La Sierra Care Center
La Sierra Care Center
2.6 (14 reviews)
Skilled Nursing Facility • 68 Licensed Beds
2424 M Street, Merced, CA
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
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La Sierra Care Center

Skilled Nursing Facility • 68 Licensed Beds
2424 M Street,
Merced, CA
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
View details →
About

La Sierra Care Center – Medicare Certified Since 1967

La Sierra Care Center is a Medicare and Medicaid certified skilled nursing facility located in Merced, California. This facility has been serving the community for 59 years. A Medicare-certified skilled nursing facility provides 24-hour nursing care, rehabilitation services, and assistance with activities of daily living for patients who need skilled nursing or rehabilitation services on a daily basis.

This facility has 68 certified beds with a current occupancy rate of 92% (averaging 63 residents per day), which is high. Skilled nursing facilities provide 24-hour nursing care for patients who need rehabilitation services after a hospital stay or ongoing care for chronic conditions. Services include skilled nursing, physical therapy, occupational therapy, speech therapy, and assistance with daily activities.

Staffing Levels: Based on CMS payroll data, this facility provides approximately 3.99 hours of total nursing care per resident per day (2.37 hours from CNAs, 1.26 hours from LPNs, 0.36 hours from RNs). Physical therapy staffing is 0.04 hours per resident per day.

Medicare Quality Ratings: According to CMS, La Sierra Care Center has an overall quality rating of 3 out of 5 stars, which is average compared to other nursing homes nationwide. Individual category ratings are: health inspection: 3 stars, staffing: 3 stars, quality measures: 3 stars.

Medicare Coverage: Medicare covers skilled nursing facility care for up to 100 days following a qualifying hospital stay of at least 3 days. Days 1-20 are fully covered by Medicare, days 21-100 require a daily coinsurance payment. Many residents also use Medicaid, private insurance, or pay privately for long-term stays.

Questions to Ask: When visiting a nursing home, ask about: staff-to-resident ratios and RN coverage around the clock, how they handle medical emergencies, activities and therapy programs, how they communicate with families, their approach to falls prevention, and policies for managing resident complaints.

Visit Medicare Care Compare to view detailed ratings, inspection reports, staffing data, and compare this facility with others in the area.

Quality ratings and facility data are updated periodically by CMS. We recommend verifying current information at Medicare Care Compare.

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Local Comparison Snapshot

How La Sierra Care Center compares to 10 facilities in Merced, CA

Click a measure name to jump to details • Hover over for definitions

Measure
This Facility
Area Avg
Comparison
Overall Rating
Medicare 5-star rating
3
3
Quality Measures
Clinical outcomes & safety
3
3.7
Health Inspections
State survey results
3
2.9
Staffing
Nurse-to-resident ratio
3
3.5
Staffing Hours (per resident/day)
RN Hours
Registered nurses
0.36 hrs
0.32 hrs
LPN/LVN Hours
Licensed practical nurses
1.26 hrs
1.17 hrs
CNA Hours
Certified nursing assistants
2.37 hrs
2.56 hrs
Total Nursing Hours
CNA + LPN + RN combined
4.00 hrs
4.06 hrs
Agency/Contractor Usage
Lower agency use often indicates more stable, consistent care
RN Agency Use
% of RN hours from contractors
0 %
1.4 %
LPN/LVN Agency Use
% of LPN hours from contractors
0 %
0.6 %
CNA Agency Use
% of CNA hours from contractors
0 %
0.5 %
Staff Stability & Occupancy
Staff Turnover
Annual nursing staff turnover
48 %
39 %
Occupancy Rate
Percentage of beds filled
92 %
90 %
Financial Estimate
Based on CMS Cost Report data (for reference only)
Est. Daily Rate
Average cost per day
$424
$402
Estimate Only: This figure is calculated from cost reports and is for informational purposes only. Actual rates vary significantly. See details or contact the facility.
Better than Area
Near Average
Below Area Average

Data from CMS Medicare Compare and Payroll-Based Journal. Area averages based on 10 facilities in Merced, CA.
Ratings and staffing data typically reflect the most recent quarterly reporting period available.

