Madera Rehabilitation & Nursing Center
Nursing Home · Madera, CA
CMS certification number055147
Contact & location
517 South a StreetMadera, CA 93638
Madera County
- Phone
- (559) 673-9228
- ZIP code
- 93638 – all care providers
Facility details
- Certified beds
- 176
- Residents per day
- 167.9 (95% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- CF Madera, LLC
- Chain
- Cambridge Healthcare Services (32 facilities, avg 2.5★)
- Medicare certified since
- January 1, 1967
- Participates in
- Medicare and Medicaid
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.82 (state 4.52 · U.S. 3.86)
- Registered nurses (RN)
- 0.53 (state 0.67 · U.S. 0.69)
- Licensed practical nurses
- 0.72 (state 1.20 · U.S. 0.86)
- Nurse aides
- 2.57 (state 2.65 · U.S. 2.32)
- Weekend total
- 3.55 (state 4.09 · U.S. 3.42)
- Nursing staff turnover
- 45.5 (state 36.7 · U.S. 45.8)%
- RN turnover
- 58.1 (state 38.1 · U.S. 42.9)%
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- August 14, 2025
- Health deficiencies (last cycle)
- 24.0 (state 15.7 · U.S. 9.3)
- From complaints
- 4
- Citations on record (3 years)
- 58 health · 22 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-02-24 | Keep all essential equipment working safely. F0908 · Environmental Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-09 |
| 2026-02-11 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-06 |
| 2026-02-11 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-06 |
| 2025-08-14 | 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 |
G Actual harm |
Corrected 2025-09-27 |
| 2025-08-14 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2025-09-27 |
| 2025-08-14 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-09-27 |
| 2025-08-14 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-09-27 |
| 2025-08-14 | 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. F0808 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-09-27 |
| 2025-08-14 | 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 |
F No actual harm, potential for more than minimal harm |
Corrected 2025-09-27 |
| 2025-08-14 | 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. F0838 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-09-27 |
| 2025-08-14 | 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 2025-09-27 |
| 2025-08-14 | 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 2025-09-27 |
| 2025-08-14 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-09-27 |
| 2025-08-14 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. F0810 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-09-27 |
| 2025-08-14 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-27 |
| 2025-08-14 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-27 |
| 2025-08-14 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-27 |
| 2025-08-14 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-27 |
| 2025-08-14 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-27 |
| 2025-08-14 | 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 |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-27 |
| 2025-08-14 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F0805 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-27 |
| 2025-08-14 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. F0813 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-27 |
| 2025-08-14 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-27 |
| 2025-08-14 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. F0912 · Environmental Deficiencies |
B No actual harm, potential for minimal harm |
Corrected 2025-09-27 |
| 2025-06-10 | 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 · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-10 |
| 2025-06-10 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-10 |
| 2025-04-15 | 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 |
G Actual harm |
Corrected 2025-05-07 |
| 2025-04-15 | 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. F0726 · Nursing and Physician Services Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-05-07 |
| 2025-04-15 | 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 2025-05-07 |
| 2025-03-07 | 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 |
K Immediate jeopardy to resident health or safety |
Corrected 2025-05-07 |
| 2025-03-07 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835 · Administration Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2025-05-07 |
| 2025-03-07 | 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 2025-05-07 |
| 2025-03-07 | 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. F0726 · Nursing and Physician Services Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-05-07 |
| 2025-03-07 | 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 · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-05-07 |
| 2025-03-07 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865 · Administration Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-05-07 |
| 2025-03-07 | 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 2025-05-07 |
| 2025-03-07 | 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 · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-07 |
