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Nursing home

Madera Post Acute Center

El Monte, California · Los Angeles County

  • 11900 Ramona Boulevard, El Monte, CA 91732 · Directions
  • (626) 442‑5721
  • Medicare overall rating: 1 of 5 starsMedicare overall rating
  • Ownership: For profit – corporation
  • 66 health citations in its last 3 inspection cycles (most serious: level K), $29,517 in fines. See the inspection record

Summary

Madera Post Acute Center is a Medicare-certified nursing home in El Monte, California, with 148 certified beds. Medicare overall rating: 1 of 5 stars. Most recent standard health inspection: 2026-08-03, with 30 health deficiencies. Medicare lists 2 fines. Ownership: for profit – corporation. Source: Medicare (CMS) Provider Information, data updated 2026-10-01.

What is a nursing home?

A nursing home (skilled nursing facility) gives 24-hour nursing care and help with daily activities. Some people stay for a short time to recover after a hospital stay (rehabilitation); others live there long term. The homes listed here are certified by Medicare and/or Medicaid and inspected by the state.

Official Medicare data

Everything on this page comes from Medicare (CMS) data updated 2026-10-01. It is information, not a recommendation. Call the nursing home and visit before you decide, and talk with your doctor.

In a medical emergency, call 911.

At a glance

Medicare overall rating: 1 of 5 starsMedicare overall rating
148Certified beds
Health inspections: 1 of 5 starsHealth inspections

Quick answers

Where is Madera Post Acute Center?
11900 Ramona Boulevard, El Monte, CA 91732, in Los Angeles County, California.
What is the phone number of Madera Post Acute Center?
(626) 442-5721, as listed by Medicare (CMS).
What is the Medicare star rating of Madera Post Acute Center?
Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
Has Madera Post Acute Center been fined?
Medicare lists 2 fines totaling $29,517.
What did inspectors find at Madera Post Acute Center?
In its last three inspection cycles (March 8, 2024 to August 3, 2026), Medicare lists 66 health citations; the most serious was level K. 2 were level G or higher (actual harm or immediate jeopardy). 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.

Overall rating
Overall rating: 1 of 5 stars
Medicare’s summary of the three ratings below, from 1 star (much below average) to 5 stars (much above average).
Health inspections
Health inspections: 1 of 5 stars
Based on state health inspections and complaint investigations of about the last three years, compared with other nursing homes in the same state.
Staffing
Staffing: 3 of 5 stars
Based on how many hours nurses and aides spend with each resident per day (from payroll records) and how often staff leave.
Quality of resident care
Quality of resident care: 4 of 5 stars
Based on how residents do on measures such as falls with injury, pressure sores, getting better at moving around and going back to the hospital.
Short-stay residents (rehab)
Short-stay residents (rehab): 4 of 5 stars
Quality rating for people who stay a short time, usually to recover after a hospital stay.
Long-stay residents
Long-stay residents: 5 of 5 stars
Quality rating for people who live in the nursing home.

Inspections, fines and staffing

In its last three inspection cycles (March 8, 2024 to August 3, 2026), Madera Post Acute Center had 66 health citations; the most serious was level K (immediate jeopardy to resident health or safety). 2 of them were level G or higher (actual harm or immediate jeopardy). It was fined $29,517 in total (2 fines, the latest on July 10, 2025). Nurse staffing is 4.09 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
Scope and severity letters
SeriousnessIsolated (a few residents)Pattern (some)Widespread (many)
No actual harm, potential for minimal harmABC
No actual harm, potential for more than minimal harmDEF
Actual harm to residentsGHI
Immediate jeopardy to resident health or safetyJKL

Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.

Most recent cycle: August 3, 2026 — 30 health citations

Inspections in this cycle: January 6, 2026 (complaint investigation); January 28, 2026 (complaint investigation); March 16, 2026 (complaint investigation); April 8, 2026 (complaint investigation); April 23, 2026 (complaint investigation); May 15, 2026 (complaint investigation); August 3, 2026 (standard health inspection).

Show 30 citations (levels A to F, no actual harm)
  • F0558 Level E August 3, 2026 · corrected August 26, 2026

    “Reasonably accommodate the needs and preferences of each resident.”

  • F0641 Level E August 3, 2026 · corrected August 26, 2026

    “Ensure each resident receives an accurate assessment.”

  • F0656 Level E August 3, 2026 · corrected August 26, 2026

    “Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”

  • F0657 Level E August 3, 2026 · corrected August 25, 2026

    “Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”

  • F0880 Level E August 3, 2026 · corrected August 25, 2026

    “Provide and implement an infection prevention and control program.”

  • F0881 Level E August 3, 2026 · corrected August 26, 2026

    “Implement a program that monitors antibiotic use.”

  • F0887 Level E August 3, 2026 · corrected August 20, 2026

    “Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.”

