04-03 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2025-04-14
2025-04-03 · FIREK0161Severity D · isolated; potential for more than minimal harm

Construction Deficiencies

Use approved construction type or materials.

Correction field: Deficient, Provider has date of correction · 2025-04-14
2025-04-03 · FIREK0291Severity C · widespread; potential for minimal harm

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

Correction field: Deficient, Provider has date of correction · 2025-04-09
2025-04-03 · FIREK0353Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2025-04-14
2025-04-03 · FIREK0355Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

Correction field: Deficient, Provider has date of correction · 2025-04-11
2025-04-03 · FIREK0363Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Correction field: Deficient, Provider has date of correction · 2025-04-08
2025-04-03 · FIREK0712Severity C · widespread; potential for minimal harm

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Correction field: Deficient, Provider has date of correction · 2025-04-08
2025-04-03 · FIREK0918Severity C · widespread; potential for minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Correction field: Deficient, Provider has date of correction · 2025-04-08
2025-04-03 · FIREK0919Severity E · pattern; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use of electrical equipment.

Correction field: Deficient, Provider has date of correction · 2025-04-17
2025-04-03 · FIREK0920Severity D · isolated; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Correction field: Deficient, Provider has date of correction · 2025-04-08
2025-02-26 · HEALTHF0689Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction field: Deficient, Provider has date of correction · 2025-03-25 · complaint
2024-07-03 · HEALTHF0695Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Correction field: Deficient, Provider has date of correction · 2024-07-25 · complaint
2024-06-19 · HEALTHF0842Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Correction field: Deficient, Provider has date of correction · 2024-08-12 · complaint
2024-02-20 · FIREE0039Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

Correction field: Deficient, Provider has date of correction · 2024-03-12
2024-02-20 · HEALTHF0584Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2024-03-20 · complaint
2024-02-20 · HEALTHF0656Severity E · pattern; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Correction field: Deficient, Provider has date of correction · 2024-03-20 · complaint
2024-02-20 · HEALTHF0658Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Correction field: Deficient, Provider has date of correction · 2024-03-20
2024-02-20 · HEALTHF0687Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate foot care.

Correction field: Deficient, Provider has date of correction · 2024-03-20 · complaint
2024-02-20 · HEALTHF0755Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Correction field: Deficient, Provider has date of correction · 2024-03-20
2024-02-20 · HEALTHF0761Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2024-03-20
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
2024-01-08Fine$4,9380
2024-01-02Fine$4,5870
2023-12-11Fine$12,7030
2023-11-06Fine$9,5270
2023-10-17Fine$2,7870
2023-10-10Fine$2,1170
2023-10-02Fine$1,7640
2023-09-11Fine$3,1740
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • MADERA POST ACUTE LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    100% · since 11/04/2025
  • SUN MERIDIAN HEALTH HOLDINGS LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    100% · since 11/04/2025
  • MADERA SNF PROPCO LLCOrganization · 5% OR GREATER SECURITY INTEREST
    NOT APPLICABLE · since 11/04/2025
  • JOHNSON, DAVIDIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 11/04/2025
  • MADERA POST ACUTE LLCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 11/04/2025
  • BHINDER, SUMANDEEPIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 11/04/2025
  • DEHGHANMANESH, ADRIANIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 11/04/2025
  • JOHNSON, DAVIDIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 11/04/2025
  • JOHNSON, FRANKIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 11/04/2025
  • KOCHEK, JOSHUAIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 11/04/2025
  • OXFORD, MICHEALIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 11/04/2025
  • PANNU, AMRITPALIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 11/04/2025
  • MADERA POST ACUTE LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 11/04/2025
  • MADERA SNF PROPCO LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 11/04/2025
  • SUN MERIDIAN MANAGEMENT SERVICES LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 11/04/2025
  • BHINDER, SUMANDEEPIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 11/04/2025
  • DEHGHANMANESH, ADRIANIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 11/04/2025
  • FARRALES, MARYIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 11/04/2025

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours4.04per resident day
RN hours0.66per resident day
Weekend nurse hours3.71per resident day
Staff turnover49.3%CMS reported field
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.