ElderGrade
D

50/100

Below average

Madera Post Acute Center

11900 Ramona Boulevard, El Monte, CA 91732

CMS 1/5 stars #271 of 369 in Los Angeles County (626) 442-5721
Certified beds
148
Occupancy
90%
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.

  • 2 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $29,517 in federal fines

    CMS has fined this facility across 2 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 6/30 Staffing 18/30 Stability 9/15 Outcomes 12/15 Enforcement 5/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.

Inspection safety

6/30

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

  • -10 for 1 immediate-jeopardy citation(s) in the last 3 years
  • -4 for 1 actual-harm citation(s) in the last 3 years
  • -10 for 52 total citations against a national median of 17

Staffing

18/30

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

  • 4.13 total nurse hours per resident per day (national median 3.77)
  • 0.34 RN hours per resident per day
  • Weekend staffing drops 14% 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.

  • 50% 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.

  • $29,517 in federal fines across 2 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

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 3.99 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.34 hrs
National average 0.69 hrs Below average

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

Weekend nurse hours 3.44 hrs
National average 3.42 hrs Better than average

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

Nursing staff turnover 49.70%
National average 45.80% Below average

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

Recent inspection findings

All 70 citations

Last standard health inspection: July 10, 2025 (1 year ago).

E May 15, 2026 F0684 From a complaint

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

No actual harm, potential for more than minimal harm

E May 15, 2026 F0755 From a complaint

Pharmacy Service Deficiencies

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

No actual harm, potential for more than minimal harm

D May 15, 2026 F0580 From a complaint

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

No actual harm, potential for more than minimal harm

D Apr 23, 2026 F0558 From a complaint

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

No actual harm, potential for more than minimal harm

D Apr 23, 2026 F0580 From a complaint

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

No actual harm, potential for more than minimal harm

D Apr 23, 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

D Apr 23, 2026 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

D Apr 8, 2026 F0558 From a complaint

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of THE ENSIGN GROUP, which operates 346 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
LIU, JOHN Individual MANAGING CONTROL - GOVERNING BODY
YAMAK, NAJIB Individual MANAGING CONTROL - GOVERNING BODY
WILLITS, ADAM Individual CORPORATE DIRECTOR
BURNAM, SOON Individual CORPORATE OFFICER
GAMERO, ALICIA Individual CORPORATE OFFICER
KEETCH, CHAD Individual CORPORATE OFFICER
SATO, AMI Individual CORPORATE OFFICER
TWOMAGNETS LLC Organization OPERATIONAL/MANAGERIAL CONTROL
LIU, JOHN Individual OPERATIONAL/MANAGERIAL CONTROL
YAMAK, NAJIB Individual OPERATIONAL/MANAGERIAL CONTROL
PORT, BARRY Individual INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O...
ENSIGN SERVICES INC Organization ADP OF THE SNF

What families say

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Common questions about Madera Post Acute Center

What is the ElderGrade for Madera Post Acute Center? +

Madera Post Acute Center holds an ElderGrade of D (50 out of 100), which we describe as "below 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 Post Acute Center? +

Residents receive an average of 3.99 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Madera Post Acute Center been cited for harming residents? +

Yes. 2 of the 70 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Madera Post Acute Center accept Medicaid? +

Yes, Madera Post Acute 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.