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Madera Care Center

1700 Howard Road, Madera, CA 936375596739278Ownership: For profit - Limited Liability companyCertified beds: 64Avg. daily residents: 60Chain: Golden SNF Operations (7 facilities)County: Madera
Ownership changed in the last 12 months — the current rating reflects performance partly under previous ownership.

The complete public record on Madera Care Center, a Medicare & Medicaid–certified nursing home in Madera, California, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★★★★☆
CMS’s composite of the three ratings below. California average: 3.2 stars.
Health inspection
★★★★☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★★☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★★★☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Madera Care Center holds a 4-star overall rating, in the top tier CMS assigns. Nursing staff turnover of 49% is well above the California average of 37%; high turnover is one of the strongest predictors of inconsistent care. Federal regulators have fined this facility $41,597 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

4.04 total nurse staff hours per resident per day
below the state average (4.52)
0.66 RN hours per resident per day
about the state average (0.67)
3.71 weekend nurse staff hours per resident per day
49.3% total nursing staff turnover
above the state average (36.7)
37.5% RN turnover
0 administrators left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

April 3, 2025 most recent standard health inspection
3 health deficiencies cited in the most recent inspection cycle
below the state average (15.6)
16 health deficiencies in the two prior cycles combined
$41,597 in federal fines across 8 penalties (last 3 years)
above the state average ($24,666)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

38 citations on record across recent inspections. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
March 19, 20260609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. ComplaintE · Potential for more than minimal harm
February 27, 20260689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. ComplaintD · Potential for more than minimal harm
April 16, 20250584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and… ComplaintE · Potential for more than minimal harm
April 4, 20250550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. ComplaintD · Potential for more than minimal harm
April 3, 20250880Provide and implement an infection prevention and control program.D · Potential for more than minimal harm
February 26, 20250689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. ComplaintD · Potential for more than minimal harm
July 3, 20240695Provide safe and appropriate respiratory care for a resident when needed. ComplaintD · Potential for more than minimal harm
June 19, 20240842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted… ComplaintD · Potential for more than minimal harm
February 20, 20240812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with…F · Potential for more than minimal harm
February 20, 20240584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and… ComplaintE · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.