C79

LA SIERRA CARE CENTER

Grade C 79/100 composite score

For profit - Corporation

CMS Star Ratings

Overall
3/5
Health Insp.
3/5
Quality
3/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

68

Ownership

For profit - Corporation

Total Fines

None

Last Survey

N/A

2424 M STREET, MERCED, CA 95340
2097234224

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.35h
LPN
0.99h
CNA
2.38h
Total
3.72h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

CRESCENT FACILITIES OPERATIONS LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Feb 2007

100%

BERING PROPERTIES LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Feb 2007

IRA & RACHEL SMEDRA FAMILY IRREVOCABLE GIFT TRUST

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Feb 2007

JENMAX ENTERPRISES LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Feb 2007

JENNIFER NURIT SMEDRA TRUST 1997 TRUST

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Feb 2007

JK-CSH JV LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Nov 2006

MANHATTAN FIVE PARTNERS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Nov 2006

THE HYMAN & BETTY INGBER FAMILY TRUST

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Oct 2013

WIN WIN ENTERPRISES, LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Feb 2007

SMEDRA, IRA

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Feb 2007

CAMBRIDGE HEALTHCARE SERVICES LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Apr 2014

BRETSCH, GREGORY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2019

BUTENKO, JULIE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2023

CAPELA, HEIDI

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2023

DAROUZE, MICHAEL

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2024

HASSELL, LANCE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2022

LUTZ, LINDA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2012

MANOHARAN, ARUN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Aug 2024

SALAZAR, PAULINA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Dec 2020

SILVEIRA, SKYLER

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Dec 2021

SMEDRA, IRA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2014

WINTNER, JACOB

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2007

SMEDRA, IRA

IndividualCORPORATE OFFICERSince Apr 2014

WINTNER, JACOB

IndividualCORPORATE OFFICERSince Feb 2007

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (34)

November 19, 2025Health1 deficiency
0655DMinimal harm, Isolated

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Resident Assessment and Care Planning Deficiencies

Corrected Dec 11, 2025
April 3, 2025Health1 deficiency
0658DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Apr 21, 2025
October 23, 2024Health1 deficiency
0800EMinimal harm, Pattern

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Nutrition and Dietary Deficiencies

Corrected Nov 4, 2024
August 23, 2024Health13 deficiencies
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Sep 23, 2024
0645DMinimal harm, Isolated

PASARR screening for Mental disorders or Intellectual Disabilities

Resident Assessment and Care Planning Deficiencies

Corrected Sep 23, 2024
0657DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Sep 23, 2024
0692DMinimal harm, Isolated

Provide enough food/fluids to maintain a resident's health.

Quality of Life and Care Deficiencies

Corrected Sep 23, 2024
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Sep 23, 2024
0732CNo harm, Widespread

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies

Corrected Sep 23, 2024
0755DMinimal harm, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Sep 23, 2024
0759EMinimal harm, Pattern

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Sep 23, 2024
0760EMinimal harm, Pattern

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Sep 23, 2024
0804FMinimal harm, Widespread

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Nutrition and Dietary Deficiencies

Corrected Sep 23, 2024
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Sep 23, 2024
0842DMinimal harm, Isolated

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected Sep 23, 2024
0912FMinimal harm, Widespread

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Environmental Deficiencies

Corrected Sep 23, 2024
October 9, 2023Health1 deficiency
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Oct 26, 2023
April 29, 2021Health10 deficiencies
0558DMinimal harm, Isolated

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected May 11, 2021
0565EMinimal harm, Pattern

Honor the resident's right to organize and participate in resident/family groups in the facility.

Resident Rights Deficiencies

Corrected Apr 29, 2021
0658DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected May 20, 2021
0679EMinimal harm, Pattern

Provide activities to meet all resident's needs.

Quality of Life and Care Deficiencies

Corrected Jun 10, 2021
0689EMinimal harm, Pattern

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Jun 10, 2021
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected May 20, 2021
0812DMinimal harm, Isolated

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Jun 10, 2021
0868FMinimal harm, Widespread

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Administration Deficiencies

Corrected Jun 10, 2021
0912EMinimal harm, Pattern

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Environmental Deficiencies

Corrected Jun 10, 2021
0920DMinimal harm, Isolated

Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.

Environmental Deficiencies

Corrected May 11, 2021
March 28, 2019Health7 deficiencies
0658DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected May 21, 2019
0686DMinimal harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected May 21, 2019
0690DMinimal harm, Isolated

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies

Corrected May 21, 2019
0812DMinimal harm, Isolated

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected May 21, 2019
0838FMinimal harm, Widespread

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Administration Deficiencies

Corrected May 21, 2019
0880FMinimal harm, Widespread

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected May 21, 2019
0912BNo harm, Pattern

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Environmental Deficiencies

Corrected May 21, 2019

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Frequently Asked Questions

What is the CareGrader rating for LA SIERRA CARE CENTER?

LA SIERRA CARE CENTER in MERCED, California has a CareGrader grade of C (Average), with a composite score of 78.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for LA SIERRA CARE CENTER?

LA SIERRA CARE CENTER has an overall CMS star rating of 3 out of 5, a health inspection rating of 3/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does LA SIERRA CARE CENTER have?

LA SIERRA CARE CENTER has 34 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does LA SIERRA CARE CENTER have?

LA SIERRA CARE CENTER has 68 certified beds with approximately 64 current residents (94% occupancy). The facility is located at 2424 M STREET, MERCED, California 95340. It is a for profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.