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Medicare Star Ratings

Official CMS ratings based on health inspections, staffing, and quality measures

Data as of December 2025

What do Medicare star ratings measure?
Medicare rates nursing homes on a 1-5 star scale based on three key areas: health inspection results, staffing levels, and quality measures like falls and infections.
How often are ratings updated?
CMS updates nursing home ratings monthly. Ratings can change based on new inspection results, staffing data from payroll records, and clinical quality outcomes.
Overall Rating
3/5
Quality Measures
3/5
Health Inspections
3/5
Staffing
3/5

Star Ratings History

Quarterly performance from 2013-2026

View on Medicare.gov
Overall
Health Inspections
Quality
Staffing
Source: Centers for Medicare & Medicaid Services

How Does This Facility Compare?

Compared to 10 other nursing homes in Merced, CA

Why compare to local facilities?
Local comparisons account for regional staffing markets and demographics. A facility performing above local averages often indicates strong management and quality care relative to area standards.
La Sierra Care Center
Merced, CA Average

Based on CMS Medicare star ratings. Higher ratings indicate better performance.

Staffing Hours per Resident Day

La Sierra Care Center
Merced, CA Average

Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.

Staff Turnover Rate

La Sierra Care Center
Merced, CA Average

Lower turnover rates generally indicate a more stable workforce and better continuity of care.

Agency/Contract Staff Usage

La Sierra Care Center
Merced, CA Average

Lower agency usage often indicates better staff retention. High agency rates (>30%) may suggest staffing challenges.

Agency Staff Trends

Historical agency/contract staff usage by role

What does agency usage indicate?
Agency/contract staff fill temporary staffing gaps. Lower percentages typically indicate a stable, permanent workforce. Facilities with consistently high agency usage (>30%) may face staff retention challenges, though temporary spikes can occur during seasonal illness or transitions.
CNA
LPN
RN

Data from CMS Payroll-Based Journal (PBJ). Agency % = contractor hours / total hours.

Direct Care Staffing

Average minutes of direct nursing care per resident per day

Data as of December 2025

Understanding staffing levels: Higher staffing is associated with better quality outcomes. Research suggests around 4.1 hours of total nursing care per resident per day as a quality benchmark. Compare this facility's staffing to local averages to assess relative care levels.
142
minutes/day
CNAs
Certified Nursing Assistants
76
minutes/day
LVNs
Licensed Vocational Nurses
22
minutes/day
RNs
Registered Nurses
3
minutes/day
PTs
Physical Therapists

Staffing Trends

Direct care minutes per resident per day

CNAs
LVNs
RNs
PTs
Source: Centers for Medicare & Medicaid Services

Occupancy Rate History

Average daily residents as a percentage of certified beds

Understanding occupancy: Higher occupancy can indicate strong community reputation and demand. Very low occupancy may affect financial stability, while extremely high occupancy could mean limited bed availability.
La Sierra Care Center
Merced, CA Average (89.7%)

Data from CMS Provider Info files. Occupancy = Average Residents per Day / Certified Beds.

Staff Turnover History

Annual percentage of nursing staff who left the facility

Data as of December 2025

Understanding turnover: Lower turnover rates generally indicate a more stable workforce and better continuity of care. High turnover can affect care quality and resident relationships. The national average for nursing homes is around 50-60%.
All Nursing Staff
Registered Nurses (RN)
Area Average

Data from CMS Payroll-Based Journal. Turnover = staff who left during the year / total staff.

