Health inspection·February 11, 2026

F 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to maintain complete and accurate medical records for four of 15 sampled residents when the Infection Preventionist (IP) performed influenza (a highly contagious respiratory illness) tests and did not document the tests in Residents 5, 8, 12, and 14's electronic medical record (EMR).This failure resulted in an inaccurate and incomplete medical record for Residents 5, 8, 12, and 14.During a review of Resident 3's admission Record (AR), undated, the admission record indicated, Resident 3 was admitted to the facility on [DATE] with diagnoses that included dementia (decline in mental ability such as memory, thinking, reasoning and communication) and anxiety (feeling or fear, dread and uneasiness).During a review of Resident 3's Change in Condition (CIC), dated 1/30/26, the CIC indicated, . Positive for influenza A [acute viral respiratory infection], nasal congestion, nonproductive cough.During a review of Resident 5's AR, undated, the admission record indicated, Resident 5 was admitted to the facility on [DATE] with diagnoses that included malignant neoplasm (cancerous tumor-uncontrolled growth of abnormal cells in the body) of the lung and secondary neoplasm (cancer that has spread from the place where it first started) of the brain.During a review of resident 5's CIC, dated 1/30/26, the CIC indicated, . resident was noted to be shaking and weak, with altered level of responsiveness. O2 [oxygen level-amount of oxygen in the blood with a normal reading is 95-100% and anything below 92% is considered low requiring medical attention] 82% on room air.During a review of Resident 9's AR, undated, the admission record indicated, Resident 9 was admitted to the facility on [DATE] with diagnoses that included hemiplegia (paralysis of the arm, leg and trunk on the same side of the body) and hemiparesis (weakness or reduced motor function on one side of the body) following cerebral infarction (type of stroke where blood flow to part of the brain is blocked) and chronic kidney disease (progressive damage and loss of function in the kidneys).During a review of Resident 9's CIC, dated 1/30/26, the CIC indicated, . Resident tested positive for influenza A.During a review of Resident 10's AR, undated, the admission record indicated, Resident 10 was admitted to the facility on [DATE] with diagnoses that included end stage renal disease (kidneys have lost nearly all function) and hemiplegia and hemiparesis following cerebrovascular disease (group of condition that disrupt blood flow to the brain).During a review of Resident 10's CIC, dated 1/30/26, the CIC indicated, . started on 01/30/26. Resident observed to have an occasional non-productive cough. Resident tested + [positive] for influenza A.During a concurrent interview and record review on 2/11/26 at 3:02 p.m. with the IP, the IP stated Residents 3, 5, 9 and 10 tested positive for influenza on 1/30/26. The IP stated Resident 10's roommate (Resident 12) started showing respiratory symptoms with a nonproductive cough on 2/4/26. The IP stated she tested Resident 12 for influenza. The IP reviewed Resident 12's EMR and stated she did not document the test. The IP stated Resident 5 had shortness of breath and a low oxygen level on 1/30/26, so she tested him for influenza before he was transferred to the acute care (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 3 Event ID: 055147 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 055147 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/11/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Madera Rehabilitation & Nursing Center 517 South A Street Madera, CA 93638 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)