Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 055141

Madera Post Acute Center

64 federal citations on record , including 1 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $38,341.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
64
Total citations
44
Last 3 years
3
Actual harm+
3
Federal penalties
$38,341
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care23 Care Planning9 Resident Rights9 Nutrition & Dietary5 Infection Control5

Most common F-tags at this facility

F6895 F8124 F6844 F8423 F6563

Citation history

64 on record
SurveyF-TagViolationSeveritySource
Jan 28, 2026F692Provide enough food/fluids to maintain a resident's health.EComplaint
Jan 6, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint
Jan 6, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
Jan 6, 2026F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
Aug 21, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Jul 10, 2025F908Keep all essential equipment working safely.DStandard
Jul 10, 2025F880Provide and implement an infection prevention and control program.EStandard
Jul 10, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Jul 10, 2025F810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DStandard
Jul 10, 2025F732Post nurse staffing information every day.BStandard
Jul 10, 2025F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DStandard
Jul 10, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.KStandard
Jul 10, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Jul 10, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Jul 10, 2025F641Ensure each resident receives an accurate assessment.EStandard
Jul 10, 2025F584Honor 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.DStandard
Jul 10, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
Apr 7, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Mar 19, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Feb 5, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Feb 5, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Dec 16, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Oct 10, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Oct 9, 2024F758Implement 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.DComplaint
Jul 19, 2024F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard
Jul 19, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Jul 19, 2024F732Post nurse staffing information every day.BStandard
Jul 19, 2024F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.EStandard
Jul 19, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jul 19, 2024F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.EStandard
Jul 19, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EStandard
Jul 19, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Jul 19, 2024F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard
Jul 19, 2024F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.EStandard
Jul 19, 2024F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard
Jul 19, 2024F558Reasonably accommodate the needs and preferences of each resident.EStandard
May 17, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
May 17, 2024F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.GComplaint
Mar 8, 2024F919Make sure that a working call system is available in each resident's bathroom and bathing area.DComplaint
Mar 8, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DComplaint
May 23, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
May 16, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
May 16, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.GComplaint
May 16, 2023F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DComplaint
Apr 19, 2023F886Perform COVID19 testing on residents and staff.DComplaint
Apr 19, 2023F880Provide and implement an infection prevention and control program.EComplaint
Oct 21, 2021F881Implement a program that monitors antibiotic use.DStandard
Oct 21, 2021F880Provide and implement an infection prevention and control program.EStandard
Oct 21, 2021F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard
Oct 21, 2021F825Provide or get specialized rehabilitative services as required for a resident.DStandard
Oct 21, 2021F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Oct 21, 2021F761Ensure 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.DStandard
Oct 21, 2021F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Oct 21, 2021F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Oct 21, 2021F691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.DStandard
Oct 21, 2021F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Oct 21, 2021F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Oct 21, 2021F685Assist a resident in gaining access to vision and hearing services.DStandard
Oct 21, 2021F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Oct 21, 2021F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Oct 21, 2021F583Keep residents' personal and medical records private and confidential.DStandard
Oct 21, 2021F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.EStandard
Oct 21, 2021F558Reasonably accommodate the needs and preferences of each resident.DStandard
Oct 21, 2021F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 3 civil money penalties totaling $38,341 .

DateTypeFinePayment denial
Jul 10, 2025Fine$13,319—
May 17, 2024Fine$16,198—
Apr 19, 2023Fine$8,824—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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