Madera Post Acute Center
Madera Post Acute Center is a 148-bed nursing home in EL MONTE, California. CMS has certified it for Medicare and Medicaid since 1971-11-01. It averages 133.6 residents a day.
What harm was found in the violations cited at Madera Post Acute Center?
CMS lists 70 health-inspection deficiencies for Madera Post Acute Center since 2021-10-21, 52 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-05-15.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-05-15 | F0684, F0755 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
| 2026-05-15 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D |
| 2026-04-23 | F0558, F0580, F0689, F0842 | Reasonably accommodate the needs and preferences of each resident. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2026-04-08 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D |
| 2026-03-16 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E |
| 2026-03-16 | F0557, F0761, F0926 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / 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. / Have policies on smoking. | D |
| 2026-01-28 | F0692 | Provide enough food/fluids to maintain a resident's health. | E |
| 2026-01-06 | F0609, F0689, F0812 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2025-08-21 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E |
| 2025-07-10 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K |
| 2025-07-10 | F0550, F0641, F0656, F0812, F0880 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | E |
| 2025-07-10 | F0584, F0684, F0700, F0810, F0908 | 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. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. / Provide special eating equipment and utensils for residents who need them and appropriate assistance. / Keep all essential equipment working safely. | D |
| 2025-07-10 | F0732 | Post nurse staffing information every day. | B |
| 2025-04-07 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-03-19 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-02-05 | F0580, F0684 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2024-12-16 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2024-10-10 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2024-10-09 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D |
| 2024-07-19 | F0558, F0676, F0689, F0690, F0693, F0700, F0812 | Reasonably accommodate the needs and preferences of each resident. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. / Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2024-07-19 | F0578, F0688, F0695, F0849 | 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. / Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. / Provide safe and appropriate respiratory care for a resident when needed. / 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. | D |
| 2024-07-19 | F0732 | Post nurse staffing information every day. | B |
| 2024-05-17 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | G |
| 2024-05-17 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2024-03-08 | F0725, F0919 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
| 2021-10-21 | F0578, F0812, F0880 | 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | E |
| 2021-10-21 | F0552, F0558, F0583, F0656, F0657, F0685, F0686, F0689, F0691, F0697, F0755, F0761, F0825, F0849, F0881 | Ensure that residents are fully informed and understand their health status, care and treatments. / Reasonably accommodate the needs and preferences of each resident. / Keep residents' personal and medical records private and confidential. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Assist a resident in gaining access to vision and hearing services. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. / Provide safe, appropriate pain management for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Provide or get specialized rehabilitative services as required for a resident. / 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. / Implement a program that monitors antibiotic use. | D |
Why was Madera Post Acute Center fined 2 times?
| Date | Type | Amount |
|---|---|---|
| 2025-07-10 | Fine | $13,319 |
| 2024-05-17 | Fine | $16,198 |
How is Madera Post Acute Center staffed relative to the CA average?
| Measure | This facility | CA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.98921 | 4.51570 |
| Total nursing staff turnover (%) | 49.7 | 36.7 |
| Average number of residents per day | 133.6 | 87.9 |
Who owns Madera Post Acute Center, and what chain is it in?
Madera Post Acute Center is registered with CMS as For profit - Corporation, operates under the legal business name GLIMMER HEALTHCARE INC and belongs to the THE ENSIGN GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| MANAGING CONTROL - GOVERNING BODY | LIU, JOHN, YAMAK, NAJIB | since 02/01/2023 |
| CORPORATE DIRECTOR | WILLITS, ADAM | since 02/01/2023 |
| CORPORATE OFFICER | BURNAM, SOON, GAMERO, ALICIA, KEETCH, CHAD, SATO, AMI | since 02/01/2023 |
| OPERATIONAL/MANAGERIAL CONTROL | TWOMAGNETS LLC, LIU, JOHN, YAMAK, NAJIB | since 02/01/2023 |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | PORT, BARRY | since 06/30/2025 |
| ADP OF THE SNF | ENSIGN SERVICES INC, TWOMAGNETS LLC, LIU, JOHN, YAMAK, NAJIB | since 02/01/2023 |
Were you or a family member harmed at Madera Post Acute Center?