CCN 055147 · Madera County, California
Madera Rehabilitation & Nursing Center
517 South a Street, Madera, CA 93638
Madera Rehabilitation & Nursing Center is a 176-bed for-profit nursing home in Madera, California, first certified for Medicare or Medicaid in 1967. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 167.9 residents a day, about 95% of its certified beds. It has an active FHA-insured Section 232 loan: $6.6 million originally, at 2.59%, with $5.6 million outstanding as of September 30, 2026 and maturity in April 2047.
Facility facts
- Certified beds
- 176
- Average residents per day
- 167.9 (95.4% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Cf Madera, LLC
- Certified since
- Jan 1, 1967
- Chain or affiliated group
- Cambridge Healthcare Services (32 facilities, chain average 2.5 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | California median | US median |
|---|---|---|---|
| Overall rating | 1 of 5 | State spread: 186 at 1, 213 at 2, 244 at 3, 240 at 4, 270 at 5 | |
| Health inspections | 1 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 3 of 5 | ||
| Total nurse hours per resident per day | 3.82 | 4.24 | 3.68 |
| RN hours per resident per day | 0.53 | 0.50 | 0.58 |
| Weekend nurse hours per resident per day | 3.55 | ||
| Nursing staff turnover | 45.5% | 36.4% | 44.9% |
| Occupancy (residents / beds) | 95.4% | 92.0% | 85.7% |
| Fines reported by CMS | 3 totaling $373,733 | ||
| Health deficiencies, latest standard survey | 24 (Aug 14, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Madera Rehabilitation & Nursing Center does not meet it today: overall rating 1, health inspection rating 1. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Crescent Facilities Operations LLCOrganization | Direct Ownership Interest | 100% | 12/19/2006 |
| Bering Properties LLCOrganization | Indirect Ownership Interest | 6% | 10/10/2013 |
| Jenmax Enterprises LLCOrganization | Indirect Ownership Interest | 23% | 02/01/2007 |
| Jk-Csh Jv LLCOrganization | Indirect Ownership Interest | 12% | 11/01/2006 |
| Manhattan Five Partners LLCOrganization | Indirect Ownership Interest | 7% | 11/01/2006 |
| Win Win Enterprises, LLCOrganization | Indirect Ownership Interest | 35% | 02/01/2007 |
| Cambridge Healthcare Services LLCOrganization | Operational / Managerial Control | n/a | 04/01/2014 |
| Bretsch, GregoryIndividual | Operational / Managerial Control | n/a | 02/25/2019 |
| Bulosan, JuliaIndividual | Operational / Managerial Control | n/a | 05/27/2025 |
| Butenko, JulieIndividual | Operational / Managerial Control | n/a | 07/24/2023 |
| Capela, HeidiIndividual | Operational / Managerial Control | n/a | 04/03/2023 |
| Hassell, LanceIndividual | Operational / Managerial Control | n/a | 04/25/2022 |
| Lal, AkashIndividual | Operational / Managerial Control | n/a | 10/28/2024 |
| Lutz, LindaIndividual | Operational / Managerial Control | n/a | 02/01/2012 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Mar 30, 2021 | 223(a)(7) refinance of a 223(f) loanHUD project name: Madera Rehabilitation and Nursing Center, 176 beds. Lender at endorsement: Capital Funding LLC | $6,626,700 | Active: 2.59%, $5,587,700 balanceMatures Apr 1, 2047. Servicer: Capital Funding LLC | 12122236 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.