Madera Rehabilitation & Nursing Center: Staffing, Turnover, and Inspection Record
Madera Rehabilitation & Nursing Center is a 176-bed for-profit nursing home in Madera, California, part of Cambridge Healthcare Services. In the CMS August 2026 release it reported 2.57 nurse aide hours per resident per day, 3% below the California average of 2.65, and 45.5% nursing staff turnover (California average 36.7%).
Madera Rehabilitation & Nursing Center
517 South a StreetMadera, CA 93638
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 Rehabilitation & Nursing Center, nurse aides logged 2.57 hours per resident per day, 3% below the California average. With about 168 residents a day, that works out to roughly 432 aide hours a day, or about 54 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 7% below the all-days figure.
| Hours per resident per day | This home | California avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.57 | 2.65 | 2.32 |
| Licensed practical nurses | 0.72 | 1.20 | 0.86 |
| Registered nurses | 0.53 | 0.67 | 0.69 |
| All nursing staff | 3.82 | 4.52 | 3.86 |
| All nursing staff, weekends | 3.55 | 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
45.5% of nursing staff at Madera Rehabilitation & Nursing 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 58.1%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Aug 14, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 24 health deficiencies (California average 15.7). CMS lists 3 fines totaling $373,733 and 2 payment denials in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Aug 14, 2025 | Fine | $126,900 |
| Aug 14, 2025 | Payment Denial | 15 days from Sep 12, 2025 |
| Jan 9, 2025 | Fine | $194,145 |
| Jan 9, 2025 | Payment Denial | 83 days from Feb 13, 2025 |
| Mar 8, 2024 | Fine | $52,688 |
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 Rehabilitation & Nursing Center holds 1 of 5 overall; the California average is 3.2.
About Madera Rehabilitation & Nursing Center
- Ownership: For profit - Limited Liability company
- Chain: Cambridge Healthcare Services, 32 homes
- Legal name: CF Madera, LLC
- Medicare and Medicaid certified since: Jan 1, 1967
- Area: urban
Nursing homes near Madera Rehabilitation & Nursing Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Madera Care Center Madera | 1.7 | 64 | 2.65 | 4.04 | 49.3% | 4 | $41,597 |
| Chowchilla Memorial Healthcare District Chowchilla | 16.4 | 29 | 2.91 | 4.07 | 27.6% | 4 | $112,195 |
| Palms Care Center Chowchilla | 16.5 | 65 | 2.69 | 4.15 | 37.3% | 4 | None |
| Foundation Skilled Nursing Fresno | 17.4 | 59 | 2.50 | 3.74 | — | 1 | $96,763 |
| North Point Healthcare & Wellness Centre LP Fresno | 17.7 | 99 | 2.50 | 3.98 | — | 5 | None |
| The Terraces at San Joaquin Gardens Village Fresno | 17.9 | 54 | 2.85 | 5.13 | 30.3% | 5 | None |
| Horizon Health & Subacute Center Fresno | 19.1 | 180 | 2.56 | 4.63 | 47.1% | 2 | $22,913 |
| Willow Creek Healthcare Center Clovis | 19.4 | 159 | 2.70 | 4.18 | 59.7% | 3 | $25,045 |
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.