Fresno, CA · 106 beds
5.0CMS rating
Skilled Nursing● Fills quickly
One of Fresno's top-rated skilled nursing communities.
Est. $10,250–$15,400/mo
View full evaluation →Skilled NursingCMS verified
Madera Care Center
1700 Howard Road, Madera, CA 93637 · Madera County
4.0CMS overall rating(559) 673-9278
80
StrongHaven Scout Score
Our composite of CMS ratings, staffing, and safety. This community rates strong.Photos via google places.
Availability outlook● Fills quickly
Typically 88% full (57 of 64 beds occupied on an average day).
If this community is on your shortlist, checking current openings sooner rather than later genuinely matters here.
Source: federal census data (average daily residents vs. certified beds, CMS Care Compare). Confirm current openings with an advisor — availability changes weekly.
Our evaluation
An honest, data-grounded look at this community — every claim is drawn from public inspection data.
A highly rated skilled nursing and rehab community in Madera
Madera Care Center is a for-profit skilled nursing facility in Madera, CA, with 64 certified beds and an average of about 57 residents per day. It operates as part of the Golden SNF Operations network.
Medicare rates it 4 out of 5 stars overall — above the national average of about 3 stars. Component ratings: 4/5 on health inspections, 4/5 on staffing, 4/5 on quality measures.
Staff provide about 4.18 total nurse hours per resident each day (0.67 of them from registered nurses), above the national benchmark of roughly 3.9 hours. Annual nursing-staff turnover is about 43.7%, better than the ~52% national average — a sign of staffing stability. On the safety record, CMS notes 3 health deficiencies at its most recent standard survey, and 8 federal fines totaling $41,597 in the recent record.
Strengths
- ✓Strong health-inspection rating
- ✓Above-average nurse staffing (4.18 hrs/resident/day)
- ✓Full sprinkler system
- ✓Active resident & family council
Things to ask about
- •$41,597 in federal fines
Best for: Families who want a highly rated, well-staffed setting in Madera for 24/7 skilled nursing or post-hospital rehabilitation.
At a glance
- Certified beds
- 64
- Avg. residents/day
- 57
- Ownership
- For profit - Limited Liability company
- Part of a chain
- Golden SNF Operations
- Continuing care
- No
- CMS provider #
- 055191
Federal quality ratings
From the U.S. Centers for Medicare & Medicaid Services (CMS), on a 1–5 star scale.
Overall rating
Health inspections
Staffing
Quality measures
Pricing & cost
We publish transparent estimates and verify exact pricing on request. No surprises.
| Level of care | Monthly cost | Source |
|---|---|---|
| Skilled Nursing | $10,250–$15,400/mo (median $12,400) | Local market estimate |
2024–2026 published survey medians, state median adjusted to local Fresno prices (BEA regional price parities). Request a quote for exact pricing. Range spans semi-private to private rooms. How we estimate costs
Staffing & care
More nursing time per resident — and lower turnover — generally means more attentive care.
- Total nurse hrs / resident / day
- 4.18
- National avg ≈ 3.9
- RN hrs / resident / day
- 0.67
- National avg ≈ 0.75
- Nursing staff turnover
- 43.7%
- National avg ≈ 52%
Safety & inspection record
Federal inspectors survey nursing homes roughly once a year. Here's the latest on file.
- Health deficiencies (last survey)
- 3
- Federal fines
- 8 ($41,597)
- Total penalties
- 8
- Last standard survey
- 2025-04-03
- Sprinkler system
- Yes
- Resident & family council
- Resident
What inspectors found
The most recent findings from federal health inspections (38 citations on record — showing the latest 8). Every nursing home is inspected roughly once a year; most receive some citations.
2026-03-19Severity E — potential for harmFrom a complaintFreedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2026-02-27Severity D — potential for harmFrom a complaintQuality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-04-16Severity E — potential for harmFrom a complaintResident Rights Deficiencies
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.
2025-04-04Severity D — potential for harmFrom a complaintResident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2025-04-03Severity D — potential for harmInfection Control Deficiencies
Provide and implement an infection prevention and control program.
