Madera Rehabilitation & Nursing Center
517 South A Street, Madera, CA, 93638
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Order the reportFederal 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.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Cambridge Healthcare Services
- Certified beds
- 176 · avg 167 residents/day
- Total nursing staff turnover
- 44.5% — higher than most California nursing homesCalifornia avg: 37.4% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 53.6% — higher than most California nursing homesCalifornia avg: 39.4% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 2 departed — near the California averageCalifornia avg: 0.4 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $373,733 total
- Payment denials
- 2 denials
Medicare certification
- CMS Certification Number
- 055147
- Certified beds
- 176 beds · avg 167 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
- Cf Madera, Llc
- Chain affiliation
- Cambridge Healthcare Services
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Cambridge Healthcare Services chain — 32 facilities. Chain-wide average overall rating 2.6 / 5.
Parent entity
Crescent Facilities Operations Llc
Disclosed owners (23 on record)
- Cambridge Healthcare Services Llc
Adp of The Snf · since 2025
- Akash Lal
Adp of The Snf · since 2025
- Julia Bulosan
Operational/managerial Control · since 2025
- Ranjeet Singh
Operational/managerial Control · since 2024
- Julie Butenko
Operational/managerial Control · since 2023
- Heidi Capela
Operational/managerial Control · since 2023
+ 17 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 66)
- E0908·Feb 24, 2026Complaint
Environmental Deficiencies
Keep all essential equipment working safely.
- E0880·Feb 11, 2026Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0842·Feb 11, 2026Complaint
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.
- G0689·Aug 14, 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.
- E0880·Jun 10, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0584·Jun 10, 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.
- E0726·Apr 15, 2025Complaint
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- G0689·Apr 15, 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.
Federal penalties
By year
- 20252 fines · $321K · 2 payment denials
- 20241 fine · $53K
Most recent events
- Aug 14, 2025Payment denial · 15 days · starting Sep 12, 2025
- Aug 14, 2025Fine · $127K
- Jan 9, 2025Payment denial · 83 days · starting Feb 13, 2025
- Jan 9, 2025Fine · $194K
- Mar 8, 2024Fine · $53K
Largest single fine on record: $194K.
Fire-safety citations
29 Life-Safety-Code citations on file. Most recent: Jun 21, 2024. 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 Rehabilitation & Nursing 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.
Order the full background report — $249Where 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.