Nursing Home

Madera Care Center

1700 Howard Road, Madera, CA 93637

Part of Golden Snf Operationssee all 7 affiliated facilities

64 certified beds 61 residents per day on average

CMS Five-Star Quality Rating

4 out of 5 Stars

Overall rating

Health inspections

From the three most recent annual inspection cycles and recent complaint investigations.

Staffing

Based on nurse staffing hours relative to the care needs of this facility’s residents.

Quality measures

Based on clinical quality measures reported for residents, from assessments and Medicare claims.

Source: CMS Five-Star Quality Rating System. These are CMS's own ratings, shown exactly as published — CareRanks does not adjust or re-weight them. How CMS calculates these ratings ↗

Medicare Outcome Measures

Source: CMS Skilled Nursing Facility Quality Reporting Program. Rates are risk-standardized by CMS; the comparison category is CMS's own, shown exactly as published.

Clinical Quality Measures

Source: CMS MDS quality measures (four-quarter average).

Nurse Staffing

Nurse staffing per resident per day
4.0 hours

CA average: 4.5 hours · National: 3.9 hours

All nursing staff combined: RNs, LPNs/LVNs, and nurse aides.

Registered nurse (RN) time per resident per day
0.7 hours

CA average: 0.7 hours · National: 0.7 hours

RN hours only — the most highly trained nursing staff.

Weekend nurse staffing per resident per day
3.7 hours

CA average: 4.1 hours · National: 3.4 hours

Total nurse staffing on Saturdays and Sundays, when staffing typically dips.

Nursing staff turnover in the past year
49.3%

CA average: 36.7% · National: 45.8%

Share of this facility’s nursing staff who stopped working there over 12 months.

Reported by facilities through CMS's Payroll-Based Journal system. Facility values and the state/national averages are shown exactly as CMS publishes them. More staffing hours are generally better; lower turnover is generally better.

Penalties & Enforcement

8 fines totaling $41,597 in the recent inspection window (most recent: January 8, 2024).

Federal enforcement actions from CMS's penalty file: civil money penalties (fines) and denials of Medicare payment tied to health-inspection deficiencies.

Ownership

Ownership type
For profit - Limited Liability company
Chain
Golden Snf Operations

This facility changed ownership within the last 12 months.

Who owns this facility — 23 entries in CMS's ownership records expand ↓
  • Madera Post Acute LLC Organization
    Direct owner (≥5%) 100% ownership since 11/04/2025
  • Sun Meridian Health Holdings LLC Organization
    Indirect owner (≥5%) 100% ownership since 11/04/2025
  • Madera Snf Propco LLC Organization
    Security interest (≥5%) since 11/04/2025
  • Johnson, David Individual
    Managing control (governing body) since 11/04/2025
  • Madera Post Acute LLC Organization
    Operational/managerial control since 11/04/2025
  • Bhinder, Sumandeep Individual
    Operational/managerial control since 11/04/2025
  • Dehghanmanesh, Adrian Individual
    Operational/managerial control since 11/04/2025
  • Johnson, David Individual
    Operational/managerial control since 11/04/2025
  • Johnson, Frank Individual
    Operational/managerial control since 11/04/2025
  • Kochek, Joshua Individual
    Operational/managerial control since 11/04/2025

…and 13 more entries in CMS's ownership records for this facility.

From CMS's nursing-home ownership file. Roles and percentages are as reported to CMS by the facility; one person or entity can hold several roles.

Inspections & Fire Safety — 3 health (CA avg 15.7) · 9 fire (CA avg 6.3) Details

38 deficiencies cited across recent inspection cycles. Most recent survey: March 19, 2026.

Most recent inspection cycle: 3 health deficiencies · CA average: 15.7 · National: 9.3

23 fire-safety deficiencies cited — most often gas, vacuum, and electrical systems (7) and smoke (6).

Most recent fire-safety inspection (2025-04-03): 9 deficiencies · CA average: 6.3 · National: 4.5

Sources: CMS health inspection reports (standard surveys and complaint investigations) and CMS Life Safety Code inspections (smoke barriers, sprinklers, exits, emergency preparedness). Averages are CMS-published state and national figures for the most recent inspection cycle.

Is this your organization?

Claim this listing free to add your logo, correct details, and publish a statement.

Claim this listing

How Madera Care Center compares nearby

Compared with the 8 other nursing homes within 25 miles — 9 facilities in all, CMS data only.

Among the 9 nursing homes within 25 miles, Madera Care Center's overall star rating is 4★; the median among the 8 peers reporting it is 3.5★.

Measure This facility Nearby median Best nearby
Overall star rating reported by 8 of 8 nearby peers 4★ 3.5★ 5★
Health inspections reported by 8 of 8 nearby peers 4★ 3★ 4★
Staffing reported by 8 of 8 nearby peers 3★ 3★ 5★
Quality measures reported by 8 of 8 nearby peers 4★ 4★ 5★

The comparison group

Cohort: within 25 miles · CMS data period 2026-08 · method cohort-v1 · comparisons are never affected by claiming or payment. How nearby comparisons work

Compare this nursing home with another →