Madera Rehabilitation & Nursing Center has received an F grade based on CMS data, with a score of 23/100 — placing it among the lowest-rated nursing facilities in California. Families considering this Madera facility should carefully review its inspection history and quality metrics.
Staffing at Madera Rehabilitation & Nursing Center is near the national average, with 3.92 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 65 deficiencies at Madera Rehabilitation & Nursing Center, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.92 | 3.8 | Average |
| Registered Nurses (RN) | 0.60 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.70 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 2.61 | 2.4 | Average |
| Weekend Total Nursing | 3.68 | 3.8 | Average |
| Weekend RN Hours | 0.57 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0689 Severity GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Aug 13, 2025 · Quality of Life and Care Deficiencies
- Tag 0584 Severity EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for dJun 9, 2025 · Resident Rights Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Jun 9, 2025 · Infection Control Deficiencies
- Tag 0689 Severity GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Apr 14, 2025 · Quality of Life and Care Deficiencies
- Tag 0726 Severity EEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Apr 14, 2025 · Nursing and Physician Services Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 2.3% | 4.5% | Better |
| Falls with major injury | 4.2% | 3.0% | Worse |
| On antipsychotic medication | 12.9% | 14.5% | Better |
| Urinary tract infections | 0.9% | 2.5% | Better |
| ADL decline (daily activities) | 9.3% | 14.0% | Better |
| Excessive weight loss | 5.0% | 7.5% | Better |
| New/worsened incontinence | 19.7% | 45.0% | Better |
⚠️ Penalties & Fines
3 penalties recorded by CMS
Total fines: $373,733
How This Grade Was Calculated
This facility's grade of F is based on a score of 23 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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