Home›Browse›California›Merced›La Sierra Care Center

Nursing homeFAID #719

La Sierra Care Center

2424 M STREET, MERCED, CA, 95340

(209) 723-4224

68 licensed beds

CMS rates La Sierra Care Center 3 out of 5 overall. Federal inspectors issued 61 citations across 10 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★3/5CMS Five-Star overall3/5 health inspections3/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

2424 M Street

Merced, CA 95340

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

055271

Care type

Nursing home

County

Merced

Facility name

La Sierra Care Center

Street address

2424 M STREET

City / state / ZIP

Merced, CA 95340

Phone

(209) 723-4224

About this facility — La Sierra Care Center

La Sierra Care Center is a Medicare/Medicaid-certified skilled nursing facility in Merced, California. It is licensed for 68 beds — below the median for skilled nursing facilities in California (98 beds).

It is one of 27 senior care facilities in Merced and 1,165 skilled nursing facilities across California. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Cambridge Healthcare Services, a group of 32 facilities on this site.

Federal inspectors have cited La Sierra Care Center 61 times across 10 inspections in the last three years, including 8 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Cambridge Healthcare Services

Ownership type

For profit - Limited Liability company

Registered owners & officers

Crescent Facilities Operations Llc

Direct owner — 100% stake — since 2007

2424 M Street Llc

Additional disclosable party — since 2006

Bering Properties Llc

Indirect owner — since 2007

Bh Alliance

Indirect owner — since 2006

Bretsch, Gregory

Governing body · Operational control · Additional disclosable party — since 2019

Butenko, Julie

Operational control · Additional disclosable party — since 2023

Cambridge Healthcare Services Llc

Operational control · Additional disclosable party — since 2014

Capela, Heidi

Operational control · Additional disclosable party — since 2023

Darouze, Michael

Governing body · Operational control · Additional disclosable party — since 2024

Hassell, Lance

Operational control · Additional disclosable party — since 2022

Ira & Rachel Smedra Family Irrevocable Gift Trust

Indirect owner — since 2007

Jenmax Enterprises Llc

Indirect owner · Additional disclosable party — since 2007

Jennifer Nurit Smedra Trust 1997 Trust

Indirect owner — since 2007

Jk-csh Jv Llc

Indirect owner · Additional disclosable party — since 2006

Lutz, Linda

Operational control · Additional disclosable party — since 2012

Manhattan Five Partners Llc

Indirect owner — since 2006

Manoharan, Arun

Operational control · Additional disclosable party — since 2024

Salazar, Paulina

Operational control · Additional disclosable party — since 2020

Silveira, Skyler

Operational control — since 2021

Smedra, Ira

Officer · Operational control · Additional disclosable party — since 2014

The Hyman & Betty Ingber Family Trust

Indirect owner — since 2013

The Jacob Wintner Trust

Indirect owner — since 2006

The Wintner Living Trust Dated 7/08/1992

Indirect owner — since 2007

Win Win Enterprises, Llc

Indirect owner · Additional disclosable party — since 2007

Wintner, Jacob

Indirect owner · Officer · Operational control — since 2007

Regulatory standing

Federal court records

2 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1967-01-01

CMS overall rating

3 of 5 stars

Health deficiencies

12 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-01-23

Nurse staffing

3.9 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$424 per day (≈ $12,890/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

73% Medicaid · 10% Medicare · 17% private/other

Occupancy

91% (fiscal year 2023)

Vs. state median

18% below the CA median of $514/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 8 food-safety citations on its three-year record — flagged below among the inspections.

2026-01-23Health inspection11 citations

F-0558

D · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2026-02-23

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2026-02-23

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2026-02-23

F-0761

D · No harm found

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.

Corrected 2026-02-23

F-0801

E · No harm foundFood safety

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2026-02-23

F-0803

E · No harm foundFood safety

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2026-02-23

F-0806

E · No harm foundFood safety

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2026-02-23

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-02-23

F-0842

E · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2026-02-23

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-02-23

F-0912

E · No harm found

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Corrected 2026-02-23

2025-11-19Health inspectionComplaint-triggered1 citation

F-0655

D · No harm foundFrom a complaint

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-12-11

8 earlier / fire-safety inspections (49 citations)

2025-04-03Health inspectionComplaint-triggered1 citation

F-0658

D · No harm foundFrom a complaint

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-04-21

2024-10-23Health inspectionComplaint-triggered1 citation

F-0800

E · No harm foundFood safetyFrom a complaint

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Corrected 2024-11-04

2024-08-23Health inspection13 citations

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-09-23

F-0645

D · No harm found

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-09-23

F-0657

D · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-09-23

F-0692

D · No harm found

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

Corrected 2024-09-23

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-09-23

F-0732

C · No harm found

Post nurse staffing information every day.

Corrected 2024-09-23

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-09-23

F-0759

E · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-09-23

F-0760

E · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2024-09-23

F-0804

F · No harm foundFood safety

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-09-23

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-09-23

F-0842

D · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-09-23

F-0912

F · No harm found

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Corrected 2024-09-23

2023-10-09Health inspectionComplaint-triggered1 citation

F-0656

D · No harm foundFrom a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-10-26

2021-04-29Health inspection10 citations

F-0558

D · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2021-05-11

F-0565

E · No harm found

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2021-04-29

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2021-05-20

F-0679

E · No harm found

Provide activities to meet all resident's needs.

