Nursing home
La Sierra Care Center
2424 M Street, Merced, CA 95340 · Map
For profit - Corporation · Part of Cambridge Healthcare Services (32 facilities) · 68 certified beds
La Sierra Care Center is a Medicare-certified nursing home in Merced, California. CMS rates it 3 out of 5 stars overall (3/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.91 hours per resident per day, below the California average of 4.51. Its most recent inspection on Aug 23, 2024 cited 14 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How La Sierra 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) | 3.91 | 4.51 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.37 | 0.65 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.50 | 2.64 | 2.34 | below avg |
| Nursing staff turnover | 39.1% | 38.1% | 46.4% | above avg |
| Deficiencies cited, last inspection | 14.0 | 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 January 23, 2026 inspection was corrected by February 23, 2026
What inspectors found at La Sierra 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
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies · Jan 23, 2026 · 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 · Jan 23, 2026 · 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 · Jan 23, 2026 · Full report (PDF) - Potential for harm
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Jan 23, 2026 · 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 · Jan 23, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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.
Nutrition and Dietary Deficiencies · Jan 23, 2026 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jan 23, 2026 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Jan 23, 2026 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Jan 23, 2026 · 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 · Jan 23, 2026 · Full report (PDF) - Potential for harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Jan 23, 2026 · Full report (PDF) - Potential for harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Nov 19, 2025 · 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
- 2424 M Street
Merced, CA 95340 - CMS certification #
- 055271
- Ownership
- For profit - Corporation
- Certified beds
- 68
- Avg residents/day
- 64.6
- Provider type
- Medicare and Medicaid
- First certified
- 1967-01-01
- Chain
- Cambridge Healthcare Services (32 facilities)
- Setting
- Urban
Part of Cambridge Healthcare Services
Cambridge Healthcare Services operates 32 nursing facilities across the United States. View all Cambridge Healthcare Services facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around La Sierra Care Center using Google Maps.
Other public records
- Workplace safety 1 OSHA workplace safety inspection since 2023, 1 violation cited
- Emergency In FEMA's high-risk flood area (Zone AH)
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Mar 23, 2023: complaint inspection, partial (health). Case closed Jul 17, 2023. 1 violation cited (1 other). Penalties: $160 proposed, $160 now. OSHA record. OSHA recorded the employer as CF Merced La Sierra, LLC.
Details
- Other than serious: Cited rule 2500.8(a)(1). Penalty $160 proposed, $160 now.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Mercy Medical Center, Merced. 2.3 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Merced Nursing & Rehabilitation CTR, Merced. 0.1 miles away, straight line.
- Nearest home health agency office
- Mercy Home Care, Merced. 0.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 95340 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Shc Central Merced, Merced, 0.8 miles away, straight line (CMS rating 3 of 5 stars)
Davita Merced Dialysis, Merced, 1.3 miles away, straight line (CMS rating 4 of 5 stars)
Shc Merced, Merced, 1.8 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 12 Medicare hospices tell CMS they serve ZIP code 95340.
Bristol Hospice-California, LLC, office in Merced, 1.8 miles away, straight line (CMS family survey rating 4 of 5 stars)
Covenant Care Hospice, office in Turlock, 23.9 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Permanente Medical Group Inc, Fresno. 50.3 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
- Zone AH: 1% annual chance shallow flooding, usually ponding, 1 to 3 feet deep (high risk). This is inside FEMA's Special Flood Hazard Area, where flood insurance is required for federally backed mortgages. Base flood elevation 174 Feet NAVD88. (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively low, wildfire very low, tornado very low, heat wave relatively moderate, 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 | See above |
| 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 |
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Frequently asked questions
Is La Sierra Care Center a good nursing home?
CMS gives La Sierra Care Center an overall rating of 3 out of 5 stars, including 3/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is La Sierra Care Center staffed?
La Sierra Care Center reports 3.91 total nurse hours per resident per day, compared with the California average of 4.51.
Has La Sierra Care Center had inspection problems?
Its most recent CMS inspection cited 14 deficiencies.
How many beds does La Sierra Care Center have?
La Sierra Care Center is certified for 68 beds.