LA SIERRA CARE CENTER
LA SIERRA CARE CENTER, in MERCED, California, holds 68 certified beds and has been certified for Medicare and Medicaid since 1967-01-01, averaging 65.8 residents a day.
Has LA SIERRA CARE CENTER been cited for violations?
CMS lists 38 health-inspection deficiencies for LA SIERRA CARE CENTER since 2021-04-29, 28 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is F; the most recent health inspection was 2026-01-23.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-01-23 | F0801, F0803, F0806, F0812, F0842, F0912 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. / Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | E |
| 2026-01-23 | F0558, F0656, F0658, F0761, F0880 | Reasonably accommodate the needs and preferences of each resident. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / 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 and implement an infection prevention and control program. | D |
| 2025-11-19 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D |
| 2025-04-03 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2024-10-23 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | E |
| 2024-08-23 | F0804, F0812, F0912 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | F |
| 2024-08-23 | F0759, F0760 | Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors. | E |
| 2024-08-23 | F0641, F0645, F0657, F0692, F0695, F0755, F0842 | Ensure each resident receives an accurate assessment. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2024-08-23 | F0732 | Post nurse staffing information every day. | C |
| 2023-10-09 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2021-04-29 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F |
| 2021-04-29 | F0565, F0679, F0689, F0912 | Honor the resident's right to organize and participate in resident/family groups in the facility. / Provide activities to meet all resident's needs. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | E |
| 2021-04-29 | F0558, F0658, F0761, F0812, F0920 | Reasonably accommodate the needs and preferences of each resident. / Ensure services provided by the nursing facility meet professional standards of quality. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | D |
How is LA SIERRA CARE CENTER staffed relative to the CA average?
| Measure | This facility | CA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.92753 | 4.51570 |
| Total nursing staff turnover (%) | 54.9 | 36.7 |
| Average number of residents per day | 65.8 | 87.9 |
Who owns LA SIERRA CARE CENTER, and what chain is it in?
LA SIERRA CARE CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name CF MERCED LA SIERRA, LLC and belongs to the CAMBRIDGE HEALTHCARE SERVICES chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | CRESCENT FACILITIES OPERATIONS LLC | since 02/07/2007 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | BERING PROPERTIES LLC, IRA & RACHEL SMEDRA FAMILY IRREVOCABLE GIFT TRUST, JENMAX ENTERPRISES LLC, JENNIFER NURIT SMEDRA TRUST 1997 TRUST, JK-CSH JV LLC, MANHATTAN FIVE PARTNERS LLC, THE HYMAN & BETTY INGBER FAMILY TRUST, WIN WIN ENTERPRISES, LLC | since 02/01/2007 |
| INDIRECT OWNERSHIP INTEREST | BH ALLIANCE, THE JACOB WINTNER TRUST, THE WINTNER LIVING TRUST DATED 7/08/1992, WINTNER, JACOB | since 02/01/2007 |
| MANAGING CONTROL - GOVERNING BODY | BRETSCH, GREGORY, DAROUZE, MICHAEL | since 01/22/2024 |
| CORPORATE OFFICER | SMEDRA, IRA, WINTNER, JACOB | since 02/01/2007 |
| OPERATIONAL/MANAGERIAL CONTROL | CAMBRIDGE HEALTHCARE SERVICES LLC, BRETSCH, GREGORY, BUTENKO, JULIE, CAPELA, HEIDI, DAROUZE, MICHAEL, HASSELL, LANCE, LUTZ, LINDA, MANOHARAN, ARUN, SALAZAR, PAULINA, SILVEIRA, SKYLER, SMEDRA, IRA, WINTNER, JACOB | since 01/22/2024 |
| ADP OF THE SNF | 2424 M STREET LLC, CAMBRIDGE HEALTHCARE SERVICES LLC, JENMAX ENTERPRISES LLC, JK-CSH JV LLC, WIN WIN ENTERPRISES, LLC, BRETSCH, GREGORY, BUTENKO, JULIE, CAPELA, HEIDI, DAROUZE, MICHAEL, HASSELL, LANCE, LUTZ, LINDA, MANOHARAN, ARUN, SALAZAR, PAULINA, SMEDRA, IRA | since 02/01/2007 |
Were you or a family member harmed at LA SIERRA CARE CENTER?