Nursing homeFAID #660
Madera Post Acute Center
★★★★★1/5CMS Five-Star overall1/5 health inspections3/5 staffing4/5 quality measuresSource: CMS Care Compare
Photo via Google · Madera Post Acute Center
Public record summary
What we can show you for free.
Bed capacity
148
CMS facility ID
055141
Care type
Nursing home
County
Los Angeles
Facility name
Madera Post Acute Center
Street address
11900 RAMONA BOULEVARD
City / state / ZIP
El Monte, CA 91732
Phone
(626) 442-5721
Website
About this facility — Madera Post Acute Center
Madera Post Acute Center is a Medicare/Medicaid-certified skilled nursing facility in El Monte, California. It is licensed for 148 beds — well above the median for skilled nursing facilities in California (98 beds).
It is one of 20 senior care facilities in El Monte 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.
Federal inspectors have cited Madera Post Acute Center 82 times across 21 inspections in the last three years, including 5 food-safety citations, and CMS has imposed $29,517 in fines. 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 August 31, 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
The Ensign Group
Ownership type
For profit - Corporation
Registered owners & officers
Burnam, Soon
Officer — since 2022
Ensign Services Inc
Additional disclosable party — since 2022
Gamero, Alicia
Officer — since 2023
Keetch, Chad
Officer — since 2011
Liu, John
Governing body · Operational control · Additional disclosable party — since 2023
Port, Barry
Owner of a disclosable party — since 2025
Sato, Ami
Officer — since 2024
Twomagnets Llc
Operational control · Additional disclosable party — since 2023
Willits, Adam
Director — since 2023
Yamak, Najib
Governing body · Operational control · Additional disclosable party — since 2023
Regulatory standing
Federal court records
11 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1971-11-01
CMS overall rating
1 of 5 stars
Health deficiencies
29 at the last standard inspection
Federal fines
$29,517 total
Last standard inspection
2025-07-10
Nurse staffing
4.0 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$490 per day (≈ $14,900/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
80% Medicaid · 14% Medicare · 7% private/other
Occupancy
92% (fiscal year 2023)
Vs. state median
5% below the CA median of $514/day — full state cost breakdown
Services & coverage
Licensed beds
148
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. 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 5 food-safety citations on its three-year record — flagged below among the inspections.
2026-05-15Health inspectionComplaint-triggered3 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-06-09
F-0684
E · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-06-10
F-0755
E · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-06-10
2026-04-23Health inspectionComplaint-triggered4 citations
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2026-05-15
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-05-14
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-05-11
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-05-14
19 earlier / fire-safety inspections (75 citations)
2026-04-08Health inspectionComplaint-triggered1 citation
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2026-05-01
2026-03-16Health inspectionComplaint-triggered4 citations
F-0557
D · No harm foundFrom a complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2026-04-02
F-0656
E · 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 2026-04-02
F-0761
D · No harm foundFrom a complaint
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 2026-04-02
F-0926
D · No harm foundFrom a complaint
Have policies on smoking.
Corrected 2026-04-02
2026-01-28Health inspectionComplaint-triggered1 citation
F-0692
E · No harm foundFrom a complaint
Provide enough food/fluids to maintain a resident's health.
Corrected 2026-02-14
2026-01-06Health inspectionComplaint-triggered3 citations
F-0609
E · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-01-30
F-0689
E · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-01-30
F-0812
E · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-01-30
2025-08-21Health inspectionComplaint-triggered1 citation
F-0684
E · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-09-12
2025-07-10Health inspection12 citations
F-0550
E · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-07-30
F-0584
D · No harm found
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.
Corrected 2025-07-30
F-0641
E · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-07-30
F-0656
E · 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 2025-07-30
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-30
F-0689
K · Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-24
F-0700
D · No harm found
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.
Corrected 2025-07-30
F-0732
B · No harm found
Post nurse staffing information every day.
Corrected 2025-07-30
F-0810
D · No harm foundFood safety
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2025-07-30
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 2025-07-25
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-07-30
F-0908
D · No harm found
Keep all essential equipment working safely.
