Nursing home
Golden Madera Care Center
1700 Howard Road, Madera, CA 93637 · Map
For profit - Limited Liability company · Part of Golden Snf Operations (7 facilities) · 64 certified beds
Golden Madera Care Center is a Medicare-certified nursing home in Madera, California. CMS rates it 4 out of 5 stars overall (4/5 for staffing, 4/5 for health inspections). Nurse staffing is 4.21 hours per resident per day, below the California average of 4.51. Its most recent inspection on Apr 3, 2025 cited 3 deficiencies.
- 8 fines totaling $41,597In CMS records: 9 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Golden Madera Care Center compares
This facility vs. the California and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | California avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.21 | 4.51 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.61 | 0.65 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.76 | 2.64 | 2.34 | above avg |
| Nursing staff turnover | 44.4% | 38.1% | 46.4% | above avg |
| Deficiencies cited, last inspection | 3.0 | 15.4 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the March 19, 2026 inspection was corrected by April 6, 2026
Penalties in CMS records: 8 fines totaling $41,597, 9 total penalties, 1 Medicare payment denial.
What inspectors found at Golden Madera Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Mar 19, 2026 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Feb 27, 2026 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Apr 16, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Apr 4, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Apr 3, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Feb 26, 2025 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Jul 3, 2024 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Jun 19, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Feb 20, 2024 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Feb 20, 2024 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Feb 20, 2024 · Full report (PDF) - Potential for harm
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.
Nutrition and Dietary Deficiencies · Feb 20, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1700 Howard Road
Madera, CA 93637 - CMS certification #
- 055191
- Ownership
- For profit - Limited Liability company
- Certified beds
- 64
- Avg residents/day
- 57.4
- Provider type
- Medicare and Medicaid
- First certified
- 1971-01-01
- Chain
- Golden Snf Operations (7 facilities)
- Setting
- Urban
Part of Golden Snf Operations
Golden Snf Operations operates 7 nursing facilities across the United States. View all Golden Snf Operations facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Golden Madera Care Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Madera Community Hospital, Madera. 2.0 miles away, straight line.
- Nearest Medicare nursing home
- Madera Rehabilitation & Nursing Center, Madera. 1.7 miles away, straight line.
- Nearest home health agency office
- One Good Homehealth Inc., Madera. 1.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Rite Aid. 1.1 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 93637 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita North Madera Dialysis, Madera, 1.0 mile away, straight line (CMS rating 5 of 5 stars)
Davita Almond Wood Dialysis, Madera, 1.6 miles away, straight line (CMS rating 3 of 5 stars)
Madera Kidney Center, Madera, 2.0 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 29 Medicare hospices tell CMS they serve ZIP code 93637.
Bright Horizon Hospice Services, office in Fresno, 14.5 miles away, straight line
Bristol Hospice Fresno, office in Fresno, 15.8 miles away, straight line (CMS family survey rating 3 of 5 stars)
Hinds Hospice - Fresno, office in Fresno, 16.7 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Permanente Medical Group Inc, Fresno. 18.2 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: inland flooding very high, wildfire very low, tornado very low, heat wave relatively high, earthquake relatively high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Golden Madera Care Center a good nursing home?
CMS gives Golden Madera Care Center an overall rating of 4 out of 5 stars, including 4/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Golden Madera Care Center staffed?
Golden Madera Care Center reports 4.21 total nurse hours per resident per day, compared with the California average of 4.51.
Has Golden Madera Care Center had inspection problems?
Its most recent CMS inspection cited 3 deficiencies.
How many beds does Golden Madera Care Center have?
Golden Madera Care Center is certified for 64 beds.