Corrected 2021-06-10

F-0689

E · No harm found

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

Corrected 2021-06-10

F-0761

D · No harm found

Corrected 2021-05-20

F-0812

D · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2021-06-10

F-0868

F · No harm found

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2021-06-10

F-0912

E · No harm found

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Corrected 2021-06-10

F-0920

D · No harm found

Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.

Corrected 2021-05-11

2026-01-23Fire-safety inspection4 citations

K-0291

F · No harm found

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2026-01-29

K-0324

D · No harm found

Provide properly protected cooking facilities.

Corrected 2026-01-30

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2026-02-12

K-0521

F · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2026-01-29

2024-08-23Fire-safety inspection8 citations

E-0015

F · No harm found

Address subsistence needs for staff and patients.

Corrected 2024-09-04

E-0023

C · No harm found

Establish policies and procedures for medical documentation.

Corrected 2024-09-04

K-0341

C · No harm found

Install a fire alarm system that can be heard throughout the facility.

Corrected 2024-09-04

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-09-04

K-0374

F · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-09-04

K-0712

C · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2024-09-04

K-0919

D · No harm found

Meet requirements for the use of electrical equipment.

Corrected 2024-09-04

K-0923

E · No harm found

Have proper medical gas storage and administration areas.

Corrected 2024-09-04

2021-04-29Fire-safety inspection11 citations

E-0007

D · No harm found

Address patient/client population and determine types of services needed.

Corrected 2021-05-18

E-0018

D · No harm found

Establish procedures for tracking staff and patients during an emergency.

Corrected 2021-05-18

E-0023

D · No harm found

Establish policies and procedures for medical documentation.

Corrected 2021-05-18

E-0024

D · No harm found

Establish policies and procedures for volunteers.

Corrected 2021-05-18

E-0036

D · No harm found

Establish emergency prep training and testing.

Corrected 2021-05-18

K-0232

D · No harm found

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2021-05-18

K-0293

D · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2021-05-18

K-0321

D · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2021-05-18

K-0355

D · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2021-05-18

K-0711

D · No harm found

Provide a written emergency evacuation plan.

Corrected 2021-05-18

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2021-05-18

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 055271.

Quality of care & staffing

How it compares in California.

Inspection citations, 3 years

More than 43% of nursing homes in the state

State median: 65

Federal fines, 3 years

No federal fines on record

State median: $0

Nurse staffing, hours per resident per day

3.9

Higher than 10% of nursing homes in the state

State median: 4.3

Nursing staff turnover, annual

50%

Higher than 86% of nursing homes in the state

State median: 36%

Resident outcomes

On 21 federal quality measures, this facility does better than the California average on 11 and worse on 6. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	4.3%	10.2%	13.5%	Better than state
Lose too much weight	2.6%	4.1%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.0%	0.7%	0.7%	Better than state
With a urinary tract infection	0.8%	1.2%	1.5%	Better than state
Have depressive symptoms	4.0%	7.6%	13.5%	Better than state
Were physically restrained	0.0%	0.3%	0.1%	Better than state
Experiencing one or more falls with major injury	0.8%	1.6%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	98.7%	93.7%	Near state average
Ability to walk independently worsened	9.8%	8.9%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	23.6%	13.7%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	100.0%	97.9%	95.3%	Near state average
With pressure ulcers	3.8%	4.3%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	13.3%	9.8%	18.3%	Worse than state
Received an antipsychotic medication	10.3%	12.3%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	0.99	2.21	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	1.78	1.50	1.69	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	100.0%	94.6%	82.3%	Near state average
Newly received an antipsychotic medication	6.9%	1.3%	1.5%	Worse than state
Were assessed and appropriately given the seasonal influenza vaccine	96.2%	93.1%	80.1%	Near state average
Were rehospitalized after a nursing home admission	14.0%	22.6%	23.4%	Better than state
Had an outpatient emergency department visit	14.6%	11.1%	11.8%	Worse than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0658 3 inspections. Ensure services provided by the nursing facility meet professional standards of quality.
F-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0912 3 inspections. Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
F-0558 2 inspections. Reasonably accommodate the needs and preferences of each resident.
F-0656 2 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F-0761 2 inspections. 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.

What its owners also hold

Win Win Enterprises, Llc has an ownership stake on file at 28 nursing homes, averaging 2.6 of 5 on CMS's overall rating.
The Wintner Living Trust Dated 7/08/1992 has an ownership stake on file at 12 nursing homes, averaging 2.8 of 5 on CMS's overall rating.
Manhattan Five Partners Llc has an ownership stake on file at 11 nursing homes, averaging 2.9 of 5 on CMS's overall rating.
Bh Alliance has an ownership stake on file at 11 nursing homes, averaging 3 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in California

Licensing: California Department of Public Health, Center for Health Care Quality, Licensing and Certification
File a complaint: 844-538-8766 · Online
Long-Term Care Ombudsman: 800-231-4024. A free advocate for residents and families.
Adult Protective Services: 833-401-0832. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Mercy Medical Center, about 2.3 miles. CMS rating 3 of 5.
Emanuel Medical Center, about 24 miles. CMS rating 2 of 5.
Memorial Hospital Los Banos, about 27 miles. CMS rating 3 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Merced Nursing & Rehabilitation Ctr, Merced, less than 0.1 miles. CMS rating 3 of 5.
Golden Merced Care Center, Merced, about 0.3 miles. CMS rating 3 of 5.
Retirement Homes, Merced, about 0.5 miles. 6 state visits on record.
Park Merced, Merced, about 0.6 miles. 8 state visits on record.
Franciscan Post-acute Care Center, Merced, about 0.8 miles. CMS rating 4 of 5.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 61 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered