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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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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 45% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. The latest standard survey recorded 29 findings, above the CA average of 15.4. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
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
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Concerns
Rating Trends
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Distribution · 56 analyzed
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.
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.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
14
measures
3
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Residents vaccinated for pneumonia
Residents on antipsychotic medication
Residents whose walking got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
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.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
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.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
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.
Federal Penalties
Fine
Jul 10, 2025
$13,319
Fine
May 17, 2024
$16,198
Madera Post Acute Center
for profit
The Ensign Group
346 facilities nationwide
Chain avg rating: 3.2/5 · Rank 302 of 328 (Lowest rating)
Owners
Port, Barry
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
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Google Reviews
47 reviews from families & visitors
Official Website
Visit maderapostacute.com
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
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