Madera Post Acute Center

11900 RAMONA BOULEVARD, EL MONTE, CA 91732 · CCN 055141 · 148 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing3 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

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Serious inspection findings

2025-07-10 — IMMEDIATE JEOPARDY (tag F0689, severity K)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2024-05-17 — ACTUAL HARM (tag F0694, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Staffing, from payroll records

Nursing hours / resident / day

3.80

state median 3.94

Weekend staffing gap

−13%

fewer nursing hours on weekends · state median −5%

RN hours / resident / day

0.20

registered nurses only

Contract (agency) staff

share of all nursing hours

Nursing staff turnover

50%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

2 enforcement action(s), totaling $29,517 in fines.

Date	Type	Amount
2025-07-10	Fine	$13,319
2024-05-17	Fine	$16,198

Ownership

Ownership type: For profit - Corporation. Part of the THE ENSIGN GROUP chain.

Other facilities under the same ownership, with their CMS overall ratings:

THE HEALTHCARE CENTER OF EASTVIEW (BIRMINGHAM, AL) — CMS overall2 of 5
Polaris Extended Care (ANCHORAGE, AK) — CMS overall2 of 5
THE HEALTH CENTER AT RESEARCH PARK (HUNTSVILLE, AL) — CMS overall1 of 5
POLARIS TRANSITIONAL CARE (ANCHORAGE, AK) — CMS overall3 of 5
Desert Terrace Healthcare Center (PHOENIX, AZ) — CMS overall3 of 5
PUEBLO SPRINGS REHABILITATION CENTER (TUCSON, AZ) — CMS overall2 of 5
CASAS ADOBES POST ACUTE REHAB CENTER (TUCSON, AZ) — CMS overall3 of 5
MISSION PALMS POST ACUTE (MESA, AZ) — CMS overall5 of 5

Full citation history

By severity: No harm, potential for minimal harm: 2 · Actual harm: 1 · Potential for more than minimal harm: 66 · Immediate jeopardy: 1

Survey date	Tag	Category	Severity	Corrected
2026-05-15	F0580	Resident Rights Deficiencies	D	not recorded
2026-05-15	F0684	Quality of Life and Care Deficiencies	E	not recorded
2026-05-15	F0755	Pharmacy Service Deficiencies	E	not recorded
2026-04-23	F0558	Resident Rights Deficiencies	D	not recorded
2026-04-23	F0580	Resident Rights Deficiencies	D	not recorded
2026-04-23	F0689	Quality of Life and Care Deficiencies	D	not recorded
2026-04-23	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-04-08	F0558	Resident Rights Deficiencies	D	not recorded
2026-03-16	F0557	Resident Rights Deficiencies	D	not recorded
2026-03-16	F0656	Resident Assessment and Care Planning Deficiencies	E	not recorded
2026-03-16	F0761	Pharmacy Service Deficiencies	D	not recorded
2026-03-16	F0926	Environmental Deficiencies	D	not recorded
2026-01-28	F0692	Quality of Life and Care Deficiencies	E	not recorded
2026-01-06	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	E	not recorded
2026-01-06	F0689	Quality of Life and Care Deficiencies	E	not recorded
2026-01-06	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2025-08-21	F0684	Quality of Life and Care Deficiencies	E	not recorded
2025-07-10	F0550	Resident Rights Deficiencies	E	not recorded
2025-07-10	F0584	Resident Rights Deficiencies	D	not recorded
2025-07-10	F0641	Resident Assessment and Care Planning Deficiencies	E	not recorded
2025-07-10	F0656	Resident Assessment and Care Planning Deficiencies	E	not recorded
2025-07-10	F0684	Quality of Life and Care Deficiencies	D	not recorded
2025-07-10	F0689	Quality of Life and Care Deficiencies	K	not recorded
2025-07-10	F0700	Quality of Life and Care Deficiencies	D	not recorded
2025-07-10	F0732	Nursing and Physician Services Deficiencies	B	not recorded
2025-07-10	F0810	Nutrition and Dietary Deficiencies	D	not recorded
2025-07-10	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2025-07-10	F0880	Infection Control Deficiencies	E	not recorded
2025-07-10	F0908	Environmental Deficiencies	D	not recorded
2025-04-07	F0684	Quality of Life and Care Deficiencies	D	not recorded
2025-03-19	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-02-05	F0580	Resident Rights Deficiencies	D	not recorded
2025-02-05	F0684	Quality of Life and Care Deficiencies	D	not recorded
2024-12-16	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-10-10	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-10-09	F0758	Pharmacy Service Deficiencies	D	not recorded
2024-07-19	F0558	Resident Rights Deficiencies	E	not recorded
2024-07-19	F0578	Resident Rights Deficiencies	D	not recorded
2024-07-19	F0676	Quality of Life and Care Deficiencies	E	not recorded
2024-07-19	F0688	Quality of Life and Care Deficiencies	D	not recorded
2024-07-19	F0689	Quality of Life and Care Deficiencies	E	not recorded
2024-07-19	F0690	Quality of Life and Care Deficiencies	E	not recorded
2024-07-19	F0693	Quality of Life and Care Deficiencies	E	not recorded
2024-07-19	F0695	Quality of Life and Care Deficiencies	D	not recorded
2024-07-19	F0700	Quality of Life and Care Deficiencies	E	not recorded
2024-07-19	F0732	Nursing and Physician Services Deficiencies	B	not recorded
2024-07-19	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2024-07-19	F0849	Administration Deficiencies	D	not recorded
2024-05-17	F0694	Quality of Life and Care Deficiencies	G	not recorded
2024-05-17	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-03-08	F0725	Nursing and Physician Services Deficiencies	D	not recorded
2024-03-08	F0919	Environmental Deficiencies	D	not recorded
2021-10-21	F0552	Resident Rights Deficiencies	D	not recorded
2021-10-21	F0558	Resident Rights Deficiencies	D	not recorded
2021-10-21	F0578	Resident Rights Deficiencies	E	not recorded
2021-10-21	F0583	Resident Rights Deficiencies	D	not recorded
2021-10-21	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2021-10-21	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2021-10-21	F0685	Quality of Life and Care Deficiencies	D	not recorded
2021-10-21	F0686	Quality of Life and Care Deficiencies	D	not recorded
2021-10-21	F0689	Quality of Life and Care Deficiencies	D	not recorded
2021-10-21	F0691	Quality of Life and Care Deficiencies	D	not recorded
2021-10-21	F0697	Quality of Life and Care Deficiencies	D	not recorded
2021-10-21	F0755	Pharmacy Service Deficiencies	D	not recorded
2021-10-21	F0761	Pharmacy Service Deficiencies	D	not recorded
2021-10-21	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2021-10-21	F0825	Quality of Life and Care Deficiencies	D	not recorded
2021-10-21	F0849	Administration Deficiencies	D	not recorded
2021-10-21	F0880	Infection Control Deficiencies	E	not recorded
2021-10-21	F0881	Infection Control Deficiencies	D	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Madera Post Acute Center, EL MONTE” at medicare.gov/care-compare.