Nursing homes › California › Madera Rehabilitation & Nursing Center
517 South a Street, Madera, CA 93638 · 5596739228 · 176 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 below its group average (2.5/5).
Total nurse staffing: 3.82 (California median: 4.24). RN hours: 0.53. Weekend total: 3.55. Nursing staff turnover: 46%.
All-time on record: 71 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-02-24 | Keep all essential equipment working safely. | E | complaint | corrected 2026-03-09 |
| 2026-02-11 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | complaint | corrected 2026-03-06 |
| 2026-02-11 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2026-03-06 |
| 2025-08-14 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2025-09-27 |
| 2025-08-14 | Provide enough food/fluids to maintain a resident's health. | G | Health | corrected 2025-09-27 |
| 2025-08-14 | Ensure services provided by the nursing facility meet professional standards of quality. | F | Health | corrected 2025-09-27 |
| 2025-08-14 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Health | corrected 2025-09-27 |
| 2025-08-14 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | F | Health | corrected 2025-09-27 |
| 2025-08-14 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-09-27 |
| 2025-08-14 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Health | corrected 2025-09-27 |
| 2025-08-14 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Health | corrected 2025-09-27 |
| 2025-08-14 | 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 2025-09-27 |
| 2025-08-14 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Health | corrected 2025-09-27 |
| 2025-08-14 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | E | Health | corrected 2025-09-27 |
| 2025-08-14 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2025-09-27 |
| 2025-08-14 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-09-27 |
| 2025-08-14 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2025-09-27 |
| 2025-08-14 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2025-09-27 |
| 2025-08-14 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2025-09-27 |
| 2025-08-14 | 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 2025-09-27 |
| 2025-08-14 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Health | corrected 2025-09-27 |
| 2025-08-14 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Health | corrected 2025-09-27 |
| 2025-08-14 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-09-27 |
| 2025-08-14 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Health | corrected 2025-09-27 |
| 2025-06-10 | 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. | E | complaint | corrected 2025-06-10 |
| 2025-06-10 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2025-06-10 |
| 2025-04-15 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2025-05-07 |
| 2025-04-15 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | complaint | corrected 2025-05-07 |
| 2025-04-15 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-05-07 |
| 2025-03-07 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | complaint | corrected 2025-05-07 |
| 2025-03-07 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | complaint | corrected 2025-05-07 |
| 2025-03-07 | 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 2025-05-07 |
| 2025-03-07 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | complaint | corrected 2025-05-07 |
| 2025-03-07 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | E | complaint | corrected 2025-05-07 |
| 2025-03-07 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | complaint | corrected 2025-05-07 |
| 2025-03-07 | 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 2025-05-07 |
| 2025-03-07 | 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 | complaint | corrected 2025-05-07 |
| 2025-03-07 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-05-07 |
| 2025-03-07 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2025-05-07 |
| 2025-03-07 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-05-07 |
| Date | Type | Amount |
|---|---|---|
| 2025-08-14 | Fine | $126,900 |
| 2025-08-14 | Payment Denial | 15 days payment denial |
| 2025-01-09 | Fine | $194,145 |
| 2025-01-09 | Payment Denial | 83 days payment denial |
| 2024-03-08 | Fine | $52,688 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| CRESCENT FACILITIES OPERATIONS LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 12/19/2006 |
| BERING PROPERTIES LLC | 5% Or Greater Indirect Ownership Interest | Organization | 6% | since 10/10/2013 |
| JENMAX ENTERPRISES LLC | 5% Or Greater Indirect Ownership Interest | Organization | 23% | since 02/01/2007 |
| JK-CSH JV LLC | 5% Or Greater Indirect Ownership Interest | Organization | 12% | since 11/01/2006 |
| MANHATTAN FIVE PARTNERS LLC | 5% Or Greater Indirect Ownership Interest | Organization | 7% | since 11/01/2006 |
| WIN WIN ENTERPRISES, LLC | 5% Or Greater Indirect Ownership Interest | Organization | 35% | 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 |
| BRETSCH, GREGORY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 02/25/2019 |
| LAL, AKASH | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 10/28/2024 |
| 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 |
| BULOSAN, JULIA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/27/2025 |
| BUTENKO, JULIE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/24/2023 |
| CAPELA, HEIDI | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/03/2023 |
| HASSELL, LANCE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/25/2022 |
| LAL, AKASH | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/28/2024 |
| LUTZ, LINDA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2012 |
| SALAZAR, PAULINA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/14/2020 |
| SINGH, RANJEET | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/08/2024 |
| SMEDRA, IRA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2007 |
| WINTNER, JACOB | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2007 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 055147. Corrections: data@carerecords.org.