Nursing homes › California › La Sierra Care Center
2424 M Street, Merced, CA 95340 · 2097234224 · 68 certified beds
Per CMS filings, this facility is affiliated with Cambridge Healthcare Services, a group operating 32 facilities in 1 states. Group record: average rating 2.5/5, 1 abuse citation icons, 1 facilities on the Special Focus list, $1,091,988 in federal fines. This facility rates above its group average (2.5/5).
Total nurse staffing: 3.93 (California median: 4.24). RN hours: 0.52. Weekend total: 3.66. Nursing staff turnover: 55%.
All-time on record: 38 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-01-23 | 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. | E | Health | corrected 2026-02-23 |
| 2026-01-23 | 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. | E | Health | corrected 2026-02-23 |
| 2026-01-23 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Health | corrected 2026-02-23 |
| 2026-01-23 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2026-02-23 |
| 2026-01-23 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Health | corrected 2026-02-23 |
| 2026-01-23 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | E | Health | corrected 2026-02-23 |
| 2026-01-23 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2026-02-23 |
| 2026-01-23 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2026-02-23 |
| 2026-01-23 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2026-02-23 |
| 2026-01-23 | 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. | D | Health | corrected 2026-02-23 |
| 2026-01-23 | Provide and implement an infection prevention and control program. | D | Health | corrected 2026-02-23 |
| 2025-11-19 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | complaint | corrected 2025-12-11 |
| 2025-04-03 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2025-04-21 |
| 2024-10-23 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | E | complaint | corrected 2024-11-04 |
| 2024-08-23 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Health | corrected 2024-09-23 |
| 2024-08-23 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-09-23 |
| 2024-08-23 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | F | Health | corrected 2024-09-23 |
| 2024-08-23 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2024-09-23 |
| 2024-08-23 | Ensure that residents are free from significant medication errors. | E | Health | corrected 2024-09-23 |
| 2024-08-23 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2024-09-23 |
| 2024-08-23 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2024-09-23 |
| 2024-08-23 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2024-09-23 |
| 2024-08-23 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2024-09-23 |
| 2024-08-23 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2024-09-23 |
| 2024-08-23 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2024-09-23 |
| 2024-08-23 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2024-09-23 |
| 2024-08-23 | Post nurse staffing information every day. | C | Health | corrected 2024-09-23 |
| 2023-10-09 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2023-10-26 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| CRESCENT FACILITIES OPERATIONS LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 02/07/2007 |
| BERING PROPERTIES LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 02/01/2007 |
| IRA & RACHEL SMEDRA FAMILY IRREVOCABLE GIFT TRUST | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 02/01/2007 |
| JENMAX ENTERPRISES LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 02/01/2007 |
| JENNIFER NURIT SMEDRA TRUST 1997 TRUST | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 02/01/2007 |
| JK-CSH JV LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 11/01/2006 |
| MANHATTAN FIVE PARTNERS LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 11/01/2006 |
| THE HYMAN & BETTY INGBER FAMILY TRUST | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 10/10/2013 |
| WIN WIN ENTERPRISES, LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 02/01/2007 |
| BH ALLIANCE | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 11/01/2006 |
| THE JACOB WINTNER TRUST | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 11/01/2006 |
| THE WINTNER LIVING TRUST DATED 7/08/1992 | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 02/01/2007 |
| WINTNER, JACOB | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 02/01/2007 |
| BRETSCH, GREGORY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 02/25/2019 |
| DAROUZE, MICHAEL | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/22/2024 |
| SMEDRA, IRA | Corporate Officer | Individual | NOT APPLICABLE | since 04/01/2014 |
| WINTNER, JACOB | Corporate Officer | Individual | NOT APPLICABLE | since 02/01/2007 |
| CAMBRIDGE HEALTHCARE SERVICES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 04/01/2014 |
| BRETSCH, GREGORY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/25/2019 |
| BUTENKO, JULIE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/24/2023 |
| CAPELA, HEIDI | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/03/2023 |
| DAROUZE, MICHAEL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/22/2024 |
| HASSELL, LANCE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/25/2022 |
| LUTZ, LINDA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2012 |
| MANOHARAN, ARUN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/24/2024 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 055271. Corrections: data@carerecords.org.