Madera Care Center: Staffing, Turnover, and Inspection Record
Madera Care Center is a 64-bed for-profit nursing home in Madera, California, part of Golden SNF Operations. In the CMS August 2026 release it reported 2.65 nurse aide hours per resident per day, about the same as the California average of 2.65, and 49.3% nursing staff turnover (California average 36.7%).
Madera Care Center
1700 Howard RoadMadera, CA 93637
Madera County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Madera Care Center, nurse aides logged 2.65 hours per resident per day, about the same as the California average. With about 61 residents a day, that works out to roughly 161 aide hours a day, or about 20 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 8% below the all-days figure.
| Hours per resident per day | This home | California avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.65 | 2.65 | 2.32 |
| Licensed practical nurses | 0.72 | 1.20 | 0.86 |
| Registered nurses | 0.66 | 0.67 | 0.69 |
| All nursing staff | 4.04 | 4.52 | 3.86 |
| All nursing staff, weekends | 3.71 | 4.09 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
49.3% of nursing staff at Madera Care Center left over the year CMS measured, against a California average of 36.7% and a US average of 45.8%. Registered nurse turnover was 37.5%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Apr 3, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 3 health deficiencies (California average 15.7). CMS lists 8 fines totaling $41,597 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jan 8, 2024 | Fine | $4,938 |
| Jan 2, 2024 | Fine | $4,587 |
| Dec 11, 2023 | Fine | $12,703 |
| Nov 6, 2023 | Fine | $9,527 |
| Oct 17, 2023 | Fine | $2,787 |
| Oct 10, 2023 | Fine | $2,117 |
| Oct 2, 2023 | Fine | $1,764 |
| Sep 11, 2023 | Fine | $3,174 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Madera Care Center holds 4 of 5 overall; the California average is 3.2.
About Madera Care Center
- Ownership: For profit - Limited Liability company
- Chain: Golden SNF Operations, 7 homes
- Legal name: Madera Post Acute LLC
- Medicare and Medicaid certified since: Jan 1, 1971
- Changed ownership in the last 12 months
- Councils: resident council
- Area: urban
Nursing homes near Madera Care Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Madera Rehabilitation & Nursing Center Madera | 1.7 | 176 | 2.57 | 3.82 | 45.5% | 1 | $373,733 |
| Chowchilla Memorial Healthcare District Chowchilla | 15.6 | 29 | 2.91 | 4.07 | 27.6% | 4 | $112,195 |
| Palms Care Center Chowchilla | 15.7 | 65 | 2.69 | 4.15 | 37.3% | 4 | None |
| Foundation Skilled Nursing Fresno | 17.9 | 59 | 2.50 | 3.74 | — | 1 | $96,763 |
| North Point Healthcare & Wellness Centre LP Fresno | 18.8 | 99 | 2.50 | 3.98 | — | 5 | None |
| The Terraces at San Joaquin Gardens Village Fresno | 19.0 | 54 | 2.85 | 5.13 | 30.3% | 5 | None |
| Horizon Health & Subacute Center Fresno | 20.4 | 180 | 2.56 | 4.63 | 47.1% | 2 | $22,913 |
| Community Subacute and Transitional Care Center Fresno | 20.5 | 106 | 4.45 | 9.19 | 21.7% | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.