Nursing home
Madera Rehabilitation & Nursing Center
517 South A Street, Madera, CA 93638 · Map
For profit - Limited Liability company · Part of Cambridge Healthcare Services (32 facilities) · 176 certified beds
Madera Rehabilitation & Nursing Center is a Medicare-certified nursing home in Madera, California. CMS rates it 2 out of 5 stars overall (3/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.92 hours per resident per day, below the California average of 4.51. Its most recent inspection on Jun 21, 2024 cited 24 deficiencies.
- 3 fines totaling $373,733In CMS records: 5 total penalties, 2 Medicare payment denials.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Madera Rehabilitation & Nursing 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) | 3.92 | 4.51 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.60 | 0.65 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.61 | 2.64 | 2.34 | below avg |
| Nursing staff turnover | 40.0% | 38.1% | 46.4% | above avg |
| Deficiencies cited, last inspection | 24.0 | 15.4 | 9.5 | above 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 February 24, 2026 inspection was corrected by March 9, 2026
Penalties in CMS records: 3 fines totaling $373,733, 5 total penalties, 2 Medicare payment denials.
What inspectors found at Madera Rehabilitation & Nursing 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
Keep all essential equipment working safely.
Environmental Deficiencies · Feb 24, 2026 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Feb 11, 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 · Feb 11, 2026 · Full report (PDF) - Actual 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 · Aug 14, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jun 10, 2025 · Full report (PDF)
Show all 12 deficiencies
- 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 · Jun 10, 2025 · Full report (PDF) - Actual 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 · Apr 15, 2025 · Full report (PDF) - Potential for harm
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.
Nursing and Physician Services Deficiencies · Apr 15, 2025 · Full report (PDF) - 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 · Apr 15, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Mar 7, 2025 · Full report (PDF) - Potential for harm
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Mar 7, 2025 · Full report (PDF) - Potential for harm
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · Mar 7, 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
- 517 South A Street
Madera, CA 93638 - CMS certification #
- 055147
- Ownership
- For profit - Limited Liability company
- Certified beds
- 176
- Avg residents/day
- 169.1
- 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 Madera Rehabilitation & Nursing Center using Google Maps.
Other public records
- Website says A memory care unit
- Workplace safety 5 OSHA workplace safety inspections since 2016, 2 violations cited
Full public records, with dates and sources
Care and services
From the community’s website
What Madera Rehabilitation & Nursing Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Has a separate memory care unit, wing or neighborhood.
Our secured memory care unit offers 24-hour supervised care with meals, activities, and health management for residents.
(page, checked Oct 12, 2026)
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.
- Jul 21, 2026: complaint inspection, partial (safety). Case closed Sep 18, 2026. No violations cited. OSHA record. OSHA recorded the employer as CF Madera, LLC.
- Nov 7, 2018: complaint inspection, partial (safety). Case closed Apr 18, 2019. No violations cited. OSHA record. OSHA recorded the employer as Madera Rehabilitation and Nursing Center.
- Aug 7, 2018: complaint inspection, partial (health). Case closed Aug 10, 2018. No violations cited. OSHA record. OSHA recorded the employer as Madera Rehabilitation and Nursing Center.
- Mar 2, 2018: complaint inspection, partial (health). Case closed Mar 16, 2018. No violations cited. OSHA record. OSHA recorded the employer as Madera Rehabilitation and Nursing Center.
- Apr 12, 2016: complaint inspection, partial (health). Case closed Aug 15, 2016. 2 violations cited (2 other). Penalties: $655 proposed, $655 now. OSHA record. OSHA recorded the employer as Madera Rehabilitation and Nursing Center.
Details
- Other than serious: Cited rule 4300.29(b)(6). Penalty $375 proposed, $375 now. To be fixed by Aug 11, 2016.
- Other than serious: Cited rule 1529(K)(9)(E). Penalty $280 proposed, $280 now. To be fixed by Aug 11, 2016.
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
- Madera Community Hospital, Madera. 1.1 miles away, straight line.
- Nearest Medicare nursing home
- Golden Madera Care Center, Madera. 1.7 miles away, straight line.
- Nearest home health agency office
- One Good Homehealth Inc., Madera. 0.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Rite Aid. 0.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 93638 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Almond Wood Dialysis, Madera, 1.0 mile away, straight line (CMS rating 3 of 5 stars)
Davita North Madera Dialysis, Madera, 1.1 miles away, straight line (CMS rating 5 of 5 stars)
Madera Kidney Center, Madera, 1.9 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 29 Medicare hospices tell CMS they serve ZIP code 93638.
Bright Horizon Hospice Services, office in Fresno, 13.5 miles away, straight line
Bristol Hospice Fresno, office in Fresno, 14.8 miles away, straight line (CMS family survey rating 3 of 5 stars)
Fresno Hospice, office in Fresno, 15.8 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Permanente Medical Group Inc, Fresno. 16.9 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 X: 0.2% annual chance (500-year) flood area (moderate risk). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively moderate, 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 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: no FEMA wildfire rating of moderate or higher here |
| 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 | See above |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Madera Rehabilitation & Nursing Center a good nursing home?
CMS gives Madera Rehabilitation & Nursing Center an overall rating of 2 out of 5 stars, including 3/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Madera Rehabilitation & Nursing Center staffed?
Madera Rehabilitation & Nursing Center reports 3.92 total nurse hours per resident per day, compared with the California average of 4.51.
Has Madera Rehabilitation & Nursing Center had inspection problems?
Its most recent CMS inspection cited 24 deficiencies.
How many beds does Madera Rehabilitation & Nursing Center have?
Madera Rehabilitation & Nursing Center is certified for 176 beds.