Nursing home · SNF / NF

La Sierra Care Center

Federal · CMS State licenseActive CMS certificationCCN 055271CA lic. 040000211For profit CMS overall

2424 M Street, Merced, CA 95340 · Operated by Cf Merced La Sierra, LLC · Chain Cambridge Healthcare Services

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

$25 Full Intelligence Report

Certified beds

Avg residents / day

Inspections

Citations

Harm-level

Fines

State actions

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 68 CMS-certified beds (not state-licensed beds)
Licensed beds: 68 state-licensed beds · California Department of Public Health
State license: 040000211 active · licensee CF MERCED LA SIERRA, LLC
Average residents per day: 65.7 CMS, MDS-derived
CMS Certification Number: 055271
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 Merced La Sierra, LLC
CMS chain: Cambridge Healthcare Services 32 facilities
Phone: (209) 723-4224
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

State enforcement · CA (historical)

Historical

State actions

2020–2022

Class AA / A

no class AA

Since 2019

$50k 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 Jan 23, 2026

Citations

38 health · 23 fire

Harm or worse

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D33	E15	F9
Minimal	A·	B·	C4

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

Payment denials

Latest

—

Date	Domain	Survey types	Citations	Most severe	Open
Jan 23, 2026	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Jan 23, 2026	Health	Health Standard	11	Potential harm	—	Open →
Nov 19, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Apr 3, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Oct 23, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Aug 23, 2024	Fire safety	Fire Safety Standard	8	Potential harm	—	Open →
Aug 23, 2024	Health	Health Standard	13	Potential harm	—	Open →
Oct 9, 2023	Health	Health Complaint	1	Potential harm	—	Open →
Apr 29, 2021	Fire safety	Fire Safety Standard	11	Potential harm	—	Open →
Apr 29, 2021	Health	Health Standard	10	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.

No fines or payment denials in the CMS Penalties file for this CCN.

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
Mar 8, 2022 violation Oct 1, 2019	AP NHPPD	Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	$30,000	Closed	810017451
Jan 31, 2020 violation Jul 13, 2019	Class B	Citation Citation A (HSC 1424)	Patient Care	$20,000	Appealed Open	040015722

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D33	E15	F9
Minimal	A·	B·	C4

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jan 23, 2026	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jan 29, 2026
Jan 23, 2026	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 30, 2026
Jan 23, 2026	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 12, 2026
Jan 23, 2026	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 Jan 29, 2026
Jan 23, 2026	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Feb 23, 2026
Jan 23, 2026	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	D · Potential harm Isolated	Corrected Feb 23, 2026
Jan 23, 2026	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 Feb 23, 2026
Jan 23, 2026	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 Feb 23, 2026
Jan 23, 2026	F-0801	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 · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Feb 23, 2026
Jan 23, 2026	F-0803	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 · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Feb 23, 2026
Jan 23, 2026	F-0806	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 · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Feb 23, 2026
Jan 23, 2026	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	E · Potential harm Pattern	Corrected Feb 23, 2026
Jan 23, 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 Feb 23, 2026
Jan 23, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Feb 23, 2026
Jan 23, 2026	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 Feb 23, 2026
Nov 19, 2025	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	D · Potential harm Isolated	Corrected Dec 11, 2025	Complaint
Apr 3, 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 Apr 21, 2025	Complaint
Oct 23, 2024	F-0800	Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Nov 4, 2024	Complaint
Aug 23, 2024	E-0015	Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Sep 4, 2024
Aug 23, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 4, 2024
Aug 23, 2024	K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 4, 2024
Aug 23, 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 Sep 4, 2024
Aug 23, 2024	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 4, 2024
Aug 23, 2024	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 23, 2024
Aug 23, 2024	F-0645	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 23, 2024
Aug 23, 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 Sep 23, 2024
Aug 23, 2024	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 23, 2024
Aug 23, 2024	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 23, 2024
Aug 23, 2024	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	D · Potential harm Isolated	Corrected Sep 23, 2024
Aug 23, 2024	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Sep 23, 2024
Aug 23, 2024	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Sep 23, 2024
Aug 23, 2024	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 23, 2024
Aug 23, 2024	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 23, 2024
Aug 23, 2024	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	D · Potential harm Isolated	Corrected Sep 23, 2024
Aug 23, 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	F · Potential harm Widespread	Waiver granted Sep 23, 2024
Aug 23, 2024	E-0023	Establish policies and procedures for medical documentation. Emergency Preparedness Deficiencies · Emergency preparedness	C · Minimal Widespread	Corrected Sep 4, 2024
Aug 23, 2024	K-0341	Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Sep 4, 2024
Aug 23, 2024	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Sep 4, 2024
Aug 23, 2024	F-0732	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision	C · Minimal Widespread	Corrected Sep 23, 2024
Oct 9, 2023	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	D · Potential harm Isolated	Corrected Oct 26, 2023	Complaint
Apr 29, 2021	E-0007	Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected May 18, 2021
Apr 29, 2021	E-0018	Establish procedures for tracking staff and patients during an emergency. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected May 18, 2021
Apr 29, 2021	E-0023	Establish policies and procedures for medical documentation. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected May 18, 2021
Apr 29, 2021	E-0024	Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected May 18, 2021
Apr 29, 2021	E-0036	Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected May 18, 2021
Apr 29, 2021	K-0232	Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 18, 2021
Apr 29, 2021	K-0293	Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 18, 2021
Apr 29, 2021	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 18, 2021
Apr 29, 2021	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 18, 2021
Apr 29, 2021	K-0711	Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 18, 2021
Apr 29, 2021	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 18, 2021
Apr 29, 2021	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 11, 2021
Apr 29, 2021	F-0565	Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Apr 29, 2021
Apr 29, 2021	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 20, 2021
Apr 29, 2021	F-0679	Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jun 10, 2021
Apr 29, 2021	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	E · Potential harm Pattern	Corrected Jun 10, 2021
Apr 29, 2021	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 May 20, 2021
Apr 29, 2021	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	D · Potential harm Isolated	Corrected Jun 10, 2021
Apr 29, 2021	F-0868	Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Administration & records	F · Potential harm Widespread	Corrected Jun 10, 2021
Apr 29, 2021	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 Jun 10, 2021
Apr 29, 2021	F-0920	Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 11, 2021

