La Sierra Care Center
Merced, California · CCN 055271
21 surveys since 2011. The first finding at harm level was recorded in 2019.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 82
- Surveys
- 21
- Harm or worse
- 4
- Immediate jeopardy
- 3
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 68
- Ownership
- For profit - Limited Liability company
- Chain
- CAMBRIDGE HEALTHCARE SERVICES
- County
- Merced
- Medicare-certified since
- 1967
CMS ratings
- Overall
- 3
- Health inspection
- 3
- Staffing
- 3
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 423 for-profit facilities of 66–99 beds in California.
Last survey on record
Jan 23, 2026
290 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.93 | 4.16 |
| Registered-nurse hours per resident day | 0.52 | — |
| Annual nurse turnover | 54.9% | 37.5% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D2052.6% | E1334.2% | F410.5% |
| No harm, potential for minimal | A— | B— | C12.6% |
Most frequently cited here
In CMS’s current monthly file.
- F6583×
Ensure services provided by the nursing facility meet professional standards of quality.
- F8123×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F9123×
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- F5582×
Reasonably accommodate the needs and preferences of each resident.
- F6562×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
In the surveyor’s words
From the most serious findings on record at La Sierra Care Center, in the surveyor’s own words.
- Immediate jeopardy, widespreadF584Sep 9, 2022
Based on observation, interview, and record review, the facility failed to maintain a safe and comfortable environment for 58 of 58 residents (Residents 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, and 58), when on 9/6/22 at 4:20 p.m., the ambient (surrounding area) temperature levels inside 23 resident rooms, including the two nursing stations, exceeded 81 degrees Fahrenheit (F- a scale for measuring temperature in which water freezes at 32 degrees and boils at 212 degrees). […]
- Immediate jeopardy, widespreadF684Sep 9, 2022
Based on observation, interview, and record review, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice, for 58 of 58 sampled residents (Residents 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, and 58), when the ambient (surrounding area) room temperatures in 23 resident rooms (1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 15, 17, 18, 19, 20, 21, 22, and 23) exceeded the safe and comfortable levels of 71 to 81 degrees Fahrenheit (F- a scale for measuring temperature in which water freezes at 32 degrees and boils at 212 degrees) and the residents… […]
- No harm, potential for more than minimal, widespreadF804Aug 23, 2024
Based on observation, interview, and facility document and policy review, the facility failed to provide palatable meals. This failure had the potential to affect all residents who received meals from the facility's kitchen. Findings included: A facility policy titled, Food and Nutrition Services, revised in 10/2017, revealed, Each resident is provided with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs, taking into consideration the preferences of each resident. The policy also revealed, 7. Food and nutrition services staff will inspect food trays to ensure that the correct meal is provided to each resident, the food appears palatable and attractive, and it is served at a safe and appetizing temperature. […]
- No harm, potential for more than minimal, widespreadF812Aug 23, 2024
Based on observation, interview, and facility document and policy review, the facility failed to ensure dietary staff did not document lunch meal service temperatures prior to placing the food items on the steam table for meal service and failed to ensure dietary staff utilized proper hand hygiene during meal service. These failures had the potential to affect all residents who received meals from the facility's kitchen. Findings included: A facility policy titled, Food Preparation and Service, revised 10/2017, revealed, Food and nutrition services employees shall prepare and serve food in a manner that complies with safe food handling practices. The policy also indicated, 5. […]
- No harm, potential for more than minimal, widespreadF912Aug 23, 2024
Based on observation, interview, document review, and facility policy review, the facility failed to ensure residents' rooms measured at least 80 square (sq) feet (ft) per resident in 19 (Rooms 1 through 7, Rooms 10 through 20, and room [ROOM NUMBER]) of 23 resident rooms in the facility. Findings included: A facility policy titled Bedrooms revised 05/2017, revealed, All residents are provided with clean, comfortable and safe bedrooms that meet federal and state requirements. The policy revealed, 2. […]
Read 24 findings in full →The most serious and the most recent: 24 of 82 on record.
Every survey on record
FindingsAt actual harm or above
- Jan 23, 2026Standard11 findings
- Nov 19, 2025Complaint1 finding
- Apr 3, 2025Complaint1 finding
- Oct 23, 2024Complaint1 finding
- Aug 23, 2024Standard13 findings
- Oct 9, 2023Complaint1 finding
- Dec 5, 2022Infection control2 findings
- Sep 9, 2022Complaint2 findings · 2 harm
Show the 13 earlier surveys
- Aug 24, 2022Complaint1 finding
- Apr 29, 2021Standard10 findings
- Feb 10, 2020Complaint1 finding
- Jul 31, 2019Complaint3 findings · 2 harm
- Mar 28, 2019Standard7 findings
- Feb 9, 2018Standard3 findings
- Dec 16, 2016Standard2 findings
- Dec 18, 2015Standard1 finding
- Nov 13, 2014Standard and complaint3 findings
- Nov 21, 2013—2 findings
- Nov 15, 2012—4 findings
- Sep 14, 2012—2 findings
- Nov 9, 2011—11 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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