Madera Post Acute Center

Nursing Home · El Monte, CA

CMS overall rating 1/5 For profit - Corporation

CMS certification number055141

Contact & location

11900 Ramona Boulevard
El Monte, CA 91732
Los Angeles County
Phone
(626) 442-5721
ZIP code
91732 – all care providers

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Facility details

Certified beds
148
Residents per day
133.6 (90% occupied)
Ownership
For profit - Corporation
Legal name
Glimmer Healthcare INC
Chain
The Ensign Group (342 facilities, avg 3.2★)
Medicare certified since
November 1, 1971
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.2
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 3/5
State avg 3.3
Quality measures★★★★★ 4/5
State avg 4.1
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 4/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.99 (state 4.52 · U.S. 3.86)
Registered nurses (RN)
0.34 (state 0.67 · U.S. 0.69)
Licensed practical nurses
1.08 (state 1.20 · U.S. 0.86)
Nurse aides
2.57 (state 2.65 · U.S. 2.32)
Weekend total
3.44 (state 4.09 · U.S. 3.42)
Nursing staff turnover
49.7 (state 36.7 · U.S. 45.8)%
RN turnover
35.7 (state 38.1 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
July 10, 2025
Health deficiencies (last cycle)
29.0 (state 15.7 · U.S. 9.3)
From complaints
17
Citations on record (3 years)
70 health · 10 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-05-15 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-06-10
2026-05-15 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-06-10
2026-05-15 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-09
2026-04-23 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-15
2026-04-23 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-14
2026-04-23 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-11
2026-04-23 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-14
2026-04-08 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-01
2026-03-16 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-04-02
2026-03-16 Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
F0557 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-02
2026-03-16 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.
F0761 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-02
2026-03-16 Have policies on smoking.
F0926 · Environmental Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-02
2026-01-28 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-02-14
2026-01-06 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-01-30
2026-01-06 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-01-30
2026-01-06 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-01-30
2025-08-21 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-09-12
2025-07-10 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 K
Immediate jeopardy to resident health or safety		 Corrected 2025-07-24
2025-07-10 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-30
2025-07-10 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-30
2025-07-10 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-30
2025-07-10 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-25
2025-07-10 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-30
2025-07-10 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.
F0584 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-30
2025-07-10 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-30
2025-07-10 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.
F0700 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-30
2025-07-10 Provide special eating equipment and utensils for residents who need them and appropriate assistance.
F0810 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-30
2025-07-10 Keep all essential equipment working safely.
F0908 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-30
2025-07-10 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies		 B
No actual harm, potential for minimal harm		 Corrected 2025-07-30
2025-04-07 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-01
2025-03-19 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-09
2025-02-05 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-03
2025-02-05 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-03
2024-12-16 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-07
2024-10-10 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-01
2024-10-09 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.
F0758 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-10-28
2024-07-19 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-08-06
2024-07-19 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
F0676 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-08-05
2024-07-19 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-08-08
2024-07-19 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-08-08
2024-07-19 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.
F0693 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-08-08
2024-07-19 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.
F0700 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-08-12
2024-07-19 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-08-12
2024-07-19 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.
F0578 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-07
2024-07-19 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.
F0688 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-09
2024-07-19 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-08
2024-07-19 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.
F0849 · Administration Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-08
2024-07-19 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies		 B
No actual harm, potential for minimal harm		 Corrected 2024-08-07
2024-05-17 Provide for the safe, appropriate administration of IV fluids for a resident when needed.
F0694 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2024-06-14
2024-05-17 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-14

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years, including $29,517 in fines.

DateTypeAmount
2025-07-10Fine$13,319
2024-05-17Fine$16,198

Ownership & management

NameRoleSince
Ensign Services INC (organization)Administrator · NOT APPLICABLE
Liu, John (individual)Administrator · NOT APPLICABLE
Twomagnets LLC (organization)Administrator · NOT APPLICABLE
Yamak, Najib (individual)Administrator · NOT APPLICABLE
Willits, Adam (individual)Corporate Director · NOT APPLICABLE
Burnam, Soon (individual)Corporate Officer · NOT APPLICABLE
Gamero, Alicia (individual)Corporate Officer · NOT APPLICABLE
Keetch, Chad (individual)Corporate Officer · NOT APPLICABLE
Sato, Ami (individual)Corporate Officer · NOT APPLICABLE
Port, Barry (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Liu, John (individual)Managing Control - Governing Body · NOT APPLICABLE
Yamak, Najib (individual)Managing Control - Governing Body · NOT APPLICABLE
Liu, John (individual)Operational/managerial Control · NOT APPLICABLE
Twomagnets LLC (organization)Operational/managerial Control · NOT APPLICABLE
Yamak, Najib (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Madera Post Acute Center?

Madera Post Acute Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in California.

How many beds does Madera Post Acute Center have?

It has 148 certified beds and cares for about 134 residents per day.

Has Madera Post Acute Center been fined?

Yes. CMS lists 2 penalties totaling $29,517 in the last three years.

Who owns Madera Post Acute Center?

It is part of The Ensign Group and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Madera Post Acute Center?

(626) 442-5721. The facility is located at 11900 Ramona Boulevard, El Monte, CA 91732.

Other nursing homes in El Monte

Compare all nursing homes in El Monte, CA →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.