Nursing homes across Madera County, California, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Chowchilla Memorial runs 29 certified beds as a nonprofit, and its nurse staffing sits at 4.07 hours per resident day, a bit above the national average of 3.86, though weekends dip about 4% below its own weekday levels. Staff turnover is 27.6%, which is well below the national 45.8%, suggesting a more stable workforce than most places. The tradeoff shows up in its record: 23 deficiencies, including one at the harm level and one abuse-related, plus $131,603 in fines across 23 penalties. Its most recent inspection was in February 2026, and its health and quality ratings both come in at 4 out of 5.
Palms Care Center runs 4.15 nurse hours per resident day, about 7% above the national average, so there's more direct care here than at a typical home. Turnover sits at 37.3%, which is better than the 45.8% national figure, though weekend staffing drops roughly 11% below weekday levels. The tradeoff shows up in the inspection record: 39 deficiencies, including two at the harm or jeopardy level and one abuse-related citation, even though the most recent inspection was April 2025 and CMS rated that side 4 out of 5. It's a for-profit limited liability company with 65 beds, and the pattern is decent daily staffing against a sizable citation history.
Madera Care Center runs 64 beds under for-profit LLC ownership, and its nurse staffing sits at 4.04 hours per resident day, about 5% above the national average of 3.86. That edge narrows on weekends, when coverage drops roughly 8% below the home's own weekday levels. Staff turnover is 49.3%, higher than the 45.8% national figure, which means a good share of the people caring for residents are still new to the building. The inspection record shows 38 deficiencies, none at harm or jeopardy level, but one tied to abuse, plus eight fines totaling $41,597. State inspectors last visited in April 2025.
Madera Rehabilitation & Nursing Center runs 176 certified beds under for-profit LLC ownership, and its inspection record is the number that should worry you most: 71 deficiencies on the current record, 7 of them serious enough to cause harm or jeopardy, and 5 tied to abuse. Fines total $373,733 across three penalties. Nurse staffing sits at 3.82 hours per resident day, just under the national average of 3.86, with weekends running about 7% thinner than weekdays, and turnover at 45.5% is essentially the national norm. The 4/5 quality measure score looks good on paper, but inspections and staffing are where the day-to-day reality shows. The last inspection was August 2025.
Majestic Mountain Care Center runs on 3.48 nurse hours per resident per day, roughly 10% under the national average, and weekend coverage slips a bit further below its own weekday levels. That staffing gap shows up in a 69% annual turnover rate, well above the 45.8% national figure, and a two-star staffing rating. The inspection record is the harder read: 63 deficiencies, six at harm or jeopardy level, five tied to abuse, and $252,683 in fines. CMS has placed this for-profit, LLC-owned home in its Special Focus Facility program, and the most recent inspection was July 2025.