NURSING HOME PUBLIC RECORD
CMS lists this provider in Madera, CA, with 176 certified beds, an overall rating of 1/5, and 100 citation rows in the current August 2026 release.
517 South A Street · Madera, CA 93638 · Madera County
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.
CMS supplies 3 survey-cycle rows for Madera Rehabilitation & Nursing Center in this release; health and fire inspection dates remain separate.
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-08-14 | 24 | 2025-08-14 | 8 |
| Cycle 2 | 2024-06-21 | 29 | 2024-06-21 | 14 |
| Cycle 3 | 2019-04-26 | 18 | 2019-04-26 | 7 |
CMS reports 100 citation rows, including 7 with G–L codes and 1 with J–L codes.
7 rows carry G–L scope/severity codes; 1 carry J–L. 24 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
Keep all essential equipment working safely.
Correction field: Deficient, Provider has date of correction · 2026-03-09 · complaintSafeguard 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 · 2026-03-06 · complaintProvide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-03-06 · complaintHonor 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 · 2025-09-27Ensure that residents are fully informed and understand their health status, care and treatments.
Correction field: Deficient, Provider has date of correction · 2025-09-27Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2025-09-27Develop 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 · 2025-09-27Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2025-09-27Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2025-09-27Ensure 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 · 2025-09-27 · complaintProvide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has date of correction · 2025-09-27Provide 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 · 2025-09-27Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has date of correction · 2025-09-27Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2025-09-27Ensure 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 · 2025-09-27Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Correction field: Deficient, Provider has date of correction · 2025-09-27Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Correction field: Deficient, Provider has date of correction · 2025-09-27Ensure 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.
Correction field: Deficient, Provider has date of correction · 2025-09-27Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Correction field: Deficient, Provider has date of correction · 2025-09-27Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-09-27Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Correction field: Deficient, Provider has date of correction · 2025-09-27Conduct 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.
Correction field: Deficient, Provider has date of correction · 2025-09-27Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-09-27Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Correction field: Deficient, Provider has date of correction · 2025-09-27The August 2026 file contains 5 penalty rows and $373,733 in listed fines for this provider record.
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-08-14 | Fine | $126,900 | 0 |
| 2025-08-14 | Payment Denial | $0 | 15 |
| 2025-01-09 | Fine | $194,145 | 0 |
| 2025-01-09 | Payment Denial | $0 | 83 |
| 2024-03-08 | Fine | $52,688 | 0 |
CMS matched 40 ownership disclosure rows to Madera Rehabilitation & Nursing Center; names and roles are reported fields, not independently verified identities.
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.
CMS reports 3.82 total nurse hours and 0.53 RN hours per resident day for this provider.
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
The local peer set contains 1 other published facility record near Madera, CA, with separate bed, rating, and citation-row fields.
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.
