Merced Nursing & Rehabilitation Ctr
510 West 26th Street, Merced, CA 95340 · Merced County · 79 certified beds · avg 69 residents/day · certified since Jan 1, 1970
Part of chain: CAMBRIDGE HEALTHCARE SERVICES (32 facilities, chain avg rating 2.5★)
3/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
4.06
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · 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 (24)
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 23, 2026 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint |
| Jul 24, 2025 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Apr 18, 2025 | 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 18, 2025 | 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 18, 2025 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. |
| Apr 18, 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. |
| Apr 18, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Apr 18, 2025 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Apr 18, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Apr 18, 2025 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Apr 18, 2025 | 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. |
| Apr 18, 2025 | 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 18, 2025 | B · Minimal risk, repeated | The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms. |
| Feb 21, 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 12, 2024 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. |
| Jul 12, 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. |
| Jul 12, 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. |
| Jul 12, 2024 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Jul 12, 2024 | E · Potential for harm, repeated | 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. |
| Jul 12, 2024 | 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. |
| Jul 12, 2024 | 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. |
| Jul 12, 2024 | B · Minimal risk, repeated | The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms. |
| Sep 13, 2019 | 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. |
| Sep 13, 2019 | B · Minimal risk, repeated | The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (8 → 11).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 2 | 0 | D |
| 2024 | 8 | 0 | F |
| 2025 | 13 | 0 | F |
| 2026 | 1 | 0 | D |
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)
No fines or payment denials in the published 3-year window.
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) | 4.06 | 4.31 | 3.95 | bottom 47% in California; top 37% in the U.S. |
| Registered Nurse hours | 0.76 | 0.61 | 0.69 | top 20% in California; top 31% in the U.S. |
| Weekend total nurse staffing | 3.62 | 3.90 | 3.50 | bottom 41% in California; top 36% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.74 | 0.51 | 0.48 | top 14% in California; top 14% in the U.S. |
| Total nursing staff turnover (%) | 54.5 | 36.7 | 45.8 | bottom 7% in California; bottom 26% in the U.S. |
| RN turnover (%) | 88.9 | 38.1 | 42.9 | bottom 1% in California; bottom 2% 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 4.29, RN 0.80, weekend 3.83. 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: 5/5 · long-stay residents: 4/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bering Properties LLC | Organization | 5% or Greater Indirect Ownership Interest | 6% | 10/10/2013 |
| BH Alliance | Organization | Indirect Ownership Interest | NOT APPLICABLE | 11/01/2006 |
| Crescent Facilities Operations LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 12/19/2008 |
| Jenmax Enterprises LLC | Organization | 5% or Greater Indirect Ownership Interest | 23% | 02/01/2007 |
| JK-CSH JV LLC | Organization | 5% or Greater Indirect Ownership Interest | 12% | 11/01/2006 |
| Manhattan Five Partners LLC | Organization | 5% or Greater Indirect Ownership Interest | 7% | 11/01/2006 |
| The Jacob Wintner Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 11/01/2006 |
| The Wintner Living Trust Dated 7/08/1992 | Organization | Indirect Ownership Interest | NOT APPLICABLE | 02/01/2007 |
| Win Win Enterprises, LLC | Organization | 5% or Greater Indirect Ownership Interest | 35% | 02/01/2007 |
| Wintner, Jacob | Individual | Indirect Ownership Interest | NOT APPLICABLE | 02/01/2007 |
| 510 W. 26th Street LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/15/2006 |
| Bretsch, Gregory | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/25/2019 |
| Bretsch, Gregory | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/25/2019 |
| Bretsch, Gregory | Individual | ADP of the SNF | NOT APPLICABLE | 02/25/2019 |
| Butenko, Julie | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/24/2023 |
| Butenko, Julie | Individual | ADP of the SNF | NOT APPLICABLE | 07/24/2023 |
| Cambridge Healthcare Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/01/2014 |
| Cambridge Healthcare Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/20/2025 |
| Capela, Heidi | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/03/2023 |
| Capela, Heidi | Individual | ADP of the SNF | NOT APPLICABLE | 04/03/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can I see where garbage is stored and how often it's removed?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "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 | Flags |
|---|---|---|---|---|---|
| La Sierra Care Center | 0.1 mi | Merced, CA | ★★★☆☆ | 3/5 | |
| Golden Merced Care Center | 0.2 mi | Merced, CA | ★★★☆☆ | 3/5 | |
| Franciscan Post-Acute Care Center | 0.7 mi | Merced, CA | ★★★★☆ | 4/5 | |
| Merced Behavioral Center | 1.5 mi | Merced, CA | ★★★★★ | 5/5 | |
| Anberry Post Acute | 3.0 mi | Merced, CA | ★★★☆☆ | 3/5 | |
| Anberry Nursing and Rehabilitation Center | 7.1 mi | Atwater, CA | ★★★★★ | 4/5 | |
| Grace Home INC. | 14.4 mi | Livingston, CA | ★★★★★ | 5/5 | |
| Palms Care Center | 17.4 mi | Chowchilla, CA | ★★★★☆ | 4/5 | |
| Chowchilla Memorial Healthcare District | 17.5 mi | Chowchilla, CA | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 055249.