Nursing home · SNF / NF

Madera Rehabilitation & Nursing Center

Federal · CMS State licenseActive CMS certificationCCN 055147CA lic. 040000118For profit CMS overall

517 South a Street, Madera, CA 93638 · Operated by Cf Madera, LLC · Chain Cambridge Healthcare Services

Source: CMS Provider Data Catalog, release Oct 16, 2026 + state license · provenance

$25 Full Intelligence Report

Certified beds

176

Avg residents / day

169

Inspections

Citations

100

Harm-level

Fines

$374k

State actions

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 176 CMS-certified beds (not state-licensed beds)
Licensed beds: 176 state-licensed beds · California Department of Public Health
State license: 040000118 active · licensee CF MADERA, LLC
Average residents per day: 168.9 CMS, MDS-derived
CMS Certification Number: 055147
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jan 1, 1967
Ownership type: For profit - Limited Liability company
Operator (legal business name): Cf Madera, LLC
CMS chain: Cambridge Healthcare Services 32 facilities
Phone: (559) 673-9228
Resident & family council: None
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

State enforcement · CA (historical)

Historical

State actions

2000–2024

Class AA / A

no class AA

Since 2019

$26k final penalties

California CDPH state citations and administrative penalties, 1997 to early 2024 (archived dataset). Separate from federal CMS deficiencies.

Inspection record · CMS window

Verified

Inspections

latest Feb 24, 2026

Citations

100

71 health · 29 fire

Harm or worse

1 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K1	L·
Actual harm	G6	H·	I·
Potential harm	D45	E28	F18
Minimal	A·	B1	C1

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

$373,733

Payment denials

Latest

Aug 14, 2025

Date	Domain	Survey types	Citations	Most severe	Open
Feb 24, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Feb 11, 2026	Health	Health Complaint	2	Potential harm	—	Open →
Aug 14, 2025	Fire safety	Fire Safety Standard	8	Potential harm	—	Open →
Aug 14, 2025	Health	Health Complaint, Health Standard	21	Actual harm	—	Open →
Jun 10, 2025	Health	Health Complaint	2	Potential harm	—	Open →
Apr 15, 2025	Health	Health Complaint	3	Actual harm	—	Open →
Mar 7, 2025	Health	Health Complaint	11	Immediate jeopardy	—	Open →
Jan 9, 2025	Health	Health Complaint	5	Actual harm	—	Open →
Nov 22, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Jun 21, 2024	Fire safety	Fire Safety Standard	14	Potential harm	—	Open →
Jun 21, 2024	Health	Health Standard	7	Potential harm	—	Open →
May 2, 2024	Health	Health Complaint	1	Actual harm	—	Open →
Apr 4, 2024	Health	Health Complaint	3	Actual harm	—	Open →
Mar 8, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Nov 15, 2023	Health	Health Complaint	1	Potential harm	—	Open →
Apr 26, 2019	Fire safety	Fire Safety Standard	7	Potential harm	—	Open →
Apr 26, 2019	Health	Health Standard	12	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Aug 14, 2025	Denial of payment for new admissions	—	Sep 12, 2025 · 15 days	055147\|Payment Denial\|2025-09-12
Aug 14, 2025	Civil money penalty (fine)	$126,900	—	055147\|Fine\|135632
Jan 9, 2025	Denial of payment for new admissions	—	Feb 13, 2025 · 83 days	055147\|Payment Denial\|2025-02-13
Jan 9, 2025	Civil money penalty (fine)	$194,145	—	055147\|Fine\|131246
Mar 8, 2024	Civil money penalty (fine)	$52,688	—	055147\|Fine\|130460

State citations & penalties · historical

State enforcement · California

California CDPH state citations and administrative penalties, 1997 to early 2024 (archived dataset). Separate from federal CMS deficiencies.

