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Nursing homeFAID #709

Merced Nursing & Rehabilitation Ctr

510 WEST 26TH STREET, MERCED, CA, 95340

(209) 723-2911

79 licensed beds

CMS rates Merced Nursing & Rehabilitation Ctr 3 out of 5 overall. Federal inspectors issued 46 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

510 West 26th Street

Merced, CA 95340

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Public record summary

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Bed capacity

CMS facility ID

055249

Care type

Nursing home

County

Merced

Facility name

Merced Nursing & Rehabilitation Ctr

Street address

510 WEST 26TH STREET

City / state / ZIP

Merced, CA 95340

Phone

(209) 723-2911

About this facility — Merced Nursing & Rehabilitation Ctr

Merced Nursing & Rehabilitation Ctr is a Medicare/Medicaid-certified skilled nursing facility in Merced, California. It is licensed for 79 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 Merced Nursing & Rehabilitation Ctr 46 times across 10 inspections in the last three years, including 6 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 - Corporation

Registered owners & officers

Crescent Facilities Operations Llc

Direct owner — 100% stake — since 2008

Win Win Enterprises, Llc

Indirect owner · Additional disclosable party — 35% stake — since 2006

Jenmax Enterprises Llc

Indirect owner · Additional disclosable party — 23% stake — since 2006

Jk-csh Jv Llc

Indirect owner · Additional disclosable party — 12% stake — since 2006

Manhattan Five Partners Llc

Indirect owner — 7% stake — since 2006

Bering Properties Llc

Indirect owner — 6% stake — since 2013

510 W. 26th Street Llc

Additional disclosable party — since 2006

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

Kaur, Neelam

Operational control — since 2023

Lutz, Linda

Operational control · Owner of a disclosable party · Additional disclosable party — since 2012

Manoharan, Arun

Operational control · Additional disclosable party — since 2022

Salazar, Paulina

Operational control · Additional disclosable party — since 2020

Smedra, Ira

Officer · Operational control · Additional disclosable party — since 2007

The Jacob Wintner Trust

Indirect owner — since 2006

The Wintner Living Trust Dated 7/08/1992

Indirect owner — since 2007

Wintner, Jacob

Indirect owner · Officer · Operational control · Additional disclosable party — 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

1970-01-01

CMS overall rating

3 of 5 stars

Health deficiencies

15 at the last standard inspection

Federal fines

None on record

Last standard inspection

2025-04-18

Nurse staffing

4.2 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$409 per day (≈ $12,430/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

80% Medicaid · 9% Medicare · 11% private/other

Occupancy

89% (fiscal year 2023)

Vs. state median

20% 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 6 food-safety citations on its three-year record — flagged below among the inspections.

2026-07-17Health inspectionComplaint-triggered3 citations

F-0605

D · No harm foundFrom a complaint

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2026-07-17

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 2026-07-17

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 2026-07-17

2026-03-23Health inspectionComplaint-triggered1 citation

F-0657

D · No harm foundFrom a complaint

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

Corrected 2026-04-17

8 earlier / fire-safety inspections (42 citations)

2025-07-24Health inspectionComplaint-triggered1 citation

F-0600

D · No harm foundFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-08-17

2025-04-18Health inspection11 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-05-18

F-0561

D · No harm found

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2025-05-18

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 2025-05-18

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 2025-05-18

F-0758

D · No harm found

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 2025-05-18

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 2025-05-18

F-0801

F · 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 2025-05-18

F-0806

D · 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 2025-05-18

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 2025-05-18

F-0814

F · No harm foundFood safety

Dispose of garbage and refuse properly.

Corrected 2025-05-18

F-0912

B · 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 2025-05-18

2025-02-21Health inspectionComplaint-triggered1 citation

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 2025-03-21

2024-07-12Health inspection8 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-07-29

F-0584

E · 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 2024-07-29

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 2024-07-29

F-0658

E · No harm found

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

Corrected 2024-07-29

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 2024-07-29

F-0814

F · No harm foundFood safety

Dispose of garbage and refuse properly.

Corrected 2024-07-29

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-07-29

F-0912

B · 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 2024-07-29

2019-09-13Health inspection2 citations

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2019-10-16

F-0912

B · 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 2019-10-16

2025-04-18Fire-safety inspection5 citations

E-0004

D · No harm found

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-04-22

K-0342

D · No harm found

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

Corrected 2025-05-08

K-0345

C · No harm found

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

Corrected 2025-05-08

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2025-05-08

K-0712

D · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2025-05-08

2024-07-12Fire-safety inspection9 citations

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2024-08-07

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-08-07

K-0355

D · No harm found

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

Corrected 2024-08-07

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2024-08-07

K-0521

F · No harm found

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

Corrected 2024-08-07

K-0711

D · No harm found

Provide a written emergency evacuation plan.

Corrected 2024-08-07

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2024-08-07

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-08-07

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2024-08-07

2019-09-13Fire-safety inspection5 citations

K-0161

D · No harm found

Use approved construction type or materials.

Corrected 2019-11-20

K-0222

E · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2019-11-20

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-11-20

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2019-11-20

K-0918

E · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2019-11-20

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 055249.

Quality of care & staffing

How it compares in California.

Inspection citations, 3 years

More than 21% 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

4.2

Higher than 40% of nursing homes in the state

State median: 4.3

Nursing staff turnover, annual

42%

Higher than 67% 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 5 and worse on 9. 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	11.3%	10.2%	13.5%	Worse than state
Lose too much weight	6.9%	4.1%	5.1%	Worse 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	1.9%	1.2%	1.5%	Worse than state
Have depressive symptoms	8.2%	7.6%	13.5%	Near state average
Were physically restrained	0.0%	0.3%	0.1%	Better than state
Experiencing one or more falls with major injury	1.0%	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	18.3%	8.9%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	12.4%	13.7%	19.5%	Near state average
Assessed and appropriately given the seasonal influenza vaccine	100.0%	97.9%	95.3%	Near state average
With pressure ulcers	1.8%	4.3%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	15.4%	9.8%	18.3%	Worse than state
Received an antipsychotic medication	14.8%	12.3%	15.4%	Worse than state
Hospitalizations per 1000 long-stay resident days	1.65	2.21	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	2.04	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	1.7%	1.3%	1.5%	Worse than state
Were assessed and appropriately given the seasonal influenza vaccine	98.1%	93.1%	80.1%	Near state average
Were rehospitalized after a nursing home admission	23.3%	22.6%	23.4%	Near state average
Had an outpatient emergency department visit	25.0%	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-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.
K-0363 3 inspections. Install corridor and hallway doors that block smoke.
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-0657 2 inspections. Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F-0550 2 inspections. Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F-0584 2 inspections. 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.

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 2.2 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

La Sierra Care Center, Merced, less than 0.1 miles. CMS rating 3 of 5.
Golden Merced Care Center, Merced, about 0.2 miles. CMS rating 3 of 5.
Retirement Homes, Merced, about 0.4 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 0.7 miles. CMS rating 4 of 5.

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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

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The 46 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

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Active civil suits

Federal dockets

CDC infection data

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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