  • F0684 Level E May 15, 2026 · from a complaint · corrected June 10, 2026

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

  • F0755 Level E May 15, 2026 · from a complaint · corrected June 10, 2026

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

  • F0656 Level E March 16, 2026 · from a complaint · corrected April 2, 2026

    “Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”

  • F0692 Level E January 28, 2026 · from a complaint · corrected February 14, 2026

    “Provide enough food/fluids to maintain a resident's health.”

  • F0609 Level E January 6, 2026 · from a complaint · corrected January 30, 2026

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

  • F0689 Level E January 6, 2026 · from a complaint · corrected January 30, 2026

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

  • F0812 Level E January 6, 2026 · from a complaint · corrected January 30, 2026

    “Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”

  • F0684 Level D August 3, 2026 · corrected August 4, 2026

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

  • F0690 Level D August 3, 2026 · corrected August 24, 2026

    “Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”

  • F0693 Level D August 3, 2026 · corrected August 26, 2026

    “Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.”

  • F0695 Level D August 3, 2026 · corrected August 26, 2026

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

  • F0726 Level D August 3, 2026 · corrected August 25, 2026

    “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.”

  • F0813 Level D August 3, 2026 · corrected August 26, 2026

    “Have a policy regarding use and storage of foods brought to residents by family and other visitors.”

  • F0842 Level D August 3, 2026 · corrected August 26, 2026

    “Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”

  • F0580 Level D May 15, 2026 · from a complaint · corrected June 9, 2026

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

  • F0558 Level D April 23, 2026 · from a complaint · corrected May 15, 2026

    “Reasonably accommodate the needs and preferences of each resident.”

  • F0580 Level D April 23, 2026 · from a complaint · corrected May 14, 2026

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

  • F0689 Level D April 23, 2026 · from a complaint · corrected May 11, 2026

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

  • F0842 Level D April 23, 2026 · from a complaint · corrected May 14, 2026

    “Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”

  • F0558 Level D April 8, 2026 · from a complaint · corrected May 1, 2026

    “Reasonably accommodate the needs and preferences of each resident.”

  • F0557 Level D March 16, 2026 · from a complaint · corrected April 2, 2026

    “Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.”

  • F0761 Level D March 16, 2026 · from a complaint · corrected April 2, 2026

    “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.”

  • F0926 Level D March 16, 2026 · from a complaint · corrected April 2, 2026

    “Have policies on smoking.”

Previous cycle: July 10, 2025 — 20 health citations

Inspections in this cycle: October 9, 2024 (complaint investigation); October 10, 2024 (complaint investigation); December 16, 2024 (complaint investigation); February 5, 2025 (complaint investigation); March 19, 2025 (complaint investigation); April 7, 2025 (complaint investigation); July 10, 2025 (standard health inspection); August 21, 2025 (complaint investigation).

  • F0689 Level K July 10, 2025 · corrected July 24, 2025

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

    immediate jeopardy to resident health or safety; pattern (some residents) · Quality of Life and Care Deficiencies

Show 19 less serious citations (levels A to F)
  • F0684 Level E August 21, 2025 · from a complaint · corrected September 12, 2025

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

  • F0550 Level E July 10, 2025 · corrected July 30, 2025

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

  • F0641 Level E July 10, 2025 · corrected July 30, 2025

    “Ensure each resident receives an accurate assessment.”

  • F0656 Level E July 10, 2025 · corrected July 30, 2025

    “Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”

  • F0812 Level E July 10, 2025 · corrected July 25, 2025

    “Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”

  • F0880 Level E July 10, 2025 · corrected July 30, 2025

    “Provide and implement an infection prevention and control program.”

  • F0584 Level D July 10, 2025 · corrected July 30, 2025

    “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 D July 10, 2025 · corrected July 30, 2025

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

  • F0700 Level D July 10, 2025 · corrected July 30, 2025

    “Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.”

  • F0810 Level D July 10, 2025 · corrected July 30, 2025

    “Provide special eating equipment and utensils for residents who need them and appropriate assistance.”

  • F0908 Level D July 10, 2025 · corrected July 30, 2025

    “Keep all essential equipment working safely.”

  • F0684 Level D April 7, 2025 · from a complaint · corrected May 1, 2025

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

  • F0842 Level D March 19, 2025 · from a complaint · corrected April 9, 2025

    “Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”

  • F0580 Level D February 5, 2025 · from a complaint · corrected March 3, 2025

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

  • F0684 Level D February 5, 2025 · from a complaint · corrected March 3, 2025

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

  • F0658 Level D December 16, 2024 · from a complaint · corrected January 7, 2025

    “Ensure services provided by the nursing facility meet professional standards of quality.”

  • F0609 Level D October 10, 2024 · from a complaint · corrected November 1, 2024

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

  • F0758 Level D October 9, 2024 · from a complaint · corrected October 28, 2024

    “Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.”

  • F0732 Level B July 10, 2025 · corrected July 30, 2025

    “Post nurse staffing information every day.”

