CareWitness
Federal record · CMS Care Compare · CCN 055191 · Processed JUN 1 2026
CareWitnessCaliforniaMaderaNursing HomesMadera Care Center

Madera Care Center

1700 Howard Road, Madera, CA, 93637

Type
Nursing home
Medicare/Medicaid certified · CCN 055191

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Federal Quality Data

Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.

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CMS Star Ratings

Overall4 / 5
Health inspections4 / 5
Staffing4 / 5
Quality measures4 / 5

Facility & Staffing

Ownership
For profit - Limited Liability company · Chain: Golden Snf Operations
Certified beds
64 · avg 57 residents/day
Total nursing staff turnover
43.7%higher than most California nursing homesCalifornia avg: 37.4% · National avg: 46.1% · per CMS Care Compare
RN turnover
44.4%near the California averageCalifornia avg: 39.4% · National avg: 43.3% · per CMS Care Compare
Administrators who left
1 departednear the California averageCalifornia avg: 0.4 · National avg: 0.5 · per CMS Care Compare

Enforcement & Citations

Fines (past 3 years)
8 fines · $41,597 total

Medicare certification

CMS Certification Number
055191
Certified beds
64 beds · avg 57 residents/day
Ownership type
For profit - Limited Liability company
Continuing-care community
No

CMS Care Compare, processing date June 1, 2026

Ownership & operations

Legal business name
Madera Snf Operations Llc
Chain affiliation
Golden Snf Operations

CMS Care Compare, processing date June 1, 2026

Federal ownership record

For-profitLlcHolding company in ownership

Chain affiliation

Part of the Golden Snf Operations chain — 7 facilities. Chain-wide average overall rating 2.6 / 5.

Parent entity

Madera Operations Holdings Llc

Disclosed owners (26 on record)

  • Madera Opco Manager Llc

    Adp of The Snf · since 2025

  • Couve Healthcare Consulting Llc

    Adp of The Snf · since 2025

  • Madera Snf Consulting Llc

    Adp of The Snf · since 2025

  • Madera Snf Operations Llc

    Adp of The Snf · since 2025

  • Madera Snf Realty Llc

    Adp of The Snf · since 2025

  • Veritas Health Solutions Llc

    Adp of The Snf · since 2025

+ 20 additional owners on the federal record.

Recent change of ownership

March 2023 (3 years ago) · acquired from Avalon Health Care - Madera

Transaction type: Change of Ownership

Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of May 2026.

Federal inspection record

38 health citations on file11 from complaints8 federal fines totalling $42K

Recent health-deficiency citations (most recent 8 of 38)

  • E0609·Mar 19, 2026Complaint

    Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

  • D0689·Feb 27, 2026Complaint

    Quality of Life and Care Deficiencies

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

  • E0584·Apr 16, 2025Complaint

    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.

  • D0550·Apr 4, 2025Complaint

    Resident Rights Deficiencies

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

  • D0880·Apr 3, 2025

    Infection Control Deficiencies

    Provide and implement an infection prevention and control program.

  • D0689·Feb 26, 2025Complaint

    Quality of Life and Care Deficiencies

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

  • D0695·Jul 3, 2024Complaint

    Quality of Life and Care Deficiencies

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

  • D0842·Jun 19, 2024Complaint

    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.

View the full inspection history on CMS Care Compare →

Federal penalties

By year

  • 20242 fines · $9,525
  • 20236 fines · $32K

Most recent events

  • Jan 8, 2024Fine · $4,938
  • Jan 2, 2024Fine · $4,587
  • Dec 11, 2023Fine · $13K
  • Nov 6, 2023Fine · $9,527
  • Oct 17, 2023Fine · $2,787
  • Oct 10, 2023Fine · $2,117

Largest single fine on record: $13K.

Fire-safety citations

23 Life-Safety-Code citations on file. Most recent: Apr 3, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.

Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.

Facility background report

The entire federal paper trail on this facility, in one report.

We compile everything the government publishes about Madera Care Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.

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Where this information comes from

  • Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.

Data comes unaltered from the federal files. See every source we publish from.