Federal inspection record · CMS data as of October 1, 2026
Madera Care Center
1700 Howard Road, Madera, CA · (559) 673-9278
- Certified beds
- 64
- Residents per day
- 59
- Ownership
- For-Profit
- Chain
- David Johnson
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1971
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in California.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among California homes
Madera Care Center carries 35 inspection points. That is fewer than 88% of California's 1,154 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in California: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–33 pts
- 4★ 33–66 pts
- 3★ 66–96 pts
- 2★ 96–146 pts
- 1★ over 146 pts
Bars show every rated home in California by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
38 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Nutrition and Dietary10F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
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.
- F
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.
- F
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
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
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- D
Dispose of garbage and refuse properly.
Resident Rights8E
- E
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
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
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
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
- E
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
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care7E
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate foot care.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Resident Assessment and Care Planning5E
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure each resident receives an accurate assessment.
Infection Control3E
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Pharmacy Service2D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
Freedom from Abuse, Neglect, and Exploitation1E
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Environmental1D
- D
Keep all essential equipment working safely.
Nursing and Physician Services1E
- E
Post nurse staffing information every day.
Inspection history
2025-04-03
3 health deficiencies · 9 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2024-02-20
13 health deficiencies · 8 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
2023-04-13
22 health deficiencies · 6 fire-safety deficiencies
Top issue: Nutrition and Dietary (8 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 1 min of nursing staff time a day, 42 min of it from a registered nurse.
This home
4 h 1 min
California average
4 h 33 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 58% of nursing staff and 63% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$34,542 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-01-08 | Fine | $4,938 |
| 2024-01-02 | Fine | $4,587 |
| 2023-12-11 | Fine | $12,703 |
| 2023-11-06 | Fine | $9,527 |
| 2023-10-17 | Fine | $2,787 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts better | 2.1 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts worse | 1.7 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.3 pts better | 100.0% | 98.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.1 pts better | 100.0% | 97.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts worse | 2.0% | 1.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms18.5 pts worse | 26.1% | 7.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.9 pts better | 3.2% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.9 pts worse | 17.6% | 13.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8.4 pts better | 3.9% | 12.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.8 pts better | 8.1% | 8.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.4 pts better | 4.8% | 10.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better | 0.3% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.7 pts better | 0.5% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4 pts worse | 13.8% | 9.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.1 pts worse | 4.4% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better | 98.2% | 94.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.1 pts better | 10.0% | 11.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.3 pts better | 0.0% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine5.6 pts better | 98.7% | 93.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.4 pts better | 21.2% | 22.6% | 23.4% |
·
Who owns and runs it
22 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Madera Post Acute LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Sun Meridian Health Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 100% | 3 facilities |
| Bhinder, Sumandeep | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bhinder, Sumandeep | Adp Of The SNF · Individual | 0% | 1 facilities |
| Dehghanmanesh, Adrian | Operational/Managerial Control · Individual | 0% | 44 facilities |
| Dehghanmanesh, Adrian | Adp Of The SNF · Individual | 0% | 44 facilities |
| Farrales, Mary | Adp Of The SNF · Individual | 0% | 43 facilities |
| Johnson, David | Managing Control - Governing Body · Individual | 0% | 34 facilities |
| Johnson, David | Operational/Managerial Control · Individual | 0% | 34 facilities |
| Johnson, David | Adp Of The SNF · Individual | 0% | 34 facilities |
| Johnson, Frank | Operational/Managerial Control · Individual | 0% | 42 facilities |
| Kochek, Joshua | Operational/Managerial Control · Individual | 0% | 43 facilities |
| Kochek, Joshua | Adp Of The SNF · Individual | 0% | 43 facilities |
| Madera Post Acute LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Madera SNF Propco LLC | 5% Or Greater Security Interest · Organization | 0% | 1 facilities |
| Madera SNF Propco LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Montez, Audrianna | Adp Of The SNF · Individual | 0% | 1 facilities |
| Oxford, Micheal | Operational/Managerial Control · Individual | 0% | 42 facilities |
| Oxford, Micheal | Adp Of The SNF · Individual | 0% | 42 facilities |
| Pannu, Amritpal | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Pannu, Amritpal | Adp Of The SNF · Individual | 0% | 1 facilities |
| Sun Meridian Management Services LLC | Adp Of The SNF · Organization | 0% | 20 facilities |
·
Fire safety
23 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems7E
- E
Meet requirements for the use of electrical equipment.
- D
Ensure proper usage of power strips and extension cords.
- C
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
Smoke6F
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Install corridor and hallway doors that block smoke.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
- D
Install corridor and hallway doors that block smoke.
Egress4D
- C
Install emergency lighting that can last at least 1 1/2 hours.
- D
Have properly located and lighted "Exit" signs.
- D
Install emergency lighting that can last at least 1 1/2 hours.
- D
Have properly located and lighted "Exit" signs.
Miscellaneous3E
- C
Have simulated fire drills held at unexpected times.
- E
Have simulated fire drills held at unexpected times.
- D
Have restrictions on the use of portable space heaters.
Construction1D
- D
Use approved construction type or materials.
Emergency Preparedness1F
- F
Conduct testing and exercise requirements.
Services1D
- D
Meet other general requirements that are deficient.
·
Other homes nearby
-
Madera Rehabilitation & Nursing Center
Madera, CA · Cambridge Healthcare Services
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 59 min
- Fines
- $373,733
-
Chowchilla Memorial Healthcare District
Chowchilla, CA
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 59 min
- Fines
- $75,499
-
Palms Care Center
Chowchilla, CA · Ajc Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 11 min
- Fines
- $0