2025-02-26Severity D — potential for harmFrom a complaintQuality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-07-03Severity D — potential for harmFrom a complaintQuality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
2024-06-19Severity D — potential for harmFrom a complaintResident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity uses the CMS scope/severity scale: D–F = potential for harm, G–I = actual harm, J–L = immediate jeopardy. Source: CMS Care Compare health citations; data as of the latest federal release. Discuss any finding directly with the community on a tour.
Penalty history
Federal fines and Medicare/Medicaid payment denials on record.
| Date | Type | Amount |
|---|---|---|
| 2024-01-08 | Fine | $4,938 |
| 2024-01-02 | Fine | $4,587 |
| 2023-12-11 | Fine | $12,703 |
| 2023-11-06 | Fine | $9,527 |
| 2023-10-17 | Fine | $2,787 |
| 2023-10-10 | Fine | $2,117 |
| 2023-10-02 | Fine | $1,764 |
| 2023-09-11 | Fine | $3,174 |
Services & amenities
- ✓ Full automatic sprinkler system
- ✓ Medicare & Medicaid certified
- ✓ 24-hour licensed nursing
- ✓ On-site rehabilitation therapy
Location
1700 Howard Road, Madera, CA
- Monday: Open 24 hours
- Tuesday: Open 24 hours
- Wednesday: Open 24 hours
- Thursday: Open 24 hours
- Friday: Open 24 hours
- Saturday: Open 24 hours
- Sunday: Open 24 hours
Reviews & reputation
We aggregate ratings across Google, Yelp, and verified families — and link back to every source so you can read more.
Verified family reviews
No verified family reviews yet for Madera Care Center.
Have a loved one here, or recently toured? Help other families by sharing your experience — we verify every review before it's published.
Talk to an advisor about this communityCommon questions about Madera Care Center
How much does Madera Care Center cost?
Madera Care Center does not publish exact rates. Comparable skilled nursing in the Madera, CA area typically runs $10,250–$15,400 per month (median $12,400, based on published survey medians adjusted for local prices). A Haven advisor can confirm current pricing for free.
What is Madera Care Center's Medicare rating?
Medicare (CMS) rates Madera Care Center 4 out of 5 stars overall, including 4/5 for health inspections, 4/5 for staffing, 4/5 for quality measures. The national average is about 3 stars.
How is the staffing at Madera Care Center?
Staff provide about 4.18 total nurse hours per resident per day (national benchmark ≈ 3.9), and annual nursing-staff turnover is about 43.7% (national average ≈ 52%). These figures are reported to the federal government and updated regularly.
What did inspectors find at Madera Care Center?
Madera Care Center has 38 health citations on its recent federal inspection record (last standard survey: 2025-04-03). The full citation-by-citation detail, with severity levels, is published on this page.
Does Madera Care Center have availability?
Typically 88% full (57 of 64 beds occupied on an average day). Availability changes weekly — a Haven advisor can confirm current openings at no cost.
What types of care does Madera Care Center offer?
Madera Care Center in Madera, CA offers skilled nursing and is licensed for 64 beds.
The best time to decide is before a crisis decides for you
Most families start this search after a fall, a hospital stay, or a caregiver reaching a breaking point — and end up choosing from whatever has a bed open that week. Families who plan even a few weeks ahead get to choose on quality, fit, and price instead of availability alone.
- Move-ins take time: assessments, paperwork, and preparation typically run 2–6 weeks in Fresno.
- The best communities fill first: top-rated communities often run a waitlist — touring early holds your place in line.
- Touring costs nothing and commits you to nothing — but it turns a future emergency into a calm, informed choice.
Your next steps — this week
- 1Confirm the fitCheck the inspection record and staffing data on this page against your loved one's needs.
- 2Get exact pricing & availabilityRequest current rates for Madera Care Center — takes one minute, answered same day.
- 3Tour 2–3 communitiesCompare this community against two alternatives. Ask about staff turnover, all-in monthly cost, and care-plan changes.
- 4Hold a spotMost communities hold a residence with a small refundable deposit while you decide.
Data sources:CMS verifiedGoogle
Last verified 2026-07-06. We refresh inspection data monthly and reviews continuously.
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