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Nursing HomeMedicaid

Golden Madera Care Center

Strong Medicare quality ratings; families often praise compassionate and attentive nursing staff. Still worth an in-person visit.

1700 Howard Road, Madera, CA 9363764 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
3.9/5

based on 50 Google reviews

5
4
3
2
1
Golden Madera Care Center Nursing Home in Madera, CA — Street View
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What this means for your family

This facility is an excellent choice for rehabilitation and physical therapy, with many families praising the dedicated nursing staff. However, you should be vigilant about hygiene standards and ensure you are listed as an authorized contact to avoid the communication barriers reported by other families.

Google Reviews

Google Reviews

50 reviews analyzed
Families considering Golden Madera Care Center will find a facility highly praised for its compassionate nursing and physical therapy teams, particularly for post-surgical rehabilitation. However, there are serious, documented allegations regarding hygiene, medical neglect, and inconsistent communication that require close monitoring.

Quality Themes

Tap a score for details
Food5.0Staff8.0Clean4.0ActivitiesN/AMedsN/AMemoryN/AComms3.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Effective physical and rehabilitation therapy
  • Welcoming and professional administration
  • Personable, family-like atmosphere

Concerns

  • Issues with hygiene and cleanliness (mentioned by 2 reviewers)
  • Inconsistent communication from staff/management (mentioned by 3 reviewers)
  • Inadequate response times for resident needs (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'15(1)'17(2)'20(1)'22(6)'24(6)'26(1)

Distribution

5
33
4
3
3
0
2
2
1
12

How They Respond to Reviews

78%response rate
Generic

The owner relies heavily on repetitive templates and canned phrases for positive reviews, often failing to acknowledge specific details mentioned by the reviewer. For negative reviews, they use a standardized disclaimer regarding patient privacy and provide a hotline number.

Questions for Your Tour

  • 1It is wonderful to see how much the administration engages with the community through their reviews; how do you typically keep families updated on a resident's day-to-day progress?
  • 2We want to ensure a comfortable environment, so could you tell us about your daily cleaning schedules and how you maintain the upkeep of the resident rooms?
  • 3The nursing staff seems very well-regarded here, but how do you ensure that call bells and resident requests are answered promptly during the night shifts?
  • 4What kind of daily activities or social outings do you have planned to help residents stay engaged and connected with one another?
  • 5In the event of a sudden medical change or an emergency after hours, what is the specific protocol for contacting the family and coordinating care?
  • 6With the focus on rehabilitation mentioned by many, how does the therapy team work alongside the nursing staff to help residents regain their independence?

Personalized based on this facility's data


Key Review Excerpts

The staff and doctor quickly made me feel at ease. I received around the clock care. Sometimes it was medical other times it would be a hot cup of cocoa @ 2:00 am when I couldn't sleep.

Rehab patient · 2024★★★★★

The staff is so caring and kindhearted. You can tell the nurses actually care about the residents not like other places.

Long-term resident's family · 2025★★★★★

My granddaddy was admitted to this facility after a fall leading to a hip replacement and he got stage three bed sores before I was contacted regarding his care.

Rehab patient's family · 2023☆☆☆☆
Source: 50 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.61hrs
81%
Registered nurses for medical care
Total Nursing
4.21hrs
OK
All nurses + aides combined
Staff Turnover
44%
Lower is better (< 30% = good)
RN Turnover
56%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
4/ 5
Better Than Avg

10

measures

Worse Than Avg

3

measures

Mixed Results

3

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility1.7%
Better than Avg
Here
1.7%
US
15.4%
CA
11.6%
Madera
12.3%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.7%
Better than Avg
Here
1.7%
US
12.1%
CA
7.0%
Madera
10.0%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility19.7%
Worse than Avg
Here
19.7%
US
19.4%
CA
10.7%
Madera
19.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
CA
98.6%
Madera
98.6%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility7.9%
Better than Avg
Here
7.9%
US
14.4%
CA
10.4%
Madera
14.3%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility19.5%
Mixed vs Avgs
Here
19.5%
US
19.5%
CA
13.7%
Madera
19.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility97.2%
Better than Avg
Here
97.2%
US
81.8%
CA
94.2%
Madera
92.6%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility94.4%
Better than Avg
Here
94.4%
US
79.7%
CA
93.2%
Madera
84.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
CA
1.5%
Madera
0.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
9penalties
Well below state avg (15.4)
14 complaint-triggered
$41,597 in fines

This facility has faced persistent challenges with families filing 10 complaint-triggered deficiencies over recurring issues. The most problematic areas include nutrition and dietary services (with ongoing food safety, menu planning, and staffing issues), fire safety and building systems (repeated electrical, sprinkler, and emergency lighting violations), and resident rights violations (including dignity and environmental concerns). While the facility reports correcting each deficiency, the pattern of recurring problems in these same areas suggests ongoing operational challenges families should carefully evaluate.

Mar 19, 2026Complaint
1
0609ModerateCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Feb 27, 2026Complaint
1
0689MinorCorrected

Quality of Life and Care Deficiencies

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

Apr 16, 2025Complaint
2
0584ModerateCorrected

Resident 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.

0584ModerateCorrected

Resident 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.

Apr 4, 2025Complaint
2
0550MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0550MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Apr 3, 2025Routine
10
0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0919ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use of electrical equipment.

0161MinorCorrected

Construction Deficiencies

Use approved construction type or materials.

0355MinorCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0363MinorCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0920MinorCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0291MinorCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0712MinorCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918MinorCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Feb 26, 2025Complaint
1
0689MinorCorrected

Quality of Life and Care Deficiencies

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

Federal Penalties

Fine

Jan 8, 2024

$4,938

Fine

Jan 2, 2024

$4,587

Fine

Dec 11, 2023

$12,703

Fine

Nov 6, 2023

$9,527

Fine

Oct 17, 2023

$2,787

Fine

Oct 10, 2023

$2,117

Fine

Oct 2, 2023

$1,764

Fine

Sep 11, 2023

$3,174

Ownership & Operations

Who Operates This Facility

Owner / Operator

Golden Madera Care Center

Organization Type

for profit

Chain Affiliation

Chain Name

Golden Snf Operations

Chain Size

7 facilities nationwide

Chain avg rating: 2.3/5 · Rank 1 of 7 (Best)

Ownership & Management

Owners

Madera Operations Holdings LLC

Owner · Organization

100%

Ch Cafive Holdings LLC

Owner (parent company) · Organization

61%

Key personnel

Bruce, MarthaManaging Control - Governing BodyEarl, StevenManaging Control - Governing BodySpielman, ShimonOfficer / DirectorYenowitz, YitzchokOfficer / DirectorCouve Healthcare Consulting LLCManager
Source: Medicare provider data

Contact

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References & Resources

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