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Skilled nursing facility · CMS certification number 055141

Madera Post Acute Center

EL MONTE, California · Medicare and Medicaid · 148 certified beds in Care Compare

Download Madera Post Acute Center’s record (CSV, each figure with its worksheet, line and column)

In Care Compare’s provider information: Penalties: 2 · Fines: 2 · Fines, total amount: $29,517.00 · Payment denials: 0. The most recent penalty on file: July 10, 2025, Fine, $13,319. Every penalty on file ↓

Madera Post Acute Center: its citable report, full history — $295 · an email when it changes — $99/month

What stands out

  • Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on August 28, 2025.
  • Net patient revenue rose from $18.5M in fiscal year 2023 to $20.4M in fiscal year 2024.
  • Its result from service to patients: −$2.2M (2022), $791K (2023), $472K (2024).
  • Its cost reports on file run from fiscal year 1996 to fiscal year 2024.
  • Its net patient revenue of $20.4M ranks 222nd of the 951 nursing facilities in California whose latest cost report on file is fiscal year 2024.
  • All 5 nursing facilities in California closest in size to it, whose latest cost report on file is fiscal year 2024, also report a gain on service to patients.

Madera Post Acute Center: Medicare cost reports

Form CMS-2540-10: every report is settled.

Cost reports on form CMS-2540-10, fiscal years 2011 to 2024
Form CMS-2540-102024 · report 14361792023 · report 13922182022 · report 13639702021 · report 13342772020 · report 13052432019 · report 12791132018 · report 12699432017 · report 12083202016 · report 11877982015 · report 11788172014 · report 11464582013 · report 10719352012 · report 10315052011 · report 1021136
Period beganJanuary 1, 2024February 1, 2023January 1, 2022January 1, 2021January 1, 2020January 1, 2019January 1, 2018January 1, 2017January 1, 2016January 1, 2015January 1, 2014January 1, 2013January 1, 2012January 1, 2011
Period endedDecember 31, 2024December 31, 2023December 31, 2022December 31, 2021December 31, 2020December 31, 2019December 31, 2018December 31, 2017December 31, 2016December 31, 2015December 31, 2014December 31, 2013December 31, 2012December 31, 2011
Processed by CMSAugust 28, 2025August 15, 2024September 9, 2023September 28, 2022November 24, 2021January 28, 2021September 29, 2020August 21, 2018May 2, 2018November 23, 2017November 16, 2016July 23, 2014June 3, 2013November 30, 2012
Total patient revenue$24,041,106$22,225,606$23,553,815$16,006,332$17,357,521$15,982,303$15,043,727$14,751,260$15,284,565$15,571,291$14,727,413$14,802,808$15,250,653$14,000,155
Contractual allowances and discounts$3,604,301$3,762,553$4,584,639$831,567$1,391,114$304,425−$542,252−$1,013,255−$1,211,046−$508,388−$792,893−$399,356−$769,512$112,625
Net patient revenue$20,436,805$18,463,053$18,969,176$15,174,765$15,966,407$15,677,878$15,585,979$15,764,515$16,495,611$16,079,679$15,520,306$15,202,164$16,020,165$13,887,530
Total operating expenses$19,964,990$17,671,715$21,212,562$16,595,562$18,732,800$16,978,490$17,085,475$16,360,102$14,573,705$15,020,896$13,561,792$12,888,264$12,845,233$11,926,321
Net income from service to patients$471,815$791,338−$2,243,386−$1,420,797−$2,766,393−$1,300,612−$1,499,496−$595,587$1,921,906$1,058,783$1,958,514$2,313,900$3,174,932$1,961,209
Total other income$18,336$68$376,464$16,690$1,259,359$2,840$9,120$89,600$43,357$27,695$10,909$8,708$25,441$18,240
Net income after other income$490,151$791,406−$1,866,922−$1,404,107−$1,507,034−$1,297,772−$1,490,376−$505,987$1,965,263$1,086,478$1,969,423$2,322,608$3,200,373$1,979,449
Net income$490,151$791,406−$1,790,653−$1,599,980−$1,502,711−$1,292,834−$1,547,155−$505,987$1,928,760$1,086,478$1,969,423$2,322,264$3,200,373$1,979,449
Total facility beds, all components148148148148148148148148148148148148148148
Bed days available, all components54,168—————————————
Medicare (Title XVIII) patient days5,921—————————————
Medicaid (Title XIX) patient days40,271—————————————
Other-payer patient days3,637—————————————
Total patient days, all components49,82945,38451,50041,66942,11349,38572,58448,77149,40449,03557,81649,84051,45351,040
Medicare discharges73—————————————
Medicaid discharges74—————————————
Other-payer discharges69—————————————
Total discharges, all components216203549395481606709832722765664695679455
Average length of stay, Medicare, in days81.1159.0266.0461.676.7146.1236.7429.9545.5345.6270.8635.0238.89101.95
Average length of stay, Medicaid, in days544.21,032.77147.55165.57103.32151.6122.5113.15114.77115.17151.76124.39140.17215.6
Average length of stay, all patients, in days230.69223.5793.81105.4987.5581.49102.3858.6268.4364.187.0771.7175.78112.18

Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.

Form CMS-2540-96: each report covers January 1 to December 31 of its year; every report is settled.

Cost reports on form CMS-2540-96, fiscal years 1996 to 2010
Form CMS-2540-962010 · report 4276642009 · report 3819342008 · report 3495092007 · report 3201102006 · report 2914042005 · report 2606932004 · report 2274752003 · report 1915652002 · report 1959422001 · report 1684052000 · report 802041999 · report 802021998 · report 802001997 · report 801981996 · report 80197
Processed by CMSApril 17, 2012July 16, 2010July 14, 2009July 23, 2008August 8, 2007August 8, 2006July 13, 2005September 1, 2004September 24, 2004February 4, 2004February 26, 2002April 3, 2001April 21, 2000June 9, 1999May 27, 1998
Net patient revenue$13,583,262$12,149,111$11,141,510$9,184,711$8,530,682$7,969,296$7,552,767$6,618,832$6,126,151$5,707,796$5,104,897$4,790,982$4,772,627$4,839,945$4,312,502
Total operating expenses$11,116,892$9,891,592$9,239,152$8,168,139$8,574,391$7,365,631$6,836,675$6,313,509$5,844,919$5,201,594$4,586,149$4,154,213$4,797,842$4,783,086$3,936,452
Net income from service to patients$2,466,370$2,257,519$1,902,358$1,016,572−$43,709$603,665$716,092$305,323$281,232$506,202$518,748$636,769−$25,215$56,859$376,050
Total other income$12,719$33,523$6,529$32,584$38,169$173,953—$67,161$168,124$116,611$307,102$183,029$146,370$149,973$142,528
Total other expenses——−$6——−$3,253−$1,933−$7,784—$10,506$17,105$3,252—$6,769$7,375
Net income$2,479,089$2,291,042$1,908,893$1,049,156−$5,540$780,871$718,025$380,268$449,356$612,307$808,745$816,546$121,155$200,063$511,203
Total facility beds, all components148148148148148148131131131131131131128148147
Total patient days, all components51,55445,65345,35744,95245,98746,09346,78545,02842,56542,92343,60346,12740,57042,78941,950
Total discharges, all components3393223443403173172672472045,898250250224237198
Average length of stay, Medicare, in days65.9872.8657.1543.3471.9352.3354.8148.1440.090.4139.7535.9841.4243.7742.16
Average length of stay, Medicaid, in days250.15212.99210.66218.15225.03230.36375.87450.37380.39387.5234.21249.76246.14262.96299.82
Average length of stay, all patients, in days152.08141.78131.85132.21145.07145.4175.22182.3208.657.28174.41184.51181.12180.54211.87

Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2001, 2000, 1999, 1998, 1997, 1996. Checked against the form’s own arithmetic: what that check shows.

Madera Post Acute Center: nurse staffing hours by quarter →

Who owns Madera Post Acute Center, as filed with CMS

Care Compare

  • ADP OF THE SNF: ENSIGN SERVICES INC (organization), since 11/01/2022; LIU, JOHN (individual), since 02/01/2023; TWOMAGNETS LLC (organization), since 08/18/2025; YAMAK, NAJIB (individual), since 02/01/2023
  • CORPORATE DIRECTOR: WILLITS, ADAM (individual), since 02/01/2023
  • CORPORATE OFFICER: BURNAM, SOON (individual), since 11/08/2022; GAMERO, ALICIA (individual), since 02/01/2023; KEETCH, CHAD (individual), since 03/01/2011; SATO, AMI (individual), since 09/09/2024
  • INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF: PORT, BARRY (individual), since 06/30/2025
  • MANAGING CONTROL - GOVERNING BODY: LIU, JOHN (individual), since 02/01/2023; YAMAK, NAJIB (individual), since 02/01/2023
  • OPERATIONAL/MANAGERIAL CONTROL: LIU, JOHN (individual), since 02/01/2023; TWOMAGNETS LLC (organization), since 02/01/2023; YAMAK, NAJIB (individual), since 02/01/2023

Ownership percentage for each: NOT APPLICABLE.

