Madera Post Acute Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 47 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Above-median deficiencies (19 vs median 13.0)
Bottom 25% in CA · Below recommended RN staffing · Worst in THE ENSIGN GROUP chain · $38,341 in fines
What this means for your family
This facility has a highly capable physical therapy team that can be excellent for rehabilitation. However, families should be extremely vigilant regarding nursing responsiveness and administrative communication, as recent reviews indicate significant lapses in basic care and transparency.
Google Reviews
Google Reviews
47 reviews on Google“Families considering Madera Post Acute Center should be aware of significant discrepancies in care quality. While some reviewers praise the physical therapy team and specific compassionate staff members, numerous others report severe issues including neglect, poor communication from administration, and inadequate nursing response times.”
Quality Themes
Tap a score for detailsStrengths
- Excellent physical therapy team
- Compassionate social services and business office staff
- Clean and odor-free rooms (noted in some reviews)
- Smooth admissions and onboarding process
Concerns
- Unresponsive or poor communication from administration and front desk (mentioned by 3 reviewers)
- Nursing staff neglect or slow response to call lights (mentioned by 4 reviewers)
- Inconsistent food quality and dietary management (mentioned by 3 reviewers)
- Issues with staff professionalism and attitude (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 56 analyzed
How They Respond to Reviews
The owner uses highly templated, formulaic responses that follow a predictable structure. While they acknowledge the reviewer's name and express regret, they rarely address the specific details of the complaints, instead relying on a standard 'contact us' call to action.
Questions for Your Tour
- 1We've heard wonderful things about your physical therapy team and social services; how do these departments work together to help residents stay active and engaged?
- 2How does the nursing team ensure that call lights are answered promptly, especially during the night shifts?
- 3Could you tell us more about the daily dining experience and how you manage specific dietary needs or nutritional consistency?
- 4What is the best way for our family to stay in regular, clear communication with the administration and the front desk regarding our loved one's care?
- 5In the event of a medical emergency after hours, what is the specific protocol for notifying the family and coordinating care?
- 6What kind of daily activities or social events are planned to help residents connect with one another and stay social?
Personalized based on this facility's data
Key Review Excerpts
“The physical therapists here are excellent. I worked mostly with Joe, Ciara and Linda. Many others are excellent also.”
“They have the best bed side manner and really care about their patients. They treat them like family , with so much love and compassion.”
“I tried calling the front desk many many times and nobody would answer. Someone finally answered and then hung up on me.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
12
measures
1
measures
4
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
Residents who lost too much weight
Residents needing more daily help over time
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Madera Post Acute Center has significant quality concerns with multiple families filing complaints that triggered inspections over recurring issues with accident prevention, appropriate medical care, and food safety. The facility shows persistent problems across surveys in these same three areas, though most deficiencies appear to be corrected when cited, with one recent nutrition issue still lacking a correction plan as of early 2026.
Apr 23, 2026Complaint4
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident 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.
Apr 8, 2026Complaint1
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Mar 16, 2026Complaint4
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Pharmacy Service Deficiencies
Ensure 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.
Environmental Deficiencies
Have policies on smoking.
Jan 28, 2026Complaint1
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Jan 6, 2026Complaint3
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Aug 21, 2025Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Federal Penalties
Fine
Jul 10, 2025
$13,319
Fine
May 17, 2024
$16,198
Ownership & Operations
Who Operates This Facility
Madera Post Acute Center
for profit
Chain Affiliation
The Ensign Group
342 facilities nationwide
Chain avg rating: 3.2/5 · Rank 302 of 328 (Worst)
Ownership & Management
Owners
Port, Barry
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
47 reviews from families & visitors
Official Website
Visit maderapostacute.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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