“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 Merced La Sierra, 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%	Feb 7, 2007
Bering Properties LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2007
Ira & Rachel Smedra Family Irrevocable Gift Trust	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2007
Jenmax Enterprises LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2007
Jennifer Nurit Smedra Trust 1997 Trust	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2007
Jk-Csh Jv LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Nov 1, 2006
Manhattan Five Partners LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Nov 1, 2006
The Hyman & Betty Ingber Family Trust	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Oct 10, 2013
Win Win Enterprises, LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2007
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
Jacob Wintner	Individual	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%	Feb 7, 2007
Bering Properties LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2007
Ira & Rachel Smedra Family Irrevocable Gift Trust	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2007
Jenmax Enterprises LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2007
Jennifer Nurit Smedra Trust 1997 Trust	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2007
Jk-Csh Jv LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Nov 1, 2006
Manhattan Five Partners LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Nov 1, 2006
The Hyman & Betty Ingber Family Trust	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Oct 10, 2013
Win Win Enterprises, LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2007
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
Jacob Wintner	Individual	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
Michael Darouze	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jan 22, 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
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
Michael Darouze	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 22, 2024
Lance Hassell	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 25, 2022
Linda Lutz	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 1, 2012
Arun Manoharan	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 24, 2024
Paulina Salazar	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 1, 2020
Skyler Silveira	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 1, 2021
Ira Smedra	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2014
Jacob Wintner	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 1, 2007
Ira Smedra	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Apr 1, 2014
Jacob Wintner	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Feb 1, 2007
2424 M 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 15, 2025
Jenmax Enterprises LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2007
Jk-Csh Jv LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Nov 1, 2006
Win Win Enterprises, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2007
Gregory Bretsch	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 25, 2019
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
Michael Darouze	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 15, 2025
Lance Hassell	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 25, 2022
Linda Lutz	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2012
Arun Manoharan	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 24, 2024
Paulina Salazar	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Dec 14, 2020
Ira Smedra	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2014

Same chain in California

All 31 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Madera Rehabilitation & Nursing Center 517 South a Street, Madera, CA 93638 CCN 0551471 state class AA/A	176	Feb 24, 2026	1001 IJ6 harm	$374k
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	—
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: 2424 M Street, Merced, CA 95340
ZIP: 95340
County: Merced County FIPS 06047
State: California
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Merced Nursing & Rehabilitation Ctr 510 West 26th Street, Merced, CA 95340 CCN 055249	0.1 km	79	Jul 17, 2026	46	—
Golden Merced Care Center 3170 M Street, Merced, CA 95340 CCN 0559882 state class AA/A	0.5 km	121	Aug 20, 2026	521 harm2 open	—
Franciscan Post-Acute Care Center 3169 M Street, Merced, CA 95348 CCN 055979	1.3 km	71	Apr 20, 2026	373 harm	$9,110
Merced Behavioral Center 1255 B Street, Merced, CA 95341 CCN 05A1471 state class AA/A	2.2 km	96	Aug 21, 2026	461 harm	—
Anberry Post Acute 1000 West Yosemite Avenue, Merced, CA 95341 CCN 555901	4.8 km	120	Jun 19, 2026	51	—
Anberry Nursing and Rehabilitation Center 1685 Shaffer Rd, Atwater, CA 95301 CCN 5552441 state class AA/A	11.4 km	99	Jan 23, 2026	36	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	055271	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	055271	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	040000027	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 055271

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

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La Sierra Care Center

Federal certification

State license

Penalties

State enforcement · California

Owners of record

All disclosed roles

Same chain in California

Nearby nursing homes

La Sierra Care Center

Federal certification

State license

Penalties

State enforcement · California

Owners of record

All disclosed roles

Same chain in California

Nearby nursing homes