Medicare enrollment

As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of GLIMMER HEALTHCARE INC (enrollment ID O20230404002501).

  • 5% OR GREATER DIRECT OWNERSHIP INTEREST: FLAGSTONE HEALTHCARE SOUTH LLC (organization), 100.00%, since 11/08/2022
  • 5% OR GREATER INDIRECT OWNERSHIP INTEREST: THE ENSIGN GROUP INC (organization), 100.00%, since 02/01/2023
  • ADP OF THE SNF: ENSIGN SERVICES INC (organization), since 11/01/2022; JOHN K LIU (individual), since 02/01/2023; NAJIB YAMAK (individual), since 02/01/2023; TWOMAGNETS LLC (organization), since 08/18/2025
  • CORPORATE DIRECTOR: ADAM WILLITS (individual), since 02/01/2023
  • CORPORATE OFFICER: ALICIA GAMERO (individual), since 02/01/2023; AMI SATO (individual), since 09/09/2024; CHAD KEETCH (individual), since 03/01/2011; SOON BURNAM (individual), since 11/08/2022
  • MANAGING CONTROL - GOVERNING BODY: JOHN K LIU (individual), since 02/01/2023; NAJIB YAMAK (individual), since 02/01/2023
  • OPERATIONAL/MANAGERIAL CONTROL: JOHN K LIU (individual), since 02/01/2023; NAJIB YAMAK (individual), 0.00%, since 02/01/2023; TWOMAGNETS LLC (organization), since 02/01/2023

Paused by CMS: Form CMS-855A, December 11, 2025.

Private equity company, real estate investment trust and holding company: No: FLAGSTONE HEALTHCARE SOUTH LLC; THE ENSIGN GROUP INC; ENSIGN SERVICES INC; TWOMAGNETS LLC; TWOMAGNETS LLC.

Private equity company, real estate investment trust and holding company: Paused by CMS: JOHN K LIU; NAJIB YAMAK; ADAM WILLITS; ALICIA GAMERO; AMI SATO; CHAD KEETCH; SOON BURNAM; JOHN K LIU; NAJIB YAMAK; JOHN K LIU; NAJIB YAMAK.

Changes in ownership

  • November 1, 2025, enrollment ownership file; no longer listed: NAJIB YAMAK (W-2 MANAGING EMPLOYEE); CRAIG FITCH (CORPORATE OFFICER); first listed: NAJIB YAMAK (ADP OF THE SNF), associated since February 1, 2023; NAJIB YAMAK (MANAGING CONTROL - GOVERNING BODY), associated since February 1, 2023; CHAD A KEETCH (CORPORATE OFFICER), associated since March 1, 2011; AMI SATO (CORPORATE OFFICER), associated since September 9, 2024; TWOMAGNETS LLC (ADP OF THE SNF), associated since August 18, 2025; TWOMAGNETS LLC (OPERATIONAL/MANAGERIAL CONTROL), associated since February 1, 2023; ENSIGN SERVICES INC (ADP OF THE SNF), associated since November 1, 2022; JOHN K LIU (ADP OF THE SNF), associated since February 1, 2023; JOHN K LIU (MANAGING CONTROL - GOVERNING BODY), associated since February 1, 2023; JOHN K LIU (OPERATIONAL/MANAGERIAL CONTROL), associated since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
  • April 1, 2024, enrollment ownership file; no longer listed: VICTOR G LUNDQUIST (OFFICER); JEREMY D JERGENSEN (DIRECTOR); JAMES ELLIS-SHERINIAN (DIRECTOR); NAHS HOLDING INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST); KYLE SELVIG (OPERATIONAL/MANAGERIAL CONTROL); KYLE SELVIG (W-2 MANAGING EMPLOYEE); KYLE SELVIG (DIRECTOR); KYLE SELVIG (OFFICER); NAHS SOUTHEAST, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST); NAHS EMPLOYEE STOCK OWNERSHIP TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST); JEFFREY A DALY (OFFICER); first listed: SOON E BURNAM (OFFICER), associated since November 8, 2022; NAJIB YAMAK (OPERATIONAL/MANAGERIAL CONTROL), associated since February 1, 2023; NAJIB YAMAK (W-2 MANAGING EMPLOYEE), associated since February 1, 2023; CRAIG FITCH (OFFICER), associated since November 8, 2022; ALICIA GAMERO (OFFICER), associated since February 1, 2023; FLAGSTONE HEALTHCARE SOUTH LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since November 8, 2022; ADAM WILLITS (DIRECTOR), associated since February 1, 2023; THE ENSIGN GROUP INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST), associated since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv

Recent changes on this record

Inspections of Madera Post Acute Center

  • Cycle 1: health August 3, 2026 (30 deficiencies), fire safety August 3, 2026 (2)
  • Cycle 2: health July 10, 2025 (20 deficiencies), fire safety July 10, 2025 (4)
  • Cycle 3: health July 19, 2024 (16 deficiencies), fire safety July 19, 2024 (2)
  • Cycle 3: health October 21, 2021 (22 deficiencies), fire safety October 21, 2021 (6)

Deficiencies cited at Madera Post Acute Center

84 deficiencies on file, by tag, newest citation first

every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 28 cited from a complaint, marked below. Letter after a date: scope and severity grade.

  • F 0558, resident rights: August 3, 2026 (E, corrected August 26, 2026); April 23, 2026 (D, from a complaint, corrected May 15, 2026); April 8, 2026 (D, from a complaint, corrected May 1, 2026); July 19, 2024 (E, corrected August 6, 2024); October 21, 2021 (D, corrected December 1, 2021).
  • F 0641, resident assessment and care planning: August 3, 2026 (E, corrected August 26, 2026); July 10, 2025 (E, corrected July 30, 2025).
  • F 0656, resident assessment and care planning: August 3, 2026 (E, corrected August 26, 2026); March 16, 2026 (E, from a complaint, corrected April 2, 2026); July 10, 2025 (E, corrected July 30, 2025); October 21, 2021 (D, corrected December 1, 2021).
  • F 0657, resident assessment and care planning: August 3, 2026 (E, corrected August 25, 2026); October 21, 2021 (D, corrected December 1, 2021).
  • F 0684, quality of life and care: August 3, 2026 (D, corrected August 4, 2026); May 15, 2026 (E, from a complaint, corrected June 10, 2026); August 21, 2025 (E, from a complaint, corrected September 12, 2025); July 10, 2025 (D, corrected July 30, 2025); April 7, 2025 (D, from a complaint, corrected May 1, 2025); February 5, 2025 (D, from a complaint, corrected March 3, 2025).
  • F 0690, quality of life and care: August 3, 2026 (D, corrected August 24, 2026); July 19, 2024 (E, corrected August 8, 2024).
  • F 0693, quality of life and care: August 3, 2026 (D, corrected August 26, 2026); July 19, 2024 (E, corrected August 8, 2024).
  • F 0695, quality of life and care: August 3, 2026 (D, corrected August 26, 2026); July 19, 2024 (D, corrected August 8, 2024).
  • F 0726, nursing and physician services: August 3, 2026 (D, corrected August 25, 2026).
  • F 0813, nutrition and dietary: August 3, 2026 (D, corrected August 26, 2026).
  • F 0842, resident assessment and care planning: August 3, 2026 (D, corrected August 26, 2026); April 23, 2026 (D, from a complaint, corrected May 14, 2026); March 19, 2025 (D, from a complaint, corrected April 9, 2025); May 17, 2024 (D, from a complaint, corrected June 14, 2024).
  • F 0880, infection control: August 3, 2026 (E, corrected August 25, 2026); July 10, 2025 (E, corrected July 30, 2025); October 21, 2021 (E, corrected December 1, 2021).
  • F 0881, infection control: August 3, 2026 (E, corrected August 26, 2026); October 21, 2021 (D, corrected December 1, 2021).
  • F 0887, infection control: August 3, 2026 (E, corrected August 20, 2026).
  • F 0580, resident rights: May 15, 2026 (D, from a complaint, corrected June 9, 2026); April 23, 2026 (D, from a complaint, corrected May 14, 2026); February 5, 2025 (D, from a complaint, corrected March 3, 2025).
  • F 0755, pharmacy service: May 15, 2026 (E, from a complaint, corrected June 10, 2026); October 21, 2021 (D, corrected December 1, 2021).
  • F 0689, quality of life and care: April 23, 2026 (D, from a complaint, corrected May 11, 2026); January 6, 2026 (E, from a complaint, corrected January 30, 2026); July 10, 2025 (K, corrected July 24, 2025); July 19, 2024 (E, corrected August 8, 2024); October 21, 2021 (D, corrected December 1, 2021).
  • F 0557, resident rights: March 16, 2026 (D, from a complaint, corrected April 2, 2026).
