4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Tucked away in Madera, CA, Evergreen Life Care Homes – Madera is a trusted community that provides assisted living, memory care, and hospice care. Residents here remain well-cared for throughout their lives with access to personal care assistance and support in managing chronic conditions. With its dedicated care team, the community ensures residents feel safe and well-cared for amidst a nurturing environment.
Fostering holistic well-being, Evergreen Life Care Homes – Madera conducts a wide array of stimulating activities that cater to physical and social needs. Residents are also free from the hassles of maintaining their living spaces and preparing their meals, giving them plenty of leisure time. Here, everyone is empowered to enjoy a carefree life surrounded by compassionate people who truly care for them.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 160th out of 354 homes in California for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 40m per day | ■ Avg State avg: 40m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 49m per day | ▼ 32% State avg: 1h 12m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 41m per day | ■ Avg State avg: 2h 39m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 48m per day | ▼ 7% State avg: 4h 5m per day · National avg: 3h 27m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 78% State avg: 6m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 32m per day | ■ Avg State avg: 31m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
18% more staff per resident than California average
0% compared with California average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
15 total: 11 full-time employees and 4 contractors.
15
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursAssists with medical care and medications.
11 total: 10 full-time employees and 1 contractor.
11
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursHelps with daily care and mobility.
64 total: 63 full-time employees and 1 contractor.
64
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
96 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 63 | 1 | 64 | 14,005 | 92 | 100% | 7.7 |
| Registered Nurse | 11 | 4 | 15 | 2,804 | 92 | 100% | 7.9 |
| Licensed Practical Nurse | 10 | 1 | 11 | 2,685 | 92 | 100% | 8.5 |
| RN Director of Nursing | 3 | 0 | 3 | 1,597 | 76 | 83% | 8.4 |
| Other Dietary Services Staff | 9 | 0 | 9 | 941 | 84 | 91% | 7.4 |
| Dental Services Staff | 3 | 0 | 3 | 662 | 57 | 62% | 8 |
| Speech Language Pathologist | 4 | 0 | 4 | 648 | 42 | 46% | 12 |
| Physical Therapy Aide | 3 | 0 | 3 | 537 | 42 | 46% | 6.9 |
| Physical Therapy Assistant | 6 | 0 | 6 | 534 | 44 | 48% | 4.6 |
| Administrator | 1 | 0 | 1 | 485 | 64 | 70% | 7.6 |
| Nurse Practitioner | 1 | 0 | 1 | 485 | 64 | 70% | 7.6 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 219 | 24 | 26% | 9.1 |
| Dietitian | 1 | 0 | 1 | 148 | 22 | 24% | 6.7 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 114 | 17 | 18% | 6.3 |
| Qualified Social Worker | 2 | 0 | 2 | 24 | 7 | 8% | 3.5 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 24 | 4 | 4% | 6 |
| Medical Director | 0 | 1 | 1 | 20 | 2 | 2% | 10 |
Includes penalties issued in 2023-2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
24% lower than California averageCalifornia average: $55K
239% more fines than California averageCalifornia average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
102% more payment denials than California averageCalifornia average: 0.5
Penalties are imposed by CMS for violations of federal nursing home regulations.
8 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 8, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 2, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 11, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 6, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.4
18% better than California averageCalifornia average: 6.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.3
35% worse than California averageCalifornia average: 11.3
Percent of long-stay residents whose need for help with daily activities has increased
9.2%
16% better than California averageCalifornia average: 11.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.3%
88% worse than California averageCalifornia average: 11.3%
Percent of long-stay residents experiencing one or more falls with major injury
1.1%
33% better than California averageCalifornia average: 1.7%
Percent of long-stay high risk residents with pressure ulcers
7.1%
44% worse than California averageCalifornia average: 5.0%
Percent of long-stay residents with a urinary tract infection
1.1%
9% better than California averageCalifornia average: 1.2%
Percent of long-stay residents who lose too much weight
4.3%
In line with California averageCalifornia average: 4.2%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than California averageCalifornia average: 6.7%
Percent of long-stay residents who received an antipsychotic medication
3.5%
66% better than California averageCalifornia average: 10.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with California averageCalifornia average: 98.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with California averageCalifornia average: 98.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
93.4%
In line with California averageCalifornia average: 94.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than California averageCalifornia average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.4%
In line with California averageCalifornia average: 93.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
23% of new residents, usually for short-term rehab.
64% of new residents, often for short stays.
14% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
61Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Evergreen Life Care Homes – Madera from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #331 / 355Payroll — State benchmarkedThis home is ranked 331st out of 355 homes in California. Shows total annual staff payroll benchmarked to the California average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #42 / 355Payroll % — State benchmarkedThis home is ranked 42nd out of 355 homes in California. Shows payroll as a percentage of revenue versus the California average. Well-run California facilities typically land around 56–67% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Housing Options: Private / Shared Suite
Building Type: Single-story
Housekeeping Services
Exercise Programs
Recreational Activities
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (64% of admissions), and a typical private pay stay runs around 28 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.3 miles from city center
Estimated distance in miles from Madera's city center to Evergreen Life Care Homes – Madera's address, calculated via Google Maps.
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The information below is reported by the California Department of Social Services and Department of Public Health.
| Evergreen Life Care Homes – Madera | AL NH HC MC PC | Madera | - | 64
Facility
64
CA AVG
103
Rank
#1051 / 1657 | - |
84
Facility
84
CA AVG
57
Rank
#320 / 2092 | Private / Shared Suite |
| GlenBrook Health Center | AL MC NH | Carlsbad | - | 95
Facility
95
CA AVG
103
Rank
#813 / 1657 | - |
57
Facility
57
CA AVG
57
Rank
#1157 / 2092 | - |
| OakView Health Center | AL MC NH | Thousand Oaks (Mountclef Village) | - | 63
Facility
63
CA AVG
103
Rank
#1063 / 1657 | A+ |
20
Facility
20
CA AVG
57
Rank
#1846 / 2092 | Private / Semi-Private Rooms |
Evergreen Life Care Homes – Madera is located in Madera, California.
Here are the financial assistance programs available to residents in California.
Evergreen Life Care Homes – Madera has a walk score of 84. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Evergreen Life Care Homes – Madera's occupancy is 82.7%.
Yes — there are 8 photos of Evergreen Life Care Homes – Madera in the photo gallery on this page.
Evergreen Life Care Homes – Madera is located at 1700 Howard Road, Madera, CA 93637.
(408) 483-0196 will put you in contact with the team at Evergreen Life Care Homes – Madera.
Yes — Evergreen Life Care Homes – Madera is a CMS-certified provider of Medicare and Medicaid.
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