Federal inspection record · CMS data as of October 1, 2026
Merced Nursing & Rehabilitation Ctr
510 West 26th Street, Merced, CA · (209) 723-2911
- Certified beds
- 79
- Residents per day
- 73
- Ownership
- For-Profit
- Chain
- Cambridge Healthcare Services
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1970
1
How this home got 3 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.
-
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.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among California homes
Merced Nursing & Rehabilitation Ctr carries 86 inspection points. That is fewer than 49% 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
27 health citations on record since 2019. 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 Dietary6F
- 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
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Dispose of garbage and refuse properly.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- F
Dispose of garbage and refuse properly.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning5E
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Rights5E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
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
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.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Environmental3B
- B
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- B
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- B
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Pharmacy Service2D
- D
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
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.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Quality of Life and Care1D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspection history
2025-04-18
15 health deficiencies · 5 fire-safety deficiencies
Top issue: Nutrition and Dietary (4 deficiencies)
2024-07-12
10 health deficiencies · 9 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2019-09-13
2 health deficiencies · 5 fire-safety deficiencies
Top issue: Environmental (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 9 min of nursing staff time a day, 38 min of it from a registered nurse.
This home
4 h 9 min
California average
4 h 33 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 42% of nursing staff and 50% 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
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 days0.6 pts better | 1.6 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts worse | 2.0 | 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 injury0.6 pts better | 1.0% | 1.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.6 pts worse | 8.2% | 7.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.8 pts worse | 6.9% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.3 pts better | 12.4% | 13.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.5 pts worse | 14.8% | 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 worsened9.4 pts worse | 18.3% | 8.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1 pts worse | 11.2% | 10.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better | 0.0% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.7 pts worse | 1.9% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.6 pts worse | 15.4% | 9.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.5 pts better | 1.8% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.4 pts better | 100.0% | 94.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit13.9 pts worse | 25.0% | 11.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts worse | 1.7% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine5 pts better | 98.1% | 93.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.7 pts worse | 23.3% | 22.6% | 23.4% |
·
Who owns and runs it
42 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 |
|---|---|---|---|
| Crescent Facilities Operations LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 8 facilities |
| Win Win Enterprises, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 35% | 28 facilities |
| Jenmax Enterprises LLC | 5% Or Greater Indirect Ownership Interest · Organization | 23% | 9 facilities |
| Jk-Csh Jv LLC | 5% Or Greater Indirect Ownership Interest · Organization | 12% | 8 facilities |
| Manhattan Five Partners LLC | 5% Or Greater Indirect Ownership Interest · Organization | 7% | 11 facilities |
| Bering Properties LLC | 5% Or Greater Indirect Ownership Interest · Organization | 6% | 8 facilities |
| 510 W. 26th Street LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Bh Alliance | Indirect Ownership Interest · Organization | 0% | 11 facilities |
| Bretsch, Gregory | Managing Control - Governing Body · Individual | 0% | 8 facilities |
| Bretsch, Gregory | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Bretsch, Gregory | Adp Of The SNF · Individual | 0% | 8 facilities |
| Butenko, Julie | Operational/Managerial Control · Individual | 0% | 32 facilities |
| Butenko, Julie | Adp Of The SNF · Individual | 0% | 32 facilities |
| Cambridge Healthcare Services LLC | Operational/Managerial Control · Organization | 0% | 32 facilities |
| Cambridge Healthcare Services LLC | Adp Of The SNF · Organization | 0% | 32 facilities |
| Capela, Heidi | Operational/Managerial Control · Individual | 0% | 32 facilities |
| Capela, Heidi | Adp Of The SNF · Individual | 0% | 32 facilities |
| Darouze, Michael | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Darouze, Michael | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Darouze, Michael | Adp Of The SNF · Individual | 0% | 2 facilities |
| Hassell, Lance | Operational/Managerial Control · Individual | 0% | 38 facilities |
| Hassell, Lance | Adp Of The SNF · Individual | 0% | 38 facilities |
| Jenmax Enterprises LLC | Adp Of The SNF · Organization | 0% | 9 facilities |
| Jk-Csh Jv LLC | Adp Of The SNF · Organization | 0% | 8 facilities |
| Kaur, Neelam | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Lutz, Linda | Operational/Managerial Control · Individual | 0% | 31 facilities |
| Lutz, Linda | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 31 facilities |
| Lutz, Linda | Adp Of The SNF · Individual | 0% | 31 facilities |
| Manoharan, Arun | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Manoharan, Arun | Adp Of The SNF · Individual | 0% | 3 facilities |
| Salazar, Paulina | Operational/Managerial Control · Individual | 0% | 32 facilities |
| Salazar, Paulina | Adp Of The SNF · Individual | 0% | 32 facilities |
| Smedra, Ira | Corporate Officer · Individual | 0% | 31 facilities |
| Smedra, Ira | Operational/Managerial Control · Individual | 0% | 31 facilities |
| Smedra, Ira | Adp Of The SNF · Individual | 0% | 31 facilities |
| The Jacob Wintner Trust | Indirect Ownership Interest · Organization | 0% | 8 facilities |
| The Wintner Living Trust Dated 7/08/1992 | Indirect Ownership Interest · Organization | 0% | 12 facilities |
| Win Win Enterprises, LLC | Adp Of The SNF · Organization | 0% | 28 facilities |
| Wintner, Jacob | Indirect Ownership Interest · Individual | 0% | 35 facilities |
| Wintner, Jacob | Corporate Officer · Individual | 0% | 35 facilities |
| Wintner, Jacob | Operational/Managerial Control · Individual | 0% | 35 facilities |
| Wintner, Jacob | Adp Of The SNF · Individual | 0% | 35 facilities |
·
Fire safety
19 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke8E
- D
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- D
Install corridor and hallway doors that block smoke.
- C
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
Miscellaneous3F
- D
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- D
Provide a written emergency evacuation plan.
Gas, Vacuum, and Electrical Systems3F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
- E
Have generator or other power source capable of supplying service within 10 seconds.
Emergency Preparedness2F
- D
Develop and maintain an Emergency Preparedness Program (EP).
- F
Conduct testing and exercise requirements.
Services1F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Egress1E
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Construction1D
- D
Use approved construction type or materials.
·
Other homes nearby
-
La Sierra Care Center
Merced, CA · Cambridge Healthcare Services
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 51 min
- Fines
- $0
-
Golden Merced Care Center
Merced, CA · Golden SNF Operations
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 1 min
- Fines
- $0
-
Franciscan Post-Acute Care Center
Merced, CA · Avalon Health Care
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 1 min
- Fines
- $9,110