Average Daily Rate

Average daily charge for care at this facility

Based on CMS Cost Report data (inpatient revenue ÷ total patient days)

FY 2023 Daily Rate
$424
per resident per day
Compared to 10 facilities in your area
Above local median ($402)
Daily Rate Trend (2018-2023)
Contact Facility for Actual Rates
This figure is an average calculated from cost reports and is for informational purposes only. Actual rates vary significantly based on level of care needed, room type, payer source (Medicare, Medicaid, private pay), and other factors. Please contact the facility directly for current pricing and availability.
How This Is Calculated
This average daily rate is calculated from CMS Cost Reports by dividing total inpatient revenue by total patient days. It represents an average across all payers and care levels. Higher rates may indicate more intensive care, specialized services, or regional cost factors.

Data Source: Financial data from CMS Skilled Nursing Facility Cost Reports. Data typically lags 1-2 years. This information is for educational purposes only and should not be the sole basis for financial or care decisions. CareListings does not guarantee accuracy.

Financial Health

Comprehensive financial indicators from CMS Cost Reports

Data from fiscal year 2023 (most recent available - cost report data lags ~2 years)

For-Profit Facility

Financial Summary

Metric This Facility Local Median Comparison
Operating Margin
Profitability ratio
2% -1% Above
Net Income
Annual profit or loss
$224,118 $-36,828 Above
Staff Cost per Resident
Daily salary expense per resident
$159/day $165/day Lower
Occupancy Rate
Bed utilization percentage
92% 91% Higher
Est. Daily Rate
Average revenue per patient day
$424/day $402/day Higher
Total Beds
Licensed bed capacity
68 75 Smaller

Local comparisons based on 10 skilled nursing facilities in the Merced, CA metro area

Revenue & Expenses

Net Patient Revenue
After adjustments & allowances
$7,986,403
Operating Expenses
Total operating costs
$7,841,331
Total Salaries
Staff compensation
$3,565,885
Contract Labor
Agency & temp staff
$510,145

Payer Mix

Medicare
10%
Medicaid
73%
Private Pay & Other
17%

Operating Margin Trend (2018-2023)

Understanding Financial Health
Operating Margin: Percentage of revenue remaining after operating costs. Positive = profitable operations.
Staff Investment: Higher spending per resident often correlates with better care quality.
Payer Mix: Shows revenue sources. Higher Medicare % typically means more post-acute/rehab care; higher Medicaid % indicates more long-term care residents.
Nonprofit/Government: May operate with lower margins while still providing quality care due to community mission.

Data Source: All financial data on this page comes from CMS Skilled Nursing Facility Cost Reports submitted by the facility to the Centers for Medicare & Medicaid Services. This information is provided for educational purposes only and should not be the sole basis for any financial or care decisions. Cost report data typically lags 1-2 years. CareListings does not guarantee the accuracy of this data.

Who Stays Here

Breakdown of residents by payment type

Based on fiscal year 2023 cost report data

Total Days
22,484
Medicare
Short-term skilled nursing
10%
Medicaid
Long-term care residents
73%
Private Pay / Other
Self-pay, insurance, VA
17%
Higher Medicare %
Indicates more short-term rehabilitation residents. Medicare typically covers up to 100 days of skilled nursing care after a hospital stay.
Higher Medicaid %
Indicates more long-term care residents. Medicaid covers nursing home care for those who qualify financially.

Average Length of Stay

How long residents typically stay at this facility

Based on fiscal year 2023 cost report data

Overall Average
147.92
days
Medicare Stays
59.08
days
Medicaid Stays
5481.33
days
Total Admissions
169
Total Discharges
152
Medicare (Short-Term)
Medicare covers skilled nursing for rehabilitation after a hospital stay. Typical stays are 20-30 days for recovery from surgery, stroke, or illness.
Medicaid (Long-Term)
Medicaid covers long-term nursing home care for those who qualify. Many residents stay months or years, receiving ongoing daily care and support.

