ElderGrade
B

75.3/100

Above average

Madera Care Center

1700 Howard Road, Madera, CA 93637

CMS 4/5 stars #2 of 5 in Madera County (559) 673-9278
Certified beds
64
Occupancy
95%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • $41,597 in federal fines

    CMS has fined this facility across 8 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

29.3/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -0.7 for 19 total citations against a national median of 17

Staffing

20/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.9 total nurse hours per resident per day (national median 3.77)
  • 0.66 RN hours per resident per day
  • Weekend staffing drops 8% against weekdays

Staff stability

9/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 49% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 4 of 5 stars on the CMS quality-measure rating

Enforcement history

5/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $41,597 in federal fines across 8 action(s)

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.04 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.66 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.71 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 49.30%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 38 citations

Last standard health inspection: April 3, 2025 (1 year ago).

E Mar 19, 2026 F0609 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

No actual harm, potential for more than minimal harm

D Feb 27, 2026 F0689 From a complaint

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

E Apr 16, 2025 F0584 From a complaint

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

No actual harm, potential for more than minimal harm

D Apr 4, 2025 F0550 From a complaint

Resident Rights Deficiencies

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

No actual harm, potential for more than minimal harm

D Apr 3, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D Feb 26, 2025 F0689 From a complaint

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

D Jul 3, 2024 F0695 From a complaint

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

No actual harm, potential for more than minimal harm

D Jun 19, 2024 F0842 From a complaint

Resident Assessment and Care Planning Deficiencies

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

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of GOLDEN SNF OPERATIONS, which operates 7 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
BRUCE, MARTHA Individual MANAGING CONTROL - GOVERNING BODY
EARL, STEVEN Individual MANAGING CONTROL - GOVERNING BODY
SPIELMAN, SHIMON Individual CORPORATE OFFICER
YENOWITZ, YITZCHOK Individual CORPORATE OFFICER
COUVE HEALTHCARE CONSULTING LLC Organization OPERATIONAL/MANAGERIAL CONTROL
MADERA OPCO MANAGER LLC Organization OPERATIONAL/MANAGERIAL CONTROL
MADERA SNF CONSULTING LLC Organization OPERATIONAL/MANAGERIAL CONTROL
MADERA SNF OPERATIONS LLC Organization OPERATIONAL/MANAGERIAL CONTROL
VERITAS HEALTH SOLUTIONS LLC Organization OPERATIONAL/MANAGERIAL CONTROL
BHINDER, SUMANDEEP Individual OPERATIONAL/MANAGERIAL CONTROL
BRUCE, MARTHA Individual OPERATIONAL/MANAGERIAL CONTROL
EARL, STEVEN Individual OPERATIONAL/MANAGERIAL CONTROL

What families say

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Common questions about Madera Care Center

What is the ElderGrade for Madera Care Center? +

Madera Care Center holds an ElderGrade of B (75.3 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Madera Care Center? +

Residents receive an average of 4.04 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Madera Care Center been cited for harming residents? +

No. None of the 38 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Madera Care Center accept Medicaid? +

Yes, Madera Care Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.