Nursing homeActive
Merced Nursing & Rehabilitation Ctr
510 West 26th Street, Merced, CA 95340209723291179 certified beds · 69 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
6
since 2019
Deficiencies
24
● 3● 21● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-03-23
Complaint
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 3
Staffing 3
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · California Department of Public Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-03-23 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-07-24 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-04-18 | Standard | 1100 | CMS-2567 (Care Compare) | — |
| 2025-02-21 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-07-12 | Standard | 170 | CMS-2567 (Care Compare) | — |
| 2019-09-13 | Standard | 110 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · California Department of Public Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-17Record 055249-20260323-F657
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-17Record 055249-20250724-F600
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-18Record 055249-20250418-F550
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-18Record 055249-20250418-F561
F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-18Record 055249-20250418-F584
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-18Record 055249-20250418-F657
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-18Record 055249-20250418-F758
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-18Record 055249-20250418-F761
F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-05-18Record 055249-20250418-F801
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-18Record 055249-20250418-F806
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-05-18Record 055249-20250418-F812
F814Dispose of garbage and refuse properly.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-05-18Record 055249-20250418-F814
F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.Scope/severity BPaperwork
Environment
Pattern; potential for minimal harm.Corrected 2025-05-18Record 055249-20250418-F912
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-21Record 055249-20250221-F689
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-29Record 055249-20240712-F550
F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-29Record 055249-20240712-F584
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-29Record 055249-20240712-F656
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-29Record 055249-20240712-F658
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-29Record 055249-20240712-F812
F814Dispose of garbage and refuse properly.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-07-29Record 055249-20240712-F814
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-29Record 055249-20240712-F880
F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.Scope/severity BPaperwork
Environment
Pattern; potential for minimal harm.Corrected 2024-07-29Record 055249-20240712-F912
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-10-16Record 055249-20190913-F880
F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.Scope/severity BPaperwork
Environment
Pattern; potential for minimal harm.Corrected 2019-10-16Record 055249-20190913-F912
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.80
Facility
California
National
California 0.67 · National 0.69
Total nurse hours per resident day4.29
Facility
California
National
California 4.52 · National 3.86
Weekend total nurse hours3.83
Facility
California
National
California 4.09 · National 3.42
Total nursing staff turnover55%
Facility
California
National
California 37% · National 46%
Registered nurse turnover89%
Facility
California
National
California 38% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | California | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 2.2% | 4.3% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.3% | 1.6% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 13.5% | 12.0% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 3.2% | 1.2% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.4% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 11.8% | 10.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 4.8% | 4.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 12.8% | 13.7% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Crescent Facilities Operations LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Bering Properties LLC Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | — | — |
| Jenmax Enterprises LLC Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 23% | — | — |
| Jk-Csh Jv LLC Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 12% | — | — |
| Manhattan Five Partners LLC Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7% | — | — |
| Win Win Enterprises, LLC Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 35% | — | — |
| Bretsch, Gregory Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Butenko, Julie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Cambridge Healthcare Services LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Capela, Heidi Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Darouze, Michael Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hassell, Lance Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kaur, Neelam Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Lutz, Linda Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Manoharan, Arun Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Salazar, Paulina Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Smedra, Ira Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Wintner, Jacob Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| 510 W. 26th Street LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bh Alliance Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Bretsch, Gregory Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bretsch, Gregory Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Butenko, Julie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cambridge Healthcare Services LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Capela, Heidi Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Darouze, Michael Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Darouze, Michael Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Hassell, Lance Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Jenmax Enterprises LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Jk-Csh Jv LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lutz, Linda Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lutz, Linda Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Manoharan, Arun Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Salazar, Paulina Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Smedra, Ira Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Smedra, Ira Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| The Jacob Wintner Trust Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| The Wintner Living Trust Dated 7/08/1992 Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Win Win Enterprises, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Wintner, Jacob Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Wintner, Jacob Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Wintner, Jacob Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
Part of a chain
Cambridge Healthcare Services — 32 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or California.
No county cost figures on file for Merced.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| La Sierra Care Center Merced | 0.1 mi | 2026-01-23 | 1270 |
| Golden Merced Care Center Merced | 0.2 mi | 2026-05-19 | 0250 |
| Franciscan Post-Acute Care Center Merced | 0.7 mi | 2026-04-20 | 0153 |
| Merced Behavioral Center Merced | 1.5 mi | 2025-02-26 | 000 |
| Anberry Post Acute Merced | 3.0 mi | 2026-06-19 | 0380 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |