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Nursing HomeMedicaid Investigative

Madera Post Acute Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

11900 Ramona Boulevard, El Monte, CA 91732148 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.4/5

based on 47 Google reviews

5
4
3
2
1
Madera Post Acute Center Nursing Home in El Monte, CA — Street View
Street View

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3/ 10
moderate Risk

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

Source: Medicare data

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 details
Food2.0Staff3.0Clean5.0Activities5.0MedsN/AMemoryN/AComms2.0ValueN/A

Strengths

  • 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

234'15(2)'17(6)'19(3)'21(8)'23(6)'25(8)'26(2)

Distribution · 56 analyzed

5
27
4
5
3
1
2
1
1
22

How They Respond to Reviews

27%response rate
Generic

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.

Rehab patient · 2023★★★★

They have the best bed side manner and really care about their patients. They treat them like family , with so much love and compassion.

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

I tried calling the front desk many many times and nobody would answer. Someone finally answered and then hung up on me.

Family member · 2025☆☆☆☆
Source: 47 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.37hrs
49%
Registered nurses for medical care
Total Nursing
3.99hrs
97%
All nurses + aides combined
Staff Turnover
46%
Lower is better (< 30% = good)
RN Turnover
33%
Lower is better (< 30% = good)

Both 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

Medicare Rating
4/ 5
Better Than Avg

12

measures

Worse Than Avg

1

measures

Mixed Results

4

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility3.7%
Better than Avg
Here
3.7%
US
12.1%
CA
7.0%
Los angeles
9.0%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
CA
98.6%
Los angeles
99.1%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility16.0%
Mixed vs Avgs
Here
16.0%
US
19.4%
CA
10.7%
Los angeles
9.5%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility16.4%
Mixed vs Avgs
Here
16.4%
US
19.5%
CA
13.7%
Los angeles
10.7%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
5.3%
CA
4.1%
Los angeles
4.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility9.2%
Better than Avg
Here
9.2%
US
14.4%
CA
10.4%
Los angeles
12.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility96.7%
Better than Avg
Here
96.7%
US
79.8%
CA
93.2%
Los angeles
92.6%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.6%
Better than Avg
Here
98.6%
US
81.8%
CA
94.2%
Los angeles
94.6%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.2%
Worse than Avg
Here
2.2%
US
1.6%
CA
1.5%
Los angeles
1.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

26deficiencies
2penalties
Well above state avg (15.4)
25 complaint-triggered
$38,341 in fines

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, 2026Complaint
4
0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0580Potential for harm · IsolatedCorrected

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.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0842Potential for harm · IsolatedCorrected

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, 2026Complaint
1
0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

Mar 16, 2026Complaint
4
0656Potential for harm · PatternCorrected

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.

0557Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

0761Potential for harm · IsolatedCorrected

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.

0926Potential for harm · IsolatedCorrected

Environmental Deficiencies

Have policies on smoking.

Jan 28, 2026Complaint
1
0692Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

Jan 6, 2026Complaint
3
0609Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0812Potential for harm · PatternCorrected

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, 2025Complaint
1
0684Potential for harm · PatternCorrected

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

Owner / Operator

Madera Post Acute Center

Organization Type

for profit

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

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

Liu, JohnManaging Control - Governing BodyYamak, NajibManaging Control - Governing BodyWillits, AdamOfficer / DirectorBurnam, SoonOfficer / DirectorGamero, AliciaOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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. 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.

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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