Data / Nursing homes / California / Madera Post Acute Center
Madera Post Acute Center, El Monte, CA: 1 star rating, fined $29,517 across 2 fines
Madera Post Acute Center in El Monte, CA is run by Glimmer Healthcare Inc, with no owner listed in the CMS ownership file, is rated 1 of 5 stars by Medicare, and was fined $29,517 across 2 fines in the three years to October 1, 2026. CMS lists 66 health citations from inspections in that time, the latest survey on August 3, 2026, and 2 of them found actual harm or immediate jeopardy.
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- Address
- 11900 Ramona Boulevard, El Monte, CA 91732
- Overall rating
- 1 of 5 stars
- Health inspection rating
- 1 of 5
- Staffing rating
- 3 of 5
- Quality measure rating
- 4 of 5
- Certified beds
- 148
- Residents per day
- 137 on average
- Ownership type
- For profit, corporation
- Legal business name
- Glimmer Healthcare Inc
- Chain
- The Ensign Group, 347 facilities
- Fines
- $29,517 across 2 fines, three years to October 1, 2026
- Payment denials
- 0
- Health citations
- 66, of which 2 with actual harm or immediate jeopardy
- Latest survey
- August 3, 2026
- CMS Certification Number
- 055141
- On Care Compare
- Medicare Care Compare
Fines and payment denials
Every fine and payment denial CMS lists for this facility in the three years, newest first.
| Date | Type | Fine amount | Denial starts | Denial days | Source |
|---|---|---|---|---|---|
| July 10, 2025 | Fine | $13,319 | Not listed | data.cms.gov | |
| May 17, 2024 | Fine | $16,198 | Not listed | data.cms.gov |
Recent health citations
Citations from health inspections, newest first.
| Survey date | Tag | What CMS cited | Scope and severity | Status | Corrected on | Source |
|---|---|---|---|---|---|---|
| August 3, 2026 | F887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | August 20, 2026 | data.cms.gov |
| August 3, 2026 | F881 | Implement a program that monitors antibiotic use. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | August 26, 2026 | data.cms.gov |
| August 3, 2026 | F880 | Provide and implement an infection prevention and control program. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | August 25, 2026 | data.cms.gov |
| August 3, 2026 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 26, 2026 | data.cms.gov |
| August 3, 2026 | F813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 26, 2026 | data.cms.gov |
| August 3, 2026 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 25, 2026 | data.cms.gov |
| August 3, 2026 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 26, 2026 | data.cms.gov |
| August 3, 2026 | F693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 26, 2026 | data.cms.gov |
| August 3, 2026 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 24, 2026 | data.cms.gov |
| August 3, 2026 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 4, 2026 | data.cms.gov |
| August 3, 2026 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | August 25, 2026 | data.cms.gov |
| August 3, 2026 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | August 26, 2026 | data.cms.gov |
| August 3, 2026 | F641 | Ensure each resident receives an accurate assessment. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | August 26, 2026 | data.cms.gov |
| August 3, 2026 | F558 | Reasonably accommodate the needs and preferences of each resident. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | August 26, 2026 | data.cms.gov |
| May 15, 2026 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | June 10, 2026 | data.cms.gov |
| May 15, 2026 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | June 10, 2026 | data.cms.gov |
| May 15, 2026 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 9, 2026 | data.cms.gov |
| April 23, 2026 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 14, 2026 | data.cms.gov |
| April 23, 2026 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 11, 2026 | data.cms.gov |
| April 23, 2026 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 14, 2026 | data.cms.gov |
| April 23, 2026 | F558 | Reasonably accommodate the needs and preferences of each resident. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 15, 2026 | data.cms.gov |
| April 8, 2026 | F558 | Reasonably accommodate the needs and preferences of each resident. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 1, 2026 | data.cms.gov |
| March 16, 2026 | F926 | Have policies on smoking. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 2, 2026 | data.cms.gov |
| March 16, 2026 | F761 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 2, 2026 | data.cms.gov |
| March 16, 2026 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | April 2, 2026 | data.cms.gov |
| March 16, 2026 | F557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 2, 2026 | data.cms.gov |
| January 28, 2026 | F692 | Provide enough food/fluids to maintain a resident's health. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | February 14, 2026 | data.cms.gov |