| 2025-03-07 | 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 2025-05-07 |
| 2025-03-07 | 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 2025-05-07 |
| 2025-03-07 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-07 |
| 2025-01-09 | 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 |
G Actual harm |
Corrected 2025-05-07 |
| 2025-01-09 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2025-05-07 |
| 2025-01-09 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-05-07 |
| 2025-01-09 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-05-07 |
| 2025-01-09 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-07 |
| 2024-11-22 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-02 |
| 2024-06-21 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-07-20 |
| 2024-06-21 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-20 |
| 2024-06-21 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-20 |
| 2024-06-21 | 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. F0625 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-20 |
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
5 penalties in the last three years, including $373,733 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-08-14 | Payment Denial | 15 days payment denial |
| 2025-08-14 | Fine | $126,900 |
| 2025-01-09 | Payment Denial | 83 days payment denial |
| 2025-01-09 | Fine | $194,145 |
| 2024-03-08 | Fine | $52,688 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Crescent Facilities Operations LLC (organization) | 5%+ Direct Ownership Interest · 100% | |
| Bering Properties LLC (organization) | 5%+ Indirect Ownership Interest · 6% | |
| Jenmax Enterprises LLC (organization) | 5%+ Indirect Ownership Interest · 23% | |
| Jk-Csh JV LLC (organization) | 5%+ Indirect Ownership Interest · 12% | |
| Manhattan Five Partners LLC (organization) | 5%+ Indirect Ownership Interest · 7% | |
| Win Win Enterprises, LLC (organization) | 5%+ Indirect Ownership Interest · 35% | |
| 517 S. a Street LLC (organization) | Administrator · NOT APPLICABLE | |
| Bretsch, Gregory (individual) | Administrator · NOT APPLICABLE | |
| Bulosan, Julia (individual) | Administrator · NOT APPLICABLE | |
| Butenko, Julie (individual) | Administrator · NOT APPLICABLE | |
| Cambridge Healthcare Services LLC (organization) | Administrator · NOT APPLICABLE | |
| Capela, Heidi (individual) | Administrator · NOT APPLICABLE | |
| Hassell, Lance (individual) | Administrator · NOT APPLICABLE | |
| Jenmax Enterprises LLC (organization) | Administrator · NOT APPLICABLE | |
| Jk-Csh JV LLC (organization) | Administrator · NOT APPLICABLE | |
| Lal, Akash (individual) | Administrator · NOT APPLICABLE | |
| Lutz, Linda (individual) | Administrator · NOT APPLICABLE | |
| Salazar, Paulina (individual) | Administrator · NOT APPLICABLE | |
| Singh, Ranjeet (individual) | Administrator · NOT APPLICABLE | |
| Smedra, Ira (individual) | Administrator · NOT APPLICABLE | |
| Win Win Enterprises, LLC (organization) | Administrator · NOT APPLICABLE | |
| Wintner, Jacob (individual) | Administrator · NOT APPLICABLE | |
| Wintner, Jacob (individual) | Corporate Officer · NOT APPLICABLE | |
| BH Alliance (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| The Jacob Wintner Trust (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| The Wintner Living Trust Dated 7/08/1992 (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Bretsch, Gregory (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Lal, Akash (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Bretsch, Gregory (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Bulosan, Julia (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Butenko, Julie (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Cambridge Healthcare Services LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Capela, Heidi (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Hassell, Lance (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Lal, Akash (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Lutz, Linda (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Salazar, Paulina (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Singh, Ranjeet (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Smedra, Ira (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Wintner, Jacob (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Madera Rehabilitation & Nursing Center?
Madera Rehabilitation & Nursing 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 Rehabilitation & Nursing Center have?
It has 176 certified beds and cares for about 168 residents per day.
Has Madera Rehabilitation & Nursing Center been fined?
Yes. CMS lists 5 penalties totaling $373,733 in the last three years.
Who owns Madera Rehabilitation & Nursing Center?
It is part of Cambridge Healthcare Services and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Madera Rehabilitation & Nursing Center?
(559) 673-9228. The facility is located at 517 South a Street, Madera, CA 93638.
Other nursing homes in Madera
-
Madera Care Center
Nursing Home · Madera, CA · 64 beds
★★★★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.