Nursing homes › California › Madera Post Acute Center
11900 Ramona Boulevard, El Monte, CA 91732 · 6264425721 · 148 certified beds
Per CMS filings, this facility is affiliated with The Ensign Group, a group operating 346 facilities in 17 states. Group record: average rating 3.2/5, 33 abuse citation icons, 9 facilities on the Special Focus list, $7,179,329 in federal fines. This facility rates below its group average (3.2/5).
Total nurse staffing: 3.99 (California median: 4.24). RN hours: 0.34. Weekend total: 3.44. Nursing staff turnover: 50%.
All-time on record: 70 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-15 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | complaint | corrected 2026-06-10 |
| 2026-05-15 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | complaint | corrected 2026-06-10 |
| 2026-05-15 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2026-06-09 |
| 2026-04-23 | Reasonably accommodate the needs and preferences of each resident. | D | complaint | corrected 2026-05-15 |
| 2026-04-23 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2026-05-14 |
| 2026-04-23 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2026-05-11 |
| 2026-04-23 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2026-05-14 |
| 2026-04-08 | Reasonably accommodate the needs and preferences of each resident. | D | complaint | corrected 2026-05-01 |
| 2026-03-16 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | complaint | corrected 2026-04-02 |
| 2026-03-16 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | complaint | corrected 2026-04-02 |
| 2026-03-16 | 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 | complaint | corrected 2026-04-02 |
| 2026-03-16 | Have policies on smoking. | D | complaint | corrected 2026-04-02 |
| 2026-01-28 | Provide enough food/fluids to maintain a resident's health. | E | complaint | corrected 2026-02-14 |
| 2026-01-06 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | complaint | corrected 2026-01-30 |
| 2026-01-06 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | complaint | corrected 2026-01-30 |
| 2026-01-06 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | complaint | corrected 2026-01-30 |
| 2025-08-21 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | complaint | corrected 2025-09-12 |
| 2025-07-10 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Health | corrected 2025-07-24 |
| 2025-07-10 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Health | corrected 2025-07-30 |
| 2025-07-10 | Ensure each resident receives an accurate assessment. | E | Health | corrected 2025-07-30 |
| 2025-07-10 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2025-07-30 |
| 2025-07-10 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2025-07-25 |
| 2025-07-10 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-07-30 |
| 2025-07-10 | 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. | D | Health | corrected 2025-07-30 |
| 2025-07-10 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-07-30 |
| 2025-07-10 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Health | corrected 2025-07-30 |
| 2025-07-10 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Health | corrected 2025-07-30 |
| 2025-07-10 | Keep all essential equipment working safely. | D | Health | corrected 2025-07-30 |
| 2025-07-10 | Post nurse staffing information every day. | B | Health | corrected 2025-07-30 |
| 2025-04-07 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-05-01 |
| 2025-03-19 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2025-04-09 |
| 2025-02-05 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2025-03-03 |
| 2025-02-05 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-03-03 |
| 2024-12-16 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2025-01-07 |
| 2024-10-10 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-11-01 |
| 2024-10-09 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | complaint | corrected 2024-10-28 |
| 2024-07-19 | Reasonably accommodate the needs and preferences of each resident. | E | Health | corrected 2024-08-06 |
| 2024-07-19 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | E | Health | corrected 2024-08-05 |
| 2024-07-19 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Health | corrected 2024-08-08 |
| 2024-07-19 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Health | corrected 2024-08-08 |
| Date | Type | Amount |
|---|---|---|
| 2025-07-10 | Fine | $13,319 |
| 2024-05-17 | Fine | $16,198 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| LIU, JOHN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 02/01/2023 |
| YAMAK, NAJIB | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 02/01/2023 |
| WILLITS, ADAM | Corporate Director | Individual | NOT APPLICABLE | since 02/01/2023 |
| BURNAM, SOON | Corporate Officer | Individual | NOT APPLICABLE | since 11/08/2022 |
| GAMERO, ALICIA | Corporate Officer | Individual | NOT APPLICABLE | since 02/01/2023 |
| KEETCH, CHAD | Corporate Officer | Individual | NOT APPLICABLE | since 03/01/2011 |
| SATO, AMI | Corporate Officer | Individual | NOT APPLICABLE | since 09/09/2024 |
| TWOMAGNETS LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 02/01/2023 |
| LIU, JOHN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2023 |
| YAMAK, NAJIB | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2023 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 055141. Corrections: data@carerecords.org.