La Sierra Care Center

Nursing Home · Merced, CA

CMS overall rating 3/5 For profit - Limited Liability company

CMS certification number055271

Contact & location

2424 M Street
Merced, CA 95340
Merced County
Phone
(209) 723-4224
ZIP code
95340 – all care providers

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Facility details

Certified beds
68
Residents per day
65.8 (97% occupied)
Ownership
For profit - Limited Liability company
Legal name
CF Merced La Sierra, LLC
Chain
Cambridge Healthcare Services (32 facilities, avg 2.5★)
Medicare certified since
January 1, 1967
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

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

Staffing

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

Total nurse staffing
3.93 (state 4.52 · U.S. 3.86)
Registered nurses (RN)
0.52 (state 0.67 · U.S. 0.69)
Licensed practical nurses
0.88 (state 1.20 · U.S. 0.86)
Nurse aides
2.53 (state 2.65 · U.S. 2.32)
Weekend total
3.66 (state 4.09 · U.S. 3.42)
Nursing staff turnover
54.9 (state 36.7 · U.S. 45.8)%
RN turnover
85.7 (state 38.1 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
January 23, 2026
Health deficiencies (last cycle)
12.0 (state 15.7 · U.S. 9.3)
From complaints
1
Citations on record (3 years)
38 health · 23 fire safety
DateCitationSeverityStatus
2026-01-23 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.
F0801 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-02-23
2026-01-23 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.
F0803 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-02-23
2026-01-23 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F0806 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-02-23
2026-01-23 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 2026-02-23
2026-01-23 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		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-02-23
2026-01-23 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		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-02-23
2026-01-23 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-23
2026-01-23 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-23
2026-01-23 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-23
2026-01-23 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 2026-02-23
2026-01-23 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-23
2025-11-19 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-11
2025-04-03 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 2025-04-21
2024-10-23 Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
F0800 · Nutrition and Dietary Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-11-04
2024-08-23 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 2024-09-23
2024-08-23 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 2024-09-23
2024-08-23 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		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-09-23
2024-08-23 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-09-23
2024-08-23 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-09-23
2024-08-23 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 2024-09-23
2024-08-23 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-09-23
2024-08-23 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-09-23
2024-08-23 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-09-23
2024-08-23 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 2024-09-23
2024-08-23 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-09-23
2024-08-23 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-09-23
2024-08-23 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies		 C
No actual harm, potential for minimal harm		 Corrected 2024-09-23
2023-10-09 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-10-26
2021-04-29 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F0868 · Administration Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2021-06-10
2021-04-29 Honor the resident's right to organize and participate in resident/family groups in the facility.
F0565 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2021-04-29
2021-04-29 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2021-06-10
2021-04-29 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 2021-06-10
2021-04-29 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		 E
No actual harm, potential for more than minimal harm		 Corrected 2021-06-10
2021-04-29 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2021-05-11
2021-04-29 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2021-05-20
2021-04-29 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 2021-05-20
2021-04-29 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2021-06-10
2021-04-29 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.
F0920 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2021-05-11

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

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Crescent Facilities Operations LLC (organization)5%+ Direct Ownership Interest · 100%
Bering Properties LLC (organization)5%+ Indirect Ownership Interest
Ira & Rachel Smedra Family Irrevocable Gift Trust (organization)5%+ Indirect Ownership Interest
Jenmax Enterprises LLC (organization)5%+ Indirect Ownership Interest
Jennifer Nurit Smedra Trust 1997 Trust (organization)5%+ Indirect Ownership Interest
Jk-Csh JV LLC (organization)5%+ Indirect Ownership Interest
Manhattan Five Partners LLC (organization)5%+ Indirect Ownership Interest
The Hyman & Betty Ingber Family Trust (organization)5%+ Indirect Ownership Interest
Win Win Enterprises, LLC (organization)5%+ Indirect Ownership Interest
2424 M Street LLC (organization)Administrator · NOT APPLICABLE
Bretsch, Gregory (individual)Administrator · NOT APPLICABLE
Butenko, Julie (individual)Administrator · NOT APPLICABLE
Cambridge Healthcare Services LLC (organization)Administrator · NOT APPLICABLE
Capela, Heidi (individual)Administrator · NOT APPLICABLE
Darouze, Michael (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
Lutz, Linda (individual)Administrator · NOT APPLICABLE
Manoharan, Arun (individual)Administrator · NOT APPLICABLE
Salazar, Paulina (individual)Administrator · NOT APPLICABLE
Smedra, Ira (individual)Administrator · NOT APPLICABLE
Win Win Enterprises, LLC (organization)Administrator · NOT APPLICABLE
Smedra, Ira (individual)Corporate Officer · 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
Wintner, Jacob (individual)Indirect Ownership Interest · NOT APPLICABLE
Bretsch, Gregory (individual)Managing Control - Governing Body · NOT APPLICABLE
Darouze, Michael (individual)Managing Control - Governing Body · NOT APPLICABLE
Bretsch, Gregory (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
Darouze, Michael (individual)Operational/managerial Control · NOT APPLICABLE
Hassell, Lance (individual)Operational/managerial Control · NOT APPLICABLE
Lutz, Linda (individual)Operational/managerial Control · NOT APPLICABLE
Manoharan, Arun (individual)Operational/managerial Control · NOT APPLICABLE
Salazar, Paulina (individual)Operational/managerial Control · NOT APPLICABLE
Silveira, Skyler (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 La Sierra Care Center?

La Sierra Care Center has a 3-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 La Sierra Care Center have?

It has 68 certified beds and cares for about 66 residents per day.

Has La Sierra Care Center been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns La Sierra Care 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 La Sierra Care Center?

(209) 723-4224. The facility is located at 2424 M Street, Merced, CA 95340.

Other nursing homes in Merced

Compare all nursing homes in Merced, CA →

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