MADERA REHABILITATION & NURSING CENTER

Madera · CA · For profit - Limited Liability company · CAMBRIDGE HEALTHCARE SERVICES chain · 176 certified beds · CCN 055147 · CF MADERA, LLC


MADERA REHABILITATION & NURSING CENTER operates 176 certified beds in MADERA, California. Its Medicare and Medicaid certification dates to 1967-01-01. It averages 167.9 residents a day.

What harm was found in the violations cited at MADERA REHABILITATION & NURSING CENTER?

CMS lists 71 health-inspection deficiencies for MADERA REHABILITATION & NURSING CENTER since 2019-04-26, 59 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 2026-02-24.

Survey dateTagDeficiencySeverity
2026-02-24F0908Keep all essential equipment working safely.E
2026-02-11F0842, F0880Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program.E
2025-08-14F0689, F0692Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health.G
2025-08-14F0658, F0804, F0808, F0812, F0838Ensure services provided by the nursing facility meet professional standards of quality. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / 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.F
2025-08-14F0550, F0656, F0755, F0810Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide special eating equipment and utensils for residents who need them and appropriate assistance.E
2025-08-14F0552, F0641, F0677, F0756, F0757, F0761, F0805, F0813, F0880Ensure that residents are fully informed and understand their health status, care and treatments. / Ensure each resident receives an accurate assessment. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. / Provide and implement an infection prevention and control program.D
2025-08-14F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.B
2025-06-10F0584, F0880Honor 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 and implement an infection prevention and control program.E
2025-04-15F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2025-04-15F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.E
2025-04-15F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2025-03-07F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K
2025-03-07F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.F
2025-03-07F0656, F0726, F0849, F0865Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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. / 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. / Have a plan that describes the process for conducting QAPI and QAA activities.E
2025-03-07F0580, F0584, F0609, F0658, F0880Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide and implement an infection prevention and control program.D
2025-01-09F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2025-01-09F0880Provide and implement an infection prevention and control program.F
2025-01-09F0657, F0658Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality.E
2025-01-09F0641Ensure each resident receives an accurate assessment.D
2024-11-22F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2024-06-21F0880Provide and implement an infection prevention and control program.F
2024-06-21F0578, F0623, F0625, F0656, F0912Honor 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 timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.E
2024-06-21F0840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.D
2024-05-02F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G
2024-04-04F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.G
2024-04-04F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedE
2024-04-04F0658Ensure services provided by the nursing facility meet professional standards of quality.D
2024-03-08F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D
2023-11-15F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2019-04-26F0577, F0812Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2019-04-26F0558, F0584, F0761, F0912, F0921Reasonably accommodate the needs and preferences of each resident. / 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. / 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 rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E
2019-04-26F0550, F0600, F0658, F0677, F0813Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Have a policy regarding use and storage of foods brought to residents by family and other visitors.D

Why was MADERA REHABILITATION & NURSING CENTER fined 3 times?

DateTypeAmount
2025-08-14Fine$126,900
2025-01-09Fine$194,145
2024-03-08Fine$52,688

Has MADERA REHABILITATION & NURSING CENTER had payment denied by Medicare more than once?

Payment denial startLength in days
2025-09-1215
2025-02-1383

How is MADERA REHABILITATION & NURSING CENTER staffed relative to the CA average?

MeasureThis facilityCA average
Total nurse staffing hours per resident per day3.819864.51570
Total nursing staff turnover (%)45.536.7
Average number of residents per day167.987.9

Who owns MADERA REHABILITATION & NURSING CENTER, and what chain is it in?

MADERA REHABILITATION & NURSING CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name CF MADERA, LLC and belongs to the CAMBRIDGE HEALTHCARE SERVICES chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTCRESCENT FACILITIES OPERATIONS LLCsince 12/19/2006
5% OR GREATER INDIRECT OWNERSHIP INTERESTBERING PROPERTIES LLC, JENMAX ENTERPRISES LLC, JK-CSH JV LLC, MANHATTAN FIVE PARTNERS LLC, WIN WIN ENTERPRISES, LLCsince 02/01/2007
INDIRECT OWNERSHIP INTERESTBH ALLIANCE, THE JACOB WINTNER TRUST, THE WINTNER LIVING TRUST DATED 7/08/1992since 02/01/2007
MANAGING CONTROL - GOVERNING BODYBRETSCH, GREGORY, LAL, AKASHsince 02/25/2019
CORPORATE OFFICERWINTNER, JACOBsince 02/01/2007
OPERATIONAL/MANAGERIAL CONTROLCAMBRIDGE HEALTHCARE SERVICES LLC, BRETSCH, GREGORY, BULOSAN, JULIA, BUTENKO, JULIE, CAPELA, HEIDI, HASSELL, LANCE, LAL, AKASH, LUTZ, LINDA, SALAZAR, PAULINA, SINGH, RANJEET, SMEDRA, IRA, WINTNER, JACOBsince 02/01/2007
ADP OF THE SNF517 S. A STREET LLC, CAMBRIDGE HEALTHCARE SERVICES LLC, JENMAX ENTERPRISES LLC, JK-CSH JV LLC, WIN WIN ENTERPRISES, LLC, BRETSCH, GREGORY, BULOSAN, JULIA, BUTENKO, JULIE, CAPELA, HEIDI, HASSELL, LANCE, LAL, AKASH, LUTZ, LINDA, SALAZAR, PAULINA, SINGH, RANJEET, SMEDRA, IRA, WINTNER, JACOBsince 02/01/2007

Were you or a family member harmed at MADERA REHABILITATION & NURSING CENTER?