Madera Post Acute Center

Inspection history (70)

Records from October 2021 to May 2026.

• July 19, 2024 · E

  Citation F0558

  Federal surveyors cited this nursing home on 2024-07-19 under CMS tag F0558 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Reasonably accommodate the needs and preferences of each resident. The deficiency was recorded as corrected on 2024-08-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-19.GOV

• July 19, 2024 · E

  Citation F0690

  Federal surveyors cited this nursing home on 2024-07-19 under CMS tag F0690 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2024-08-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-19.GOV

• July 19, 2024 · E

  Citation F0700

  Federal surveyors cited this nursing home on 2024-07-19 under CMS tag F0700 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-08-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-19.GOV

• July 19, 2024 · D

  Citation F0849

  Federal surveyors cited this nursing home on 2024-07-19 under CMS tag F0849 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-08-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-19.GOV

• July 19, 2024 · E

  Citation F0676

  Federal surveyors cited this nursing home on 2024-07-19 under CMS tag F0676 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. The deficiency was recorded as corrected on 2024-08-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-19.GOV

• July 19, 2024 · E

  Citation F0689

  Federal surveyors cited this nursing home on 2024-07-19 under CMS tag F0689 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2024-08-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-19.GOV

• July 19, 2024 · E

  Citation F0693

  Federal surveyors cited this nursing home on 2024-07-19 under CMS tag F0693 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-08-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-19.GOV

• July 19, 2024 · D

  Citation F0688

  Federal surveyors cited this nursing home on 2024-07-19 under CMS tag F0688 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-08-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-19.GOV

• May 17, 2024 · G

  Citation F0694

  Federal surveyors cited this nursing home on 2024-05-17 under CMS tag F0694 (CMS scope/severity G: isolated, actual harm) for Provide for the safe, appropriate administration of IV fluids for a resident when needed. The deficiency was recorded as corrected on 2024-06-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-17.GOV

• May 17, 2024 · D

  Citation F0842

  Federal surveyors cited this nursing home on 2024-05-17 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2024-06-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-17.GOV

• March 8, 2024 · D

  Citation F0725

  Federal surveyors cited this nursing home on 2024-03-08 under CMS tag F0725 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. The deficiency was recorded as corrected on 2024-03-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-08.GOV

• March 8, 2024 · D

  Citation F0919

  Federal surveyors cited this nursing home on 2024-03-08 under CMS tag F0919 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Make sure that a working call system is available in each resident's bathroom and bathing area. The deficiency was recorded as corrected on 2024-03-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-08.GOV

• October 21, 2021 · D

  Citation F0689

  Federal surveyors cited this nursing home on 2021-10-21 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2021-12-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-10-21.GOV

• October 21, 2021 · D

  Citation F0657

  Federal surveyors cited this nursing home on 2021-10-21 under CMS tag F0657 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2021-12-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-10-21.GOV

• October 21, 2021 · D

  Citation F0656

  Federal surveyors cited this nursing home on 2021-10-21 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2021-12-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-10-21.GOV

• October 21, 2021 · D

  Citation F0685

  Federal surveyors cited this nursing home on 2021-10-21 under CMS tag F0685 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Assist a resident in gaining access to vision and hearing services. The deficiency was recorded as corrected on 2021-12-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-10-21.GOV

• October 21, 2021 · D

  Citation F0825

  Federal surveyors cited this nursing home on 2021-10-21 under CMS tag F0825 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide or get specialized rehabilitative services as required for a resident. The deficiency was recorded as corrected on 2021-12-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-10-21.GOV

• October 21, 2021 · D

  Citation F0558

  Federal surveyors cited this nursing home on 2021-10-21 under CMS tag F0558 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Reasonably accommodate the needs and preferences of each resident. The deficiency was recorded as corrected on 2021-12-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-10-21.GOV

• October 21, 2021 · D

  Citation F0686

  Federal surveyors cited this nursing home on 2021-10-21 under CMS tag F0686 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2021-12-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-10-21.GOV

• October 21, 2021 · E

  Citation F0578

  Federal surveyors cited this nursing home on 2021-10-21 under CMS tag F0578 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2021-12-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-10-21.GOV

Penalties (2)

Total fines on file: $29,517

• July 10, 2025 · Fine

  Citation FINE-134799

  CMS recorded a civil money penalty of $13,319 against this nursing home on 2025-07-10 (Fine ID: 134799). Source: CMS Care Compare Penalties (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-10.GOV

• May 17, 2024 · Fine

  Citation FINE-130615

  CMS recorded a civil money penalty of $16,198 against this nursing home on 2024-05-17 (Fine ID: 130615). Source: CMS Care Compare Penalties (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-17.GOV

Staffing

Latest: 3.99 nurse staffing hours per resident per day (2026Q1)

Ownership

For profit

1. Parent organization: The Ensign Group INC

   chain · PAC 3476460494

Recent changes to this listing

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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.

1. Sep 1, 2026Ownership changed

   The source now records ownership as "For profit".

   Reported by CMS nursing homes (ownership)

2. Sep 1, 2026Ownership changed

   The source now records ownership as "For profit - Corporation".

   Reported by CMS nursing homes (provider info)

3. Aug 6, 2026Ownership changed

   The source now records ownership as "For profit".

   Reported by CMS nursing homes (ownership)

4. Jul 24, 2026Ownership changed

   The source now records ownership as "For profit - Corporation".

   Reported by CMS nursing homes (provider info)

5. Jul 24, 2026Ownership changed

   The source now records ownership as "For profit".

   Reported by CMS nursing homes (ownership)