Corrected 2025-07-30
2025-04-07Health inspectionComplaint-triggered1 citation
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-01
2025-03-19Health inspectionComplaint-triggered1 citation
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-04-09
2025-02-05Health inspectionComplaint-triggered2 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-03-03
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-03
2024-12-16Health inspectionComplaint-triggered1 citation
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-01-07
2024-10-10Health inspectionComplaint-triggered1 citation
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-11-01
2024-10-09Health inspectionComplaint-triggered1 citation
F-0758
D · No harm foundFrom a complaint
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.
Corrected 2024-10-28
2024-07-19Health inspection12 citations
F-0558
E · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-08-06
F-0578
D · No harm found
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.
Corrected 2024-08-07
F-0676
E · No harm found
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2024-08-05
F-0688
D · No harm found
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.
Corrected 2024-08-09
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 2024-08-08
F-0690
E · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-08-08
F-0693
E · No harm found
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.
Corrected 2024-08-08
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-08-08
F-0700
E · No harm found
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.
Corrected 2024-08-12
F-0732
B · No harm found
Post nurse staffing information every day.
Corrected 2024-08-07
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 2024-08-12
F-0849
D · No harm found
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.
Corrected 2024-08-08
2024-05-17Health inspectionComplaint-triggered2 citations
F-0694
G · Actual harmFrom a complaint
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2024-06-14
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-06-14
2024-03-08Health inspectionComplaint-triggered2 citations
F-0725
D · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-03-27
F-0919
D · No harm foundFrom a complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-03-27
2021-10-21Health inspection18 citations
F-0552
D · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2021-12-01
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2021-12-01
F-0578
E · No harm found
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.
Corrected 2021-12-01
F-0583
D · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2021-12-01
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 2021-12-01
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 2021-12-01
F-0685
D · No harm found
Assist a resident in gaining access to vision and hearing services.
Corrected 2021-12-01
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2021-12-01
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2021-12-01
F-0691
D · No harm found
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected 2021-12-01
F-0697
D · No harm found
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2021-12-01
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 2021-12-01
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 2021-12-01
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 2021-12-01
F-0825
D · No harm found
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2021-12-01
F-0849
D · No harm found
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.
Corrected 2021-12-01
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2021-12-01
F-0881
D · No harm found
Implement a program that monitors antibiotic use.
Corrected 2021-12-01
2025-07-10Fire-safety inspection4 citations
E-0041
C · No harm found
Implement emergency and standby power systems.
Corrected 2025-07-30
K-0345
D · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-07-30
K-0351
D · No harm found
Install an approved automatic sprinkler system.
Corrected 2025-07-30
K-0918
E · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-07-30
2024-07-19Fire-safety inspection2 citations
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 2024-08-06
K-0355
D · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-07-25
2021-10-21Fire-safety inspection6 citations
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 2021-11-10
K-0331
E · No harm found
Construct fire resistant interior walls.
Corrected 2021-11-10
K-0351
D · No harm found
Install an approved automatic sprinkler system.
Corrected 2021-11-10
K-0741
D · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2021-11-10
K-0912
D · No harm found
Have power receptacles that are properly grounded.
Corrected 2021-11-10
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-11-10
Federal penalties
2025-07-10Fine$13,319
2024-05-17Fine$16,198
Total fines$29,517
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 055141.
Visitor reviews
What people say on Google.
3.4★★★★★51 ratings on Google
★Vince Lark · 2025-08-18 · via Google“we were pressured by our doctor to have our brother in law be staying in this convalescent house. We had a weird feeling about it and turns out our gut feeling was right. The employees arent able to provide any proper care to their patients and abandon them in their rooms. There are some patients on wheelchair screaming all night and some crazy ones just non stop screaming at staff all night long.…”
★★★★★griselda solorzano · 2025-02-27 · via Google“They have the best bed side manner and really care about their patients. They treat them like family , with so much love and compassion. My dad has been here for 3 months now and I couldn’t be happier with them. Lastly , they have so many events and cute dinners for their patients ! It’s the cutest.”
★Jeffrey · 2025-08-31 · via Google“I am a patient in Ramona nursing facility and rehabilitation right now. Let me tell you about the administration they are a bunch of liars, they lied to the state inspectors, they allow the maintenance worker to have access to the shredder bin with all our sensitive information they lost my medical paperwork and lied to the state that they found it in a locked shredder bin that they shouldn't have…”
Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 82 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 onlyActive civil suits
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Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Original records
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
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