Madera Rehabilitation & Nursing Center
MADERA REHABILITATION & NURSING CENTER in MADERA, CA — inspection on August 14, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During a review of the facility’s P&P titled. “Safety and Supervision of Residents,” dated 1/24, the P&P indicated, “…2.
Safety risks and environment hazards are identified on an ongoing basis through a combination of employee training, employee monitoring, and reporting processes; QAPI [Quality Assurance and Performance Improvement-systematic, data-driven, and proactive approach to improving the quality of care and quality of life in healthcare settings] reviews of safety and incident/accident data; and a facility-wide commitment to safety at all levels of the organization. 3.
When accident hazards are identified, the facility staff shall review the events in an attempt to identify the root-cause and possible associated hazards and develop strategies to mitigate or remove the hazards to the extent possible. 4.
When safety risks can not be completely eliminated, such as the risk for falls and related injuries, the facility staff shall develop strategies to mitigate the risk for injuries that could result from these events. 5.
The facility staff and QAPI committee shall review interventions to mitigate hazards or risk for injuries and modify as deemed necessary…” During a review of facility’s policy and procedure (P&P) titled, “Accidents and Incidents-Investigating and Reporting,” dated 7/19, the P&P indicated, “…The nurse supervisor/charge nurse and/or the department director or supervisor shall promptly initiate and document investigation of the accident or incident… Incident/accident reports will be reviewed… for trends related to accident or safety hazards in the facility and to analyze any individual vulnerabilities.” During a review of facility’s P&P titled, “Unusual Occurrence Reporting,” dated 12/23, the P&P indicated, “… 1.
Our facility will report the following events to appropriate agencies… or other calamities that damage the facility or threaten the welfare, safety or health of residents… “ During a review of the facility’s P&P titled, “Resident Rights,” dated 2/23, the P&P indicated, “… Federal and state laws guarantee certain rights to all residents of this facility.
These rights include the resident’s rights to: a dignified existence; be treated with respect, kindness and dignity… be informed of safety…”
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.