Issued	Class	Type	Category	Final amount	Flags	Record
May 3, 2024 violation Jan 15, 2024	Class A	Citation Citation A (HSC 1424)	Patient Care	$20,000	Appealed Open	040020083
Aug 4, 2014 violation Feb 1, 2014	Class B	Citation Citation B (HSC 1424)	Patient Care	$2,000	Appealed Open	040010905
Mar 14, 2002 violation Apr 22, 2001	Class B	Citation Citation B (HSC 1424)	Other · RESTRAINTS	$400 initial $500	Appealed Closed	040001242
Nov 1, 2001 violation Jan 4, 2001	Class B	Citation Citation B (HSC 1424)	Patient Rights	$1,000	Closed	040001230
Dec 4, 2000 violation Jul 23, 2000	Class B	Citation Citation B (HSC 1424)	Other · RES. TO RES. ABUSE	$1,000	Appealed Closed	040001195
Nov 30, 2000 violation Nov 10, 2000	Class B	Citation Citation B (HSC 1424)	Patient Care	$800 initial $1,000	Appealed Closed	040001194
Apr 13, 2000 violation Feb 1, 2000	Class B	Citation Citation B (HSC 1424)	Patient Rights	$1,200 initial $1,000	Appealed Closed	040001174

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K1	L·
Actual harm	G6	H·	I·
Potential harm	D45	E28	F18
Minimal	A·	B1	C1

