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Madera Rehabilitation & Nursing Center

Nursing Home Facility

517 South A Street, Madera, CA 93638

Nursing Home Care Senior Living
Madera Rehabilitation & Nursing Center

Madera Rehabilitation & Nursing Center is a senior care community located in Madera, CA. It provides nursing home care and senior living for older adults in the Madera area. To learn more or schedule a tour, call (559) 673-9228.

Operated by Cambridge Healthcare Services, which runs 29 communities in our directory.

Employer rating 3.1 out of 5 20 reviews from their own employees on Indeed. See what they say.

With 176 beds, Madera Rehabilitation & Nursing Center is one of the larger communities in the area, senior care communities in Madera average about 70 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.

Federal reporting puts occupancy at about 95% of its licensed beds, which is high; communities this full often maintain a waiting list, so it is worth calling well before you need a place.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Madera average about 2.5 stars. The individual scores differ noticeably: 3 stars for staffing against 1 star for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in August 2025 and recorded 24 deficiencies.

Residents receive about 3.8 hours of nursing care per day on average, including 0.5 hours from a registered nurse. Nursing staff turnover over the past year was about 46%.

The community is located in Madera County, CA.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 1/5
  • Staffing ★★★★★ 3/5
  • Quality measures ★★★★★ 4/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 71 problems at Madera Rehabilitation & Nursing Center. 7 findings involved harm to a resident, including 1 that put residents in immediate danger. 32 came from investigating complaints by residents or families.

In the last three years Medicare fined this home 3 times, a total of $373,733. Medicare also stopped paying for new admissions twice in that period.

Findings from the most recent inspection cycle

  • Caused harm to a resident, one or a few residents Quality of Life and Care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Inspected August 2025, after a complaint. Corrected by September 27, 2025.

  • Caused harm to a resident, one or a few residents Quality of Life and Care

    Provide enough food/fluids to maintain a resident's health.

    Inspected August 2025. Corrected by September 27, 2025.

  • Could cause more than minimal harm, a pattern Environmental

    Keep all essential equipment working safely.

    Inspected February 2026, after a complaint. Corrected by March 9, 2026.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Inspected February 2026, after a complaint. Corrected by March 6, 2026.

  • Could cause more than minimal harm, a pattern Infection Control

    Provide and implement an infection prevention and control program.

    Inspected February 2026, after a complaint. Corrected by March 6, 2026.

  • Could cause more than minimal harm, widespread Resident Assessment and Care Planning

    Ensure services provided by the nursing facility meet professional standards of quality.

    Inspected August 2025. Corrected by September 27, 2025.

  • Could cause more than minimal harm, widespread Nutrition and Dietary

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Inspected August 2025. Corrected by September 27, 2025.

  • Could cause more than minimal harm, widespread Nutrition and Dietary

    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.

    Inspected August 2025. Corrected by September 27, 2025.

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  • Could cause more than minimal harm, widespread Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected August 2025. Corrected by September 27, 2025.

  • Could cause more than minimal harm, widespread Administration

    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.

    Inspected August 2025. Corrected by September 27, 2025.

  • Could cause more than minimal harm, a pattern Resident Rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Inspected August 2025. Corrected by September 27, 2025.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Inspected August 2025. Corrected by September 27, 2025.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Inspected August 2025. Corrected by September 27, 2025.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    Provide special eating equipment and utensils for residents who need them and appropriate assistance.

    Inspected August 2025. Corrected by September 27, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Inspected August 2025. Corrected by September 27, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Ensure each resident receives an accurate assessment.

    Inspected August 2025. Corrected by September 27, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Inspected August 2025. Corrected by September 27, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Inspected August 2025. Corrected by September 27, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Inspected August 2025. Corrected by September 27, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    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.

    Inspected August 2025. Corrected by September 27, 2025.

  • Could cause more than minimal harm, one or a few residents Nutrition and Dietary

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Inspected August 2025. Corrected by September 27, 2025.

  • Could cause more than minimal harm, one or a few residents Nutrition and Dietary

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    Inspected August 2025. Corrected by September 27, 2025.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected August 2025. Corrected by September 27, 2025.

  • Minimal harm or the potential for it, a pattern Environmental

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Inspected August 2025. Corrected by September 27, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Madera Rehabilitation & Nursing Center offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 176
  • Occupancy 95%
  • Nursing hours per resident/day 3.8
  • Annual staff turnover 46%
  • Last health inspection August 2025

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