  • F 0761, pharmacy service: March 16, 2026 (D, from a complaint, corrected April 2, 2026); October 21, 2021 (D, corrected December 1, 2021).
  • F 0926, environmental: March 16, 2026 (D, from a complaint, corrected April 2, 2026).
  • F 0692, quality of life and care: January 28, 2026 (E, from a complaint, corrected February 14, 2026).
  • F 0609, freedom from abuse, neglect, and exploitation: January 6, 2026 (E, from a complaint, corrected January 30, 2026); October 10, 2024 (D, from a complaint, corrected November 1, 2024).
  • F 0812, nutrition and dietary: January 6, 2026 (E, from a complaint, corrected January 30, 2026); July 10, 2025 (E, corrected July 25, 2025); July 19, 2024 (E, corrected August 12, 2024); October 21, 2021 (E, corrected December 1, 2021).
  • F 0550, resident rights: July 10, 2025 (E, corrected July 30, 2025).
  • F 0584, resident rights: July 10, 2025 (D, corrected July 30, 2025).
  • F 0700, quality of life and care: July 10, 2025 (D, corrected July 30, 2025); July 19, 2024 (E, corrected August 12, 2024).
  • F 0732, nursing and physician services: July 10, 2025 (B, corrected July 30, 2025); July 19, 2024 (B, corrected August 7, 2024).
  • F 0810, nutrition and dietary: July 10, 2025 (D, corrected July 30, 2025).
  • F 0908, environmental: July 10, 2025 (D, corrected July 30, 2025).
  • F 0658, resident assessment and care planning: December 16, 2024 (D, from a complaint, corrected January 7, 2025).
  • F 0758, pharmacy service: October 9, 2024 (D, from a complaint, corrected October 28, 2024).
  • F 0578, resident rights: July 19, 2024 (D, corrected August 7, 2024); October 21, 2021 (E, corrected December 1, 2021).
  • F 0676, quality of life and care: July 19, 2024 (E, corrected August 5, 2024).
  • F 0688, quality of life and care: July 19, 2024 (D, corrected August 9, 2024).
  • F 0849, administration: July 19, 2024 (D, corrected August 8, 2024); October 21, 2021 (D, corrected December 1, 2021).
  • F 0694, quality of life and care: May 17, 2024 (G, from a complaint, corrected June 14, 2024).
  • F 0725, nursing and physician services: March 8, 2024 (D, from a complaint, corrected March 27, 2024).
  • F 0919, environmental: March 8, 2024 (D, from a complaint, corrected March 27, 2024).
  • F 0552, resident rights: October 21, 2021 (D, corrected December 1, 2021).
  • F 0583, resident rights: October 21, 2021 (D, corrected December 1, 2021).
  • F 0685, quality of life and care: October 21, 2021 (D, corrected December 1, 2021).
  • F 0686, quality of life and care: October 21, 2021 (D, corrected December 1, 2021).
  • F 0691, quality of life and care: October 21, 2021 (D, corrected December 1, 2021).
  • F 0697, quality of life and care: October 21, 2021 (D, corrected December 1, 2021).
  • F 0825, quality of life and care: October 21, 2021 (D, corrected December 1, 2021).

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
July 10, 2025Fine$13,319134799
May 17, 2024Fine$16,198130615

From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.

Madera Post Acute Center in Care Compare

  • Ownership Type: For profit - Corporation
  • Legal Business Name: GLIMMER HEALTHCARE INC
  • Date First Approved to Provide Medicare and Medicaid Services: 1971-11-01
  • Provider Resides in Hospital: N
  • Continuing Care Retirement Community: N
  • Urban: Y
  • County/Parish: Los Angeles
  • Telephone Number: 6264425721
  • Chain Name: THE ENSIGN GROUP
  • Chain ID: 507
  • Provider Changed Ownership in Last 12 Months: N
  • With a Resident and Family Council: Resident
  • Automatic Sprinkler Systems in All Required Areas: Yes
  • Average Number of Residents per Day: 137.0
  • Overall Rating: 1
  • Health Inspection Rating: 1
  • QM Rating: 4
  • Long-Stay QM Rating: 5
  • Short-Stay QM Rating: 4

Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.

Other nursing facilities in EL MONTE

Report a figure on Madera Post Acute Center’s record that differs from its CMS file, quoting 055141.