La Sierra Care Center
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.
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
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
Star Ratings History
Quarterly performance from 2013-2026
How Does This Facility Compare?
Compared to 10 other nursing homes in Merced, CA
Based on CMS Medicare star ratings. Higher ratings indicate better performance.
Staffing Hours per Resident Day
Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.
Staff Turnover Rate
Lower turnover rates generally indicate a more stable workforce and better continuity of care.
Agency/Contract Staff Usage
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
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
Staffing Trends
Direct care minutes per resident per day
Occupancy Rate History
Average daily residents as a percentage of certified beds
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
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)
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)
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
Average Length of Stay
How long residents typically stay at this facility
Based on fiscal year 2023 cost report data
Services
Comprehensive skilled nursing services, rehabilitation programs, and medical care in MERCED
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Find Jobs Near MeReviews
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.
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.
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.
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.
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.
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