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Feb 24, 2026	F-0908	Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Mar 9, 2026	Complaint
Feb 11, 2026	F-0842	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 · Clinical care	E · Potential harm Pattern	Corrected Mar 6, 2026	Complaint
Feb 11, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Mar 6, 2026	Complaint
Aug 14, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Sep 27, 2025	Complaint
Aug 14, 2025	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Sep 27, 2025
Aug 14, 2025	K-0161	Use approved construction type or materials. Construction Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 5, 2025
Aug 14, 2025	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 5, 2025
Aug 14, 2025	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 5, 2025
Aug 14, 2025	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 5, 2025
Aug 14, 2025	K-0919	Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 5, 2025
Aug 14, 2025	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 5, 2025
Aug 14, 2025	K-0929	Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 5, 2025
Aug 14, 2025	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Sep 27, 2025
Aug 14, 2025	F-0552	Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 27, 2025
Aug 14, 2025	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 27, 2025
Aug 14, 2025	F-0656	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 · Clinical care	E · Potential harm Pattern	Corrected Sep 27, 2025
Aug 14, 2025	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	F · Potential harm Widespread	Corrected Sep 27, 2025
Aug 14, 2025	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 27, 2025
Aug 14, 2025	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Sep 27, 2025
Aug 14, 2025	F-0756	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Sep 27, 2025
Aug 14, 2025	F-0757	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Sep 27, 2025
Aug 14, 2025	F-0761	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 · Medication management	D · Potential harm Isolated	Corrected Sep 27, 2025
Aug 14, 2025	F-0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Sep 27, 2025
Aug 14, 2025	F-0805	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Sep 27, 2025
Aug 14, 2025	F-0808	Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Sep 27, 2025
Aug 14, 2025	F-0810	Provide special eating equipment and utensils for residents who need them and appropriate assistance. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Sep 27, 2025
Aug 14, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Sep 27, 2025
Aug 14, 2025	F-0813	Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Sep 27, 2025
Aug 14, 2025	F-0838	Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · Administration & records	F · Potential harm Widespread	Corrected Sep 27, 2025
Aug 14, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Sep 27, 2025
Aug 14, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Sep 5, 2025
Aug 14, 2025	F-0912	Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Environment & life safety	B · Minimal Pattern	Corrected Sep 27, 2025
Jun 10, 2025	F-0584	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 · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jun 10, 2025	Complaint
Jun 10, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Jun 10, 2025	Complaint
Apr 15, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected May 7, 2025	Complaint
Apr 15, 2025	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 7, 2025	Complaint
Apr 15, 2025	F-0726	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 · Staffing & supervision	E · Potential harm Pattern	Corrected May 7, 2025	Complaint
Mar 7, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	K · Immediate jeopardy Pattern	Corrected May 7, 2025	Complaint
Mar 7, 2025	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 7, 2025	Complaint
Mar 7, 2025	F-0584	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 · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 7, 2025	Complaint
Mar 7, 2025	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 7, 2025	Complaint
Mar 7, 2025	F-0656	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 · Clinical care	E · Potential harm Pattern	Corrected May 7, 2025	Complaint
Mar 7, 2025	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 7, 2025	Complaint
Mar 7, 2025	F-0726	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 · Staffing & supervision	E · Potential harm Pattern	Corrected May 7, 2025	Complaint
Mar 7, 2025	F-0835	Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Administration & records	F · Potential harm Widespread	Corrected May 7, 2025	Complaint
Mar 7, 2025	F-0849	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. Administration Deficiencies · Administration & records	E · Potential harm Pattern	Corrected May 7, 2025	Complaint
Mar 7, 2025	F-0865	Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records	E · Potential harm Pattern	Corrected May 7, 2025	Complaint
Mar 7, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected May 7, 2025	Complaint
Jan 9, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected May 7, 2025	Complaint
Jan 9, 2025	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 7, 2025	Complaint
Jan 9, 2025	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected May 7, 2025	Complaint
Jan 9, 2025	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected May 7, 2025	Complaint
Jan 9, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	F · Potential harm Widespread	Corrected May 7, 2025	Complaint
Nov 22, 2024	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 2, 2025	Complaint
Jun 21, 2024	E-0015	Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Jul 22, 2024
Jun 21, 2024	E-0030	List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Jul 22, 2024
Jun 21, 2024	E-0039	Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Jul 22, 2024
Jun 21, 2024	K-0161	Use approved construction type or materials. Construction Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 22, 2024
Jun 21, 2024	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 22, 2024
Jun 21, 2024	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 22, 2024
Jun 21, 2024	K-0347	Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 22, 2024
Jun 21, 2024	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 22, 2024
Jun 21, 2024	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 22, 2024
Jun 21, 2024	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 22, 2024
Jun 21, 2024	K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 22, 2024
Jun 21, 2024	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 22, 2024
Jun 21, 2024	K-0919	Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 22, 2024
Jun 21, 2024	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 22, 2024
Jun 21, 2024	F-0578	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jul 20, 2024
Jun 21, 2024	F-0623	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jul 20, 2024
Jun 21, 2024	F-0625	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jul 20, 2024
Jun 21, 2024	F-0656	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 · Clinical care	E · Potential harm Pattern	Corrected Jul 20, 2024
Jun 21, 2024	F-0840	Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected Jul 20, 2024
Jun 21, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	F · Potential harm Widespread	Corrected Jul 20, 2024
Jun 21, 2024	F-0912	Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 20, 2024
May 2, 2024	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Past non-compliance Apr 26, 2024	ComplaintIDR
Apr 4, 2024	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	G · Actual harm Isolated	Corrected Apr 26, 2024	Complaint
Apr 4, 2024	F-0655	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 · Clinical care	E · Potential harm Pattern	Corrected Apr 26, 2024	Complaint
Apr 4, 2024	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 26, 2024	Complaint
Mar 8, 2024	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 24, 2024	Complaint
Nov 15, 2023	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Dec 8, 2023	Complaint
Apr 26, 2019	E-0004	Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Jul 9, 2019
Apr 26, 2019	E-0006	Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Jul 9, 2019
Apr 26, 2019	E-0018	Establish procedures for tracking staff and patients during an emergency. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Jul 9, 2019
Apr 26, 2019	E-0030	List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Jul 9, 2019
Apr 26, 2019	E-0041	Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Jul 9, 2019
Apr 26, 2019	K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 9, 2019
Apr 26, 2019	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 9, 2019
Apr 26, 2019	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 25, 2019
Apr 26, 2019	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jun 25, 2019
Apr 26, 2019	F-0577	Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Resident rights & abuse/neglect	F · Potential harm Widespread	Corrected Jun 25, 2019
Apr 26, 2019	F-0584	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 · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jun 25, 2019
Apr 26, 2019	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 25, 2019
Apr 26, 2019	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 25, 2019
Apr 26, 2019	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 25, 2019
Apr 26, 2019	F-0761	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 · Medication management	E · Potential harm Pattern	Corrected Jun 25, 2019
Apr 26, 2019	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Jun 25, 2019
Apr 26, 2019	F-0813	Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Jun 25, 2019
Apr 26, 2019	F-0912	Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Waiver granted Jun 25, 2019
Apr 26, 2019	F-0921	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 25, 2019

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Operating entity

Cf Madera, LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Cambridge Healthcare Services

32 facilities in 1 states. CMS chain ID 98.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.6

Ownership disclosures

Disclosures

Organizations

Individuals

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Crescent Facilities Operations LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Dec 19, 2006
Win Win Enterprises, LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	35%	Feb 1, 2007
Jenmax Enterprises LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	23%	Feb 1, 2007
Jk-Csh Jv LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	12%	Nov 1, 2006
Manhattan Five Partners LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	7%	Nov 1, 2006
Bering Properties LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	6%	Oct 10, 2013
Bh Alliance	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Nov 1, 2006
The Jacob Wintner Trust	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Nov 1, 2006
The Wintner Living Trust Dated 7/08/1992	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2007