Earlier cycle: July 19, 2024 — 16 health citations

Inspections in this cycle: March 8, 2024 (complaint investigation); May 17, 2024 (complaint investigation); July 19, 2024 (standard health inspection).

  • F0694 Level G May 17, 2024 · from a complaint · corrected June 14, 2024

    “Provide for the safe, appropriate administration of IV fluids for a resident when needed.”

    actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies

Show 15 less serious citations (levels A to F)
  • F0558 Level E July 19, 2024 · corrected August 6, 2024

    “Reasonably accommodate the needs and preferences of each resident.”

  • F0676 Level E July 19, 2024 · corrected August 5, 2024

    “Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.”

  • F0689 Level E July 19, 2024 · corrected August 8, 2024

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

  • F0690 Level E July 19, 2024 · corrected August 8, 2024

    “Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”

  • F0693 Level E July 19, 2024 · corrected August 8, 2024

    “Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.”

  • F0700 Level E July 19, 2024 · corrected August 12, 2024

    “Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.”

  • F0812 Level E July 19, 2024 · corrected August 12, 2024

    “Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”

  • F0578 Level D July 19, 2024 · corrected August 7, 2024

    “Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.”

  • F0688 Level D July 19, 2024 · corrected August 9, 2024

    “Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.”

  • F0695 Level D July 19, 2024 · corrected August 8, 2024

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

  • F0849 Level D July 19, 2024 · corrected August 8, 2024

    “Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.”

  • F0842 Level D May 17, 2024 · from a complaint · corrected June 14, 2024

    “Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”

  • F0725 Level D March 8, 2024 · from a complaint · corrected March 27, 2024

    “Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”

  • F0919 Level D March 8, 2024 · from a complaint · corrected March 27, 2024

    “Make sure that a working call system is available in each resident's bathroom and bathing area.”

  • F0732 Level B July 19, 2024 · corrected August 7, 2024

    “Post nurse staffing information every day.”

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 (8)
  • K0911 Level D August 3, 2026 · corrected August 20, 2026

    “Meet requirements for the installation and maintenance of electrical systems.”

  • K0923 Level D August 3, 2026 · corrected August 25, 2026

    “Have proper medical gas storage and administration areas.”

  • K0918 Level E July 10, 2025 · corrected July 30, 2025

    “Have generator or other power source capable of supplying service within 10 seconds.”

  • K0345 Level D July 10, 2025 · corrected July 30, 2025

    “Have approved installation, maintenance and testing program for fire alarm systems.”

  • K0351 Level D July 10, 2025 · corrected July 30, 2025

    “Install an approved automatic sprinkler system.”

  • E0041 Level C July 10, 2025 · corrected July 30, 2025

    “Implement emergency and standby power systems.”

  • K0321 Level D July 19, 2024 · corrected August 6, 2024

    “Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”

  • K0355 Level D July 19, 2024 · corrected July 25, 2024

    “Properly select, install, inspect, or maintain portable fire extinguishes.”

Fines and payment denials

Total fines over about the last three years: $29,517 (2 fines). A payment denial means Medicare stopped paying for new admissions for a time.

DatePenaltyAmount or length
July 10, 2025Fine$13,319
May 17, 2024Fine$16,198

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.

MeasureThis homeCaliforniaNational
Registered nurse (RN) hours per resident per day0.350.680.69
Licensed practical nurse (LPN) hours per resident per day1.041.200.86
Nurse aide hours per resident per day2.702.662.35
Total nurse staff hours per resident per day4.094.543.90
Total nurse staff hours per resident per day on the weekend3.604.103.43
RN hours per resident per day on the weekend0.220.520.48
Nursing staff turnover (per year)47.5%36.6%45.3%
RN turnover (per year)30.8%37.8%42.5%
Administrators who left in the last year0.00.40.5

Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.

Owners and operator

Part of a group of 347 nursing homes: The Ensign Group.

Legal business name: Glimmer Healthcare Inc.

Owners and managers Medicare lists (1)
NameRoleShareSince
Twomagnets LLCManagement company (operational or managerial control)NOT APPLICABLEFebruary 1, 2023

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

TypeNursing home
Certified beds148
Average residents per day137
Takes part inMedicare and Medicaid
OwnershipFor profit – corporation
Group or chain (affiliated entity)The Ensign Group
Legal business nameGlimmer Healthcare Inc
First approved by Medicare/Medicaid1971-11-01
Resident and family councilsResident council
Sprinklers in all required areasYes
Changed ownership in the last 12 monthsNo
Address11900 Ramona Boulevard, El Monte, CA 91732
CountyLos Angeles County
StateCalifornia
Phone(626) 442‑5721
CMS Certification Number055141
CorrectionsReport 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).

Nearest hospital emergency rooms

Sources

  1. Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this provider
  3. Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  4. Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  5. Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
  6. Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
  7. State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
  8. Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
  9. Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
  10. Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13