01 / INSPECTION LEDGER
Survey cycles in this release
| 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 CCN 0551472026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Madera Rehabilitation & Nursing Center
517 South A Street · Madera, CA 93638 · Madera County
Certified beds176CMS provider file
Recent citation rows100current CMS citation release
Penalty rows5current 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.
02 / CITATION DETAIL
100 rows in the current release
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.
2026-02-24 · HEALTHF0908Severity E · pattern; potential for more than minimal harm
Environmental Deficiencies
Keep all essential equipment working safely.
Correction field: Deficient, Provider has date of correction · 2026-03-09 · complaint2026-02-11 · HEALTHF0842Severity E · pattern; 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 · 2026-03-06 · complaint2026-02-11 · HEALTHF0880Severity E · pattern; 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 · 2026-03-06 · complaint2025-08-14 · HEALTHF0550Severity E · pattern; 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 · 2025-09-272025-08-14 · HEALTHF0552Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Correction field: Deficient, Provider has date of correction · 2025-09-272025-08-14 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2025-09-272025-08-14 · 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 · 2025-09-272025-08-14 · HEALTHF0658Severity F · widespread; 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 · 2025-09-272025-08-14 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2025-09-272025-08-14 · HEALTHF0689Severity G · isolated actual 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 · 2025-09-27 · complaint2025-08-14 · HEALTHF0692Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has date of correction · 2025-09-272025-08-14 · HEALTHF0755Severity E · pattern; 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 · 2025-09-272025-08-14 · HEALTHF0756Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure 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 · 2025-09-272025-08-14 · HEALTHF0757Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2025-09-272025-08-14 · 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 · 2025-09-272025-08-14 · HEALTHF0804Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Correction field: Deficient, Provider has date of correction · 2025-09-272025-08-14 · HEALTHF0805Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure 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 · 2025-09-272025-08-14 · HEALTHF0808Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-09-272025-08-14 · HEALTHF0810Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Correction field: Deficient, Provider has date of correction · 2025-09-272025-08-14 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure 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 · 2025-09-272025-08-14 · HEALTHF0813Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Correction field: Deficient, Provider has date of correction · 2025-09-272025-08-14 · HEALTHF0838Severity F · widespread; potential for more than minimal harm
Administration Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-09-272025-08-14 · 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 · 2025-09-272025-08-14 · HEALTHF0912Severity B · pattern; potential for minimal harm
Environmental Deficiencies
Provide 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 · 2025-09-2703 / 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.
| 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 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- CRESCENT FACILITIES OPERATIONS LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 12/19/2006
- BERING PROPERTIES LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST6% · since 10/10/2013
- JENMAX ENTERPRISES LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST23% · since 02/01/2007
- JK-CSH JV LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST12% · since 11/01/2006
- MANHATTAN FIVE PARTNERS LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST7% · since 11/01/2006
- WIN WIN ENTERPRISES, LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST35% · since 02/01/2007
- BH ALLIANCEOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 11/01/2006
- THE JACOB WINTNER TRUSTOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 11/01/2006
- THE WINTNER LIVING TRUST DATED 7/08/1992Organization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 02/01/2007
- BRETSCH, GREGORYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 02/25/2019
- LAL, AKASHIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 10/28/2024
- WINTNER, JACOBIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/01/2007
- CAMBRIDGE HEALTHCARE SERVICES LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/01/2014
- BRETSCH, GREGORYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/25/2019
- BULOSAN, JULIAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/27/2025
- BUTENKO, JULIEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/24/2023
- CAPELA, HEIDIIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/03/2023
- HASSELL, LANCEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/25/2022
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 hours3.82per resident day
RN hours0.53per resident day
Weekend nurse hours3.55per resident day
Staff turnover45.5%CMS reported field
06 / LOCAL RECORDS
Open the Madera ledger →