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Crescent Facilities Operations LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Dec 19, 2006
Win Win Enterprises, LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	35%	Feb 1, 2007
Jenmax Enterprises LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	23%	Feb 1, 2007
Jk-Csh Jv LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	12%	Nov 1, 2006
Manhattan Five Partners LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	7%	Nov 1, 2006
Bering Properties LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	6%	Oct 10, 2013
Bh Alliance	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Nov 1, 2006
The Jacob Wintner Trust	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Nov 1, 2006
The Wintner Living Trust Dated 7/08/1992	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2007
Gregory Bretsch	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Feb 25, 2019
Akash Lal	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Oct 28, 2024
Cambridge Healthcare Services LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2014
Gregory Bretsch	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 25, 2019
Julia Bulosan	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 27, 2025
Julie Butenko	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 24, 2023
Heidi Capela	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 3, 2023
Lance Hassell	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 25, 2022
Akash Lal	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 28, 2024
Linda Lutz	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 1, 2012
Paulina Salazar	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 14, 2020
Ranjeet Singh	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 8, 2024
Ira Smedra	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 1, 2007
Jacob Wintner	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 1, 2007
Jacob Wintner	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Feb 1, 2007
517 S. a Street LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 15, 2006
Cambridge Healthcare Services LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jul 24, 2025
Jenmax Enterprises LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 15, 2006
Jk-Csh Jv LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 15, 2006
Win Win Enterprises, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 15, 2006
Gregory Bretsch	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 25, 2019
Julia Bulosan	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 27, 2025
Julie Butenko	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 24, 2023
Heidi Capela	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 3, 2023
Lance Hassell	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 25, 2022
Akash Lal	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 22, 2025
Linda Lutz	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2012
Paulina Salazar	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Dec 14, 2020
Ranjeet Singh	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 8, 2024
Ira Smedra	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2007
Jacob Wintner	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2007

Same chain in California

All 31 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Watsonville Nursing Center 535 Auto Center Drive, Watsonville, CA 95076 CCN 0552403 state class AA/A	87	Jan 9, 2026	56	—
Merced Nursing & Rehabilitation Ctr 510 West 26th Street, Merced, CA 95340 CCN 055249	79	Jul 17, 2026	46	—
La Sierra Care Center 2424 M Street, Merced, CA 95340 CCN 055271	68	Jan 23, 2026	61	—
Valley Palms Care Center 13400 Sherman Way, N Hollywood, CA 91605 CCN 0552871 state class AA/A	99	May 18, 2026	1371 IJ1 harm	$34k
Monrovia Gardens Healthcare Center 615 W. Duarte Rd., Monrovia, CA 91016 CCN 0553673 state class AA/A	96	Jul 15, 2026	1191 harm	—
Huntington Drive Health and Rehabilitation Center 400 W. Huntinton Dr., Arcadia, CA 91007 CCN 0553763 state class AA/A	99	Jul 24, 2026	99	—
Buena Vista Care Center 1440 S Euclid Avenue, Anaheim, CA 92802 CCN 055459	99	May 11, 2026	1011 open	—
Glendale Post Acute Center 250 N. Verdugo Road, Glendale, CA 91206 CCN 0555234 state class AA/A	136	Jul 8, 2026	1123 IJ1 harm1 open	$162k

Coordinates as published by CMS.

Address: 517 South a Street, Madera, CA 93638
ZIP: 93638
County: Madera County FIPS 06039
State: California
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Madera Care Center 1700 Howard Road, Madera, CA 93637 CCN 0551911 state class AA/A	2.8 km	64		Mar 19, 2026	61	$35k
Paris-Lamb Health Center 23370 Road 22, Chowchilla, CA 93610 State license only	17.3 km	38 lic.	Not CMS rated	—	No inspections in window	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	055147	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	055147	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026
California CDPH Licensed Facility Listing CA	040000034	state_license, licensed_beds, licensee Linked to the CMS record by exact CCN.	Verified	Oct 16, 2026	Nov 7, 2026

Record-level source links for CCN 055147

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction

Loading facility…

Madera Rehabilitation & Nursing Center

Federal certification

State license

Penalties

State enforcement · California

Owners of record

All disclosed roles

Same chain in California

Nearby nursing homes

Madera Rehabilitation & Nursing Center

Federal certification

State license

Penalties

State enforcement · California

Owners of record

All disclosed roles

Same chain in California

Nearby nursing homes