| January 6, 2026 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | January 30, 2026 | data.cms.gov |
| January 6, 2026 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | January 30, 2026 | data.cms.gov |
| January 6, 2026 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | January 30, 2026 | data.cms.gov |
| August 21, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | September 12, 2025 | data.cms.gov |
| July 10, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K: pattern, immediate jeopardy | Corrected | July 24, 2025 | data.cms.gov |
| July 10, 2025 | F908 | Keep all essential equipment working safely. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 30, 2025 | data.cms.gov |
| July 10, 2025 | F880 | Provide and implement an infection prevention and control program. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | July 30, 2025 | data.cms.gov |
| July 10, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | July 25, 2025 | data.cms.gov |
| July 10, 2025 | F810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 30, 2025 | data.cms.gov |
| July 10, 2025 | F732 | Post nurse staffing information every day. | B: pattern, minimal harm potential | Corrected | July 30, 2025 | data.cms.gov |
| July 10, 2025 | F700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 30, 2025 | data.cms.gov |
| July 10, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 30, 2025 | data.cms.gov |
| July 10, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | July 30, 2025 | data.cms.gov |
| July 10, 2025 | F641 | Ensure each resident receives an accurate assessment. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | July 30, 2025 | data.cms.gov |
| July 10, 2025 | F584 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 30, 2025 | data.cms.gov |
| July 10, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | July 30, 2025 | data.cms.gov |
| April 7, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 1, 2025 | data.cms.gov |
| March 19, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 9, 2025 | data.cms.gov |
| February 5, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 3, 2025 | data.cms.gov |
| February 5, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 3, 2025 | data.cms.gov |
| December 16, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | January 7, 2025 | data.cms.gov |
| October 10, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | November 1, 2024 | data.cms.gov |
| October 9, 2024 | F758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | October 28, 2024 | data.cms.gov |
| July 19, 2024 | F849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 8, 2024 | data.cms.gov |
| July 19, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | August 12, 2024 | data.cms.gov |
| July 19, 2024 | F732 | Post nurse staffing information every day. | B: pattern, minimal harm potential | Corrected | August 7, 2024 | data.cms.gov |
| July 19, 2024 | F700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | August 12, 2024 | data.cms.gov |
| July 19, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 8, 2024 | data.cms.gov |
| July 19, 2024 | F693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | August 8, 2024 | data.cms.gov |
| July 19, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | August 8, 2024 | data.cms.gov |
| July 19, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | August 8, 2024 | data.cms.gov |
| July 19, 2024 | F688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 9, 2024 | data.cms.gov |
| July 19, 2024 | F676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | August 5, 2024 | data.cms.gov |
| July 19, 2024 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 7, 2024 | data.cms.gov |
| July 19, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | August 6, 2024 | data.cms.gov |
| May 17, 2024 | F694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | G: isolated, actual harm | Corrected | June 14, 2024 | data.cms.gov |
| May 17, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 14, 2024 | data.cms.gov |
| March 8, 2024 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 27, 2024 | data.cms.gov |
| March 8, 2024 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 27, 2024 | data.cms.gov |
Owners and managers
Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 12 individual or personal trusts (4 managers, 6 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.
| Organization | Role | Share | Since | Source |
|---|---|---|---|---|
| Twomagnets LLC | Operational or managerial control | Not listed | February 1, 2023 | data.cms.gov |
| Ensign Services Inc | Additional disclosable party | Not listed | November 1, 2022 | data.cms.gov |
| Twomagnets LLC | Additional disclosable party | Not listed | August 18, 2025 | data.cms.gov |
Also on SpecStream
- All nursing homes in California
- Every nursing home Twomagnets LLC owns or manages
- Every nursing home Ensign Services Inc owns or manages
- This facility on Medicare Care Compare
Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.