Madera Care Center

Name: Madera Care Center
Address: 1700 HOWARD ROAD, Madera, CA, 93637, US
Telephone: 5596739278

1700 Howard Road, Madera, CA 93637 · Madera County · 64 certified beds · avg 61 residents/day · certified since Jan 1, 1971 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: GOLDEN SNF OPERATIONS (7 facilities, chain avg rating 2.9★)

4/5

Health inspection rating (on-site)

Serious findings on record

$41,597

Fines, last 3 years

3.90

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (38)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 19, 2026	E · Potential for harm, repeated	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Feb 27, 2026	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Apr 16, 2025	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Apr 4, 2025	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Apr 3, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Feb 26, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Jul 3, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint
Jun 19, 2024	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Feb 20, 2024	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Feb 20, 2024	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Feb 20, 2024	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Feb 20, 2024	E · Potential for harm, repeated	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Feb 20, 2024	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Feb 20, 2024	D · Potential for harm, one-off	The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults. · from a complaint
Feb 20, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Feb 20, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Feb 20, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Feb 20, 2024	D · Potential for harm, one-off	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
Nov 9, 2023	D · Potential for harm, one-off	The facility did not let a resident or their legal representative see or buy copies of the resident's own records. · from a complaint
Apr 13, 2023	F · Potential for harm, facility-wide	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service.
Apr 13, 2023	F · Potential for harm, facility-wide	The facility did not have enough support staff to safely and effectively run its food and nutrition service.
Apr 13, 2023	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Apr 13, 2023	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Apr 13, 2023	E · Potential for harm, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Apr 13, 2023	E · Potential for harm, repeated	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Apr 13, 2023	E · Potential for harm, repeated	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Apr 13, 2023	E · Potential for harm, repeated	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Apr 13, 2023	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Apr 13, 2023	E · Potential for harm, repeated	The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems.
Apr 13, 2023	E · Potential for harm, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Apr 13, 2023	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Apr 13, 2023	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Apr 13, 2023	D · Potential for harm, one-off	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Apr 13, 2023	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Apr 13, 2023	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Apr 13, 2023	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Apr 13, 2023	D · Potential for harm, one-off	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives.
Apr 13, 2023	D · Potential for harm, one-off	The facility did not dispose of garbage and refuse properly.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (10 → 1).

Year	Citations	Worst severity that year
2023	20	F
2024	12	F
2025	4	E
2026	2	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

8 fines totaling $41,597.

Date	Type	Amount / length
Jan 8, 2024	Fine	$4,938
Jan 2, 2024	Fine	$4,587
Dec 11, 2023	Fine	$12,703
Nov 6, 2023	Fine	$9,527
Oct 17, 2023	Fine	$2,787
Oct 10, 2023	Fine	$2,117
Oct 2, 2023	Fine	$1,764
Sep 11, 2023	Fine	$3,174

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	California avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.90	4.31	3.95	bottom 34% in California; top 44% in the U.S.
Registered Nurse hours	0.64	0.61	0.69	top 30% in California; top 44% in the U.S.
Weekend total nurse staffing	3.59	3.90	3.50	bottom 38% in California; top 38% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.56	0.51	0.48	top 25% in California; top 27% in the U.S.
Total nursing staff turnover (%)	49.3	36.7	45.8	bottom 16% in California; bottom 39% in the U.S.
RN turnover (%)	37.5	38.1	42.9	top 50% in California; top 42% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.04, RN 0.66, weekend 3.71. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company · changed ownership in the last 12 months

Owner / manager	Type	Role	Stake	Since
Madera Post Acute LLC	Organization	5% or Greater Direct Ownership Interest	100%	11/04/2025
Sun Meridian Health Holdings LLC	Organization	5% or Greater Indirect Ownership Interest	100%	11/04/2025
Bhinder, Sumandeep	Individual	Operational/Managerial Control	NOT APPLICABLE	11/04/2025
Bhinder, Sumandeep	Individual	ADP of the SNF	NOT APPLICABLE	11/04/2025
Dehghanmanesh, Adrian	Individual	Operational/Managerial Control	NOT APPLICABLE	11/04/2025
Dehghanmanesh, Adrian	Individual	ADP of the SNF	NOT APPLICABLE	11/04/2025
Farrales, Mary	Individual	ADP of the SNF	NOT APPLICABLE	11/04/2025
Johnson, David	Individual	Managing Control - Governing Body	NOT APPLICABLE	11/04/2025
Johnson, David	Individual	Operational/Managerial Control	NOT APPLICABLE	11/04/2025
Johnson, David	Individual	ADP of the SNF	NOT APPLICABLE	11/04/2025
Johnson, Frank	Individual	Operational/Managerial Control	NOT APPLICABLE	11/04/2025
Kochek, Joshua	Individual	Operational/Managerial Control	NOT APPLICABLE	11/04/2025
Kochek, Joshua	Individual	ADP of the SNF	NOT APPLICABLE	11/04/2025
Madera Post Acute LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	11/04/2025
Madera Post Acute LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/04/2025
Madera SNF Propco LLC	Organization	5% or Greater Security Interest	NOT APPLICABLE	11/04/2025
Madera SNF Propco LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/04/2025
Montez, Audrianna	Individual	ADP of the SNF	NOT APPLICABLE	11/04/2025
Oxford, Micheal	Individual	Operational/Managerial Control	NOT APPLICABLE	11/04/2025
Oxford, Micheal	Individual	ADP of the SNF	NOT APPLICABLE	11/04/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"How do you keep residents' medical records accurate, complete, and secure?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Madera Rehabilitation & Nursing Center	1.7 mi	Madera, CA	★☆☆☆☆	1/5
Chowchilla Memorial Healthcare District	15.7 mi	Chowchilla, CA	★★★★☆	4/5
Palms Care Center	15.7 mi	Chowchilla, CA	★★★★☆	4/5
Foundation Skilled Nursing	17.9 mi	Fresno, CA	★☆☆☆☆	1/5
North Point Healthcare & Wellness Centre LP	18.9 mi	Fresno, CA	★★★★★	5/5
The Terraces at San Joaquin Gardens Village	19.0 mi	Fresno, CA	★★★★★	3/5

Compare this facility with the 3 closest →

All facilities in Madera →

Facility data as of CMS processing date 2026-08-01. CCN 055191.

The Care File

Visit checklist — Madera Care Center

1700 Howard Road, Madera, CA 93637 · 5596739278

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $41,597

Questions for the administrator:

☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 055191 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)