Services

Comprehensive skilled nursing services, rehabilitation programs, and medical care in MERCED

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Reviews

2.6 (14 reviews)
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Heather Bibee's profile photo
Heather Bibee 5 months ago

I am a health care worker, whom requests many facilities, my dad was transitioning, this place was the first to accept him so quickly, grateful for that, but I like to provide some insight. This place was hot and uncomfortable being in, the nurse and the CNA did not have proper bedside manners. I would like each and everyone whom reads this have a better understanding of when someone is actively dying, just because someone can’t communicate doesn’t mean they can’t hear still. They still need to know what is being done. My father was a great man he deserved compassion love dignity. I understood the process of hospice, what to expect, I was very clear with my expectation, on comfort care, I may have been a little picky but I was my daddy’s girl! I like to remind staff when dealing with families you might wanna remove your ear pods, that is very disrespectful when family members are going through a vulnerable time. Please try to put yourself in the shoes of others. My dad was and is my hero! Thank you for accepting him, even though I wasn’t pleased with the way staff treated my father.

Judy McDonough's profile photo
Judy McDonough 5 months ago

My friend was admitted on May 16- he had lost weight and wasn’t doing too well. Since he’s been there he’s going much better. I guess I need to feed him more Mac n cheese than I had been. They’ve been doing a good with him. The sheets are always clean and he seems ok there. My only beef for giving them 4 stars is he may not want to come home.

Carol J. Erlandson's profile photo

Mom passed away. We where not called in to be by her bedside. They could have! Someone took her gold ring right off her finger after she passed. It was one her the week before. She would never had let someone take it. Her blankets, even if her name was on them where all stolen or given to other people. It was up to me to donate what I wanted to give away. They wouldn’t go over the list of her things with me. Only outside in 107 weather. When my sister and I got what they call her stuff, over half belonged to other people with their names on it, things of a lady mom roomed with that passed 5 months earlier. What in the world. Did the staff take good care of mom for what they have to work with, I would say yes. The RNs are over worked. It is clean. Just a poor place. Moms bed was broken and sideways. I would not trust to have your loved one have anything nice there because it is stolen!! The workers take everything! So sad!! I would never want to be put there and not be able to have my cell, tablet, blankets, they would all be gone. What life would they have? Mom could see the small TV up high on the wall, she got to see a wall the was needing paint to much. See what else is out there. If you do go there, make sure you have alll the siblings listed and all equal to be a part of your loved one.

Tina Bernal's profile photo
Tina Bernal 9 years ago

My grandmother has stayed here twice. I can't stand this place & i have no idea how they are still in business. The first time, a few years ago & the care wasnt great but also not horrible. I felt like she was treated as a number rather than a human. The 2nd stay was through respit care to give myself a break for a few days & go on vacation with my kids. Well, the first afternoon she was there, it was reported that she kept getting out of bed. I sent an alarm to be used, but it wasn't being used. The next morning I received a phone call saying that my grandma had rolled out of bed & was found in the middle of the night on her floor. She was in pain, but they said there were no major injuries. She already wears a neck brace due to multiple neck fractures from falling out of bed months ago. They told me they were ordering a floor alarm for her. I demanded that she be put in a chair with an alarm & be constantly visible until the new alarms were in place. That did not happen. Also, they did not give her the nightly sleeping pill that she is used to having. Then i found out that she was only being given drinks at meal times. She has had kidney surgery & has chronic kidney disease. She needs to stay hydrated.I stressed that she needs fluids. Nothing changed. I said to put her in the common room & not leave her in bed all day. That didn't happen. One excuse was that they didn't have a wheel chair or walker for her. Then on Day 4 they taped off a wall in her room that was being painted. My grandma & another lady were left to lay in their beds while the paint fumes filled their room. My grandmother is mute & cannot walk without assistance. The day after she came home, we found major bruising on my grandma. Her left side has a bruise on her eye, elbow, hand & a huge bruise on her rib area.

Ellie Benton's profile photo
Ellie Benton 9 months ago

My son came to visit me was told I was in Hospice. He picked me up took to hospital. I am grateful because I am fine now.

View All 14 Google Reviews

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