Quick answers
- Where is Madera Care Center?
- 1700 Howard Road, Madera, CA 93637, in Madera County, California.
- What is the phone number of Madera Care Center?
- (559) 673-9278, as listed by Medicare (CMS).
- What is the Medicare star rating of Madera Care Center?
- Medicare overall rating: 4 out of 5 stars (CMS data updated 2026-10-01).
- Has Madera Care Center been fined?
- Medicare lists 5 fines totaling $34,542.
- What did inspectors find at Madera Care Center?
- In its last three inspection cycles (April 13, 2023 to March 19, 2026), Medicare lists 38 health citations; the most serious was level F. See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (April 13, 2023 to March 19, 2026), Madera Care Center had 38 health citations; the most serious was level F (no actual harm, potential for more than minimal harm). It was fined $34,542 in total (5 fines, the latest on January 8, 2024). Nurse staffing is 4.02 hours per resident per day; the California average is 4.54 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: April 3, 2025 — 3 health citations
Inspections in this cycle: April 3, 2025 (standard health inspection); February 27, 2026 (complaint investigation); March 19, 2026 (complaint investigation).
Show 3 citations (levels A to F, no actual harm)
F0609 Level E
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Previous cycle: February 20, 2024 — 13 health citations
Inspections in this cycle: February 20, 2024 (standard health inspection); February 26, 2025 (complaint investigation); April 4, 2025 (complaint investigation); April 16, 2025 (complaint investigation).
Show 13 citations (levels A to F, no actual harm)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0584 Level E
“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.”
F0584 Level E
“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.”
F0656 Level E
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0803 Level E
“Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0687 Level D
“Provide appropriate foot care.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0761 Level D
“Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0908 Level D
“Keep all essential equipment working safely.”
Earlier cycle: April 13, 2023 — 22 health citations
Inspections in this cycle: April 13, 2023 (standard health inspection); November 9, 2023 (complaint investigation); February 20, 2024 (complaint investigation); June 19, 2024 (complaint investigation); July 3, 2024 (complaint investigation).
Show 22 citations (levels A to F, no actual harm)
F0801 Level F
“Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.”
F0802 Level F
“Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.”
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0584 Level E
“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.”
F0684 Level E
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0692 Level E
“Provide enough food/fluids to maintain a resident's health.”
F0732 Level E
“Post nurse staffing information every day.”
F0803 Level E
“Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.”
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0805 Level E
“Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.”
F0842 Level E
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0573 Level D
“Let each resident or the resident's legal representative access or purchase copies of all the resident's records.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0552 Level D
“Ensure that residents are fully informed and understand their health status, care and treatments.”
F0558 Level D
“Reasonably accommodate the needs and preferences of each resident.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0698 Level D
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
F0806 Level D
“Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.”
F0814 Level D
“Dispose of garbage and refuse properly.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (23)
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0919 Level E
“Meet requirements for the use of electrical equipment.”
K0161 Level D
“Use approved construction type or materials.”
K0355 Level D
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0363 Level D
“Install corridor and hallway doors that block smoke.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
K0291 Level C
“Install emergency lighting that can last at least 1 1/2 hours.”
K0712 Level C
“Have simulated fire drills held at unexpected times.”
K0918 Level C
“Have generator or other power source capable of supplying service within 10 seconds.”
E0039 Level F
“Conduct testing and exercise requirements.”
K0712 Level E
“Have simulated fire drills held at unexpected times.”
K0918 Level E
“Have generator or other power source capable of supplying service within 10 seconds.”
K0293 Level D
“Have properly located and lighted "Exit" signs.”
K0353 Level D
“Inspect, test, and maintain automatic sprinkler systems.”
K0363 Level D
“Install corridor and hallway doors that block smoke.”
K0781 Level D
“Have restrictions on the use of portable space heaters.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
K0291 Level D
“Install emergency lighting that can last at least 1 1/2 hours.”
K0293 Level D
“Have properly located and lighted "Exit" signs.”
K0363 Level D
“Install corridor and hallway doors that block smoke.”
K0500 Level D
“Meet other general requirements that are deficient.”
K0918 Level D
“Have generator or other power source capable of supplying service within 10 seconds.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
Fines and payment denials
Total fines over about the last three years: $34,542 (5 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| January 8, 2024 | Fine | $4,938 |
| January 2, 2024 | Fine | $4,587 |
| December 11, 2023 | Fine | $12,703 |
| November 6, 2023 | Fine | $9,527 |
| October 17, 2023 | Fine | $2,787 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | California | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.71 | 0.68 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.71 | 1.20 | 0.86 |
| Nurse aide hours per resident per day | 2.61 | 2.66 | 2.35 |
| Total nurse staff hours per resident per day | 4.02 | 4.54 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.66 | 4.10 | 3.43 |
| RN hours per resident per day on the weekend | 0.59 | 0.52 | 0.48 |
| Nursing staff turnover (per year) | 58.4% | 36.6% | 45.3% |
| RN turnover (per year) | 62.5% | 37.8% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.4 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 50 nursing homes: David Johnson.
Legal business name: Madera Post Acute LLC.
Owners and managers Medicare lists (3)
| Name | Role | Share | Since |
|---|---|---|---|
| Madera Post Acute LLC | Direct owner | 100% | November 4, 2025 |
| Sun Meridian Health Holdings LLC | Indirect owner | 100% | November 4, 2025 |
| Madera Post Acute LLC | Management company (operational or managerial control) | NOT APPLICABLE | November 4, 2025 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 64 |
| Average residents per day | 59.3 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Group or chain (affiliated entity) | David Johnson |
| Legal business name | Madera Post Acute LLC |
| First approved by Medicare/Medicaid | 1971-01-01 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | Yes |
| Address | 1700 Howard Road, Madera, CA 93637 |
| County | Madera County |
| State | California |
| Phone | (559) 673‑9278 |
| CMS Certification Number | 055191 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Madera Rehabilitation & Nursing Center1.7 mi · Madera, CA · 1 of 5 stars
- Chowchilla Memorial Healthcare District16 mi · Chowchilla, CA · 4 of 5 stars
- Palms Care Center16 mi · Chowchilla, CA · 3 of 5 stars
- Foundation Skilled Nursing18 mi · Fresno, CA · 1 of 5 stars
- North Point Healthcare & Wellness Centre LP19 mi · Fresno, CA · 5 of 5 stars
Nearest hospital emergency rooms
- Madera Community Hospital2.0 mi · Madera, CA · Acute Care Hospital
- Valley Children's Hospital16 mi · Madera, CA · Children's Hospital
- Kaiser Foundation Hospital - Fresno18 mi · Fresno, CA · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13