Quick answer: A serious bedsore (stage 3 or 4) in a Madera County nursing home can support a claim under California's Elder Abuse Act, because federal rules (42 CFR 483.25) treat advanced pressure ulcers as preventable unless a documented medical condition made them unavoidable. Request the wound care and repositioning records and check the home's CMS inspection rating, then have a lawyer review it for free at (888) 999-0169 or send us a message. Madera County has five nursing homes, and they carry $780,208 in federal fines. Two of the five rate one or two stars overall, and those low-rated, thinly staffed homes are exactly where a serious pressure ulcer is most likely.
If your loved one developed a bedsore in a Madera, Chowchilla, or Oakhurst nursing home, you may have a claim under California's Elder Abuse Act. Call (888) 999-0169 for a free, confidential consultation. Because we once defended facilities like this one, we know where the answers are, and you pay nothing unless we win.
Nursing home records in Madera County
Madera County has 5 federally certified nursing facilities with 400 licensed beds. Since 1997, state inspectors have issued 16 citations against Madera County facilities, including 1 class AA citation and 3 class A citations. Facilities in the county have been assessed $176,400 in state penalties over that period.
A class AA citation is a class A violation that the Department of Public Health determined was a direct proximate cause of a resident's death. A class A citation is a violation the Department determined presented an imminent danger of death or serious harm to residents, or a substantial probability that death or serious physical harm would result.
One of those enforcement actions was connected to a resident's death.
One Madera County facility currently carries the federal abuse warning icon.
The county's facilities average 2.8 of 5 stars on the federal rating system. 2 of 5 facilities hold a 1 or 2 star overall rating.
Madera County facilities have been assessed $780,208 in federal fines.
The most cited nursing homes in Madera County
- Madera Rehabilitation & Nursing Center (5 citations)
- Palms Care Center (4 citations)
- Madera Care Center (3 citations)
See every facility in the county, with its full record, in the nursing home directory.
Citation data covers July 1, 1997 through June 30, 2024. Ratings and fines are current as of the CMS processing date shown above.
What the record shows in Madera County
A bedsore is a repositioning failure, and repositioning fails where staffing is thin.
The CMS file puts the county's thinnest nurse staffing at these homes. Majestic Mountain Care Center in Oakhurst reports 3.48 nursing hours per resident per day against a state average of 4.52, with a 1 star overall rating and a 1 star health inspection rating. It carries a 2 star staffing rating, $252,683 in federal fines across 2 federal penalties and the federal abuse warning icon as well. In Madera, Madera Rehabilitation & Nursing Center reports 3.82 nursing hours per resident per day, where the state average is 4.52, with a 1 star overall rating and a 1 star health inspection rating. It also carries a 3 star staffing rating and $373,733 in federal fines across 3 federal penalties. In Madera, Madera Care Center reports 4.04 nursing hours per resident per day, where the state average is 4.52, with a 4 star overall rating and a 4 star health inspection rating. It carries a 3 star staffing rating and $41,597 in federal fines across 8 federal penalties as well. Across the county, 2 of 5 homes hold a 1 or 2 star overall rating.
Before you accept a facility's explanation for a bedsore, check its record in our Madera County nursing home directory. Left untreated, a stage 4 ulcer can reach the bone and become a fatal infection. For the four stages and the California statutes, see our California bedsore page.
How Madera County families can respond
Photograph the wound and date the photos, and request the complete chart in writing, including wound care notes and repositioning logs. Get an independent medical evaluation. File a complaint with the California Department of Public Health through Cal Health Find, or contact the Fresno-Madera Long-Term Care Ombudsman at (559) 224-9177, or the state crisis line at (800) 231-4024 after hours. In an emergency, contact Madera County Adult Protective Services or call 911. Our full guide is here: how to report nursing home abuse in California.
A single phone call can tell you whether you have a case. It is free and confidential. Call (888) 999-0169.
Why work with us
Michael Young and Thomas Wallin spent years defending nursing homes before switching sides. In the years since, they have recovered millions for California families in elder abuse and neglect cases. We go straight for the repositioning logs and the payroll-based staffing records, because the gap between "turned every two hours" in the chart and the aides actually working that shift is where these cases are won. As Madera County nursing home abuse lawyers, we handle these cases across Madera, Chowchilla, and the county and throughout California.
Talk to a Madera County bedsore lawyer today
Wound photos and repositioning logs get harder to obtain every week. Call (888) 999-0169 or send us a message for a free case evaluation. We serve families throughout Madera County and across California, and you pay nothing unless we win.
Sources and authoritative references
- CMS Care Compare, the federal nursing home rating and inspection database: https://www.medicare.gov/care-compare/
- California Department of Public Health, Cal Health Find, to look up a facility or file a complaint: https://calhealthfind.cdph.ca.gov/
- California Elder Abuse and Dependent Adult Civil Protection Act, Welfare and Institutions Code section 15600: https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=WIC§ionNum=15600.
- Federal quality-of-care and pressure-ulcer standard, 42 CFR 483.25: https://www.ecfr.gov/current/title-42/part-483/section-483.25
Frequently asked questions
Is a bedsore at a low-rated Madera County nursing home neglect?
Not automatically, but a serious pressure ulcer at a one- or two-star home with a heavy fine record deserves a hard look, and the two Madera County homes with the lowest overall CMS ratings carry over $600,000 in fines combined. Federal rules treat advanced bedsores as preventable except where a documented medical condition makes them unavoidable.
How do I check a Madera County nursing home's record?
Use our Madera County nursing home directory. It lists each home's staffing against the state average, plus ratings, the abuse icon, citations, and any fines, all from public CMS data.
What should I do first if my parent has a stage 4 bedsore?
Photograph the wound, request the complete chart in writing, and get an independent medical evaluation. Then talk to a lawyer before accepting the facility's explanation, because the version families are given rarely matches the records.
How many nursing homes are in Madera County?
Madera County has 5 federally certified nursing facilities with 400 licensed beds. Every one of them is listed in our Madera County nursing home directory with its ratings, staffing, citations and fines.
Do Madera County nursing homes have citations for bedsores and pressure ulcers?
State inspectors have issued 16 citations against Madera County nursing homes since 1997, across the full range of care failures rather than any single one. We do not publish a citation count by injury type, because the state does not categorize them that way. Check the specific home's own record instead. Every one of them is listed in our Madera County nursing home directory with its ratings, staffing, citations and fines.
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Disclaimer: facility ratings, staffing figures, fines, and the CMS abuse icon above are drawn from public CMS data (medicare.gov) as of the August 2026 processing date and are reported as published. They may not reflect the most current findings, and inclusion of any facility is not an allegation of wrongdoing. Past results do not guarantee a similar outcome in any future case. This page is attorney advertising and not legal advice.