LA SIERRA CARE CENTER

2424 M STREET
MERCED, CA, 95340
2097234224
CCN: 055271
3
Overall
3
Health
3
Staffing
3
Quality
ChainCAMBRIDGE HEALTHCARE SERVICES
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (1)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
BODY CARE CENTER, CLINIC
1128b4
Excluded 2003-08-20
Ownership
NameRole%
CRESCENT FACILITIES OPERATIONS LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%
BERING PROPERTIES LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
IRA & RACHEL SMEDRA FAMILY IRREVOCABLE GIFT TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
JENMAX ENTERPRISES LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
JENNIFER NURIT SMEDRA TRUST 1997 TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
JK-CSH JV LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
MANHATTAN FIVE PARTNERS LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
THE HYMAN & BETTY INGBER FAMILY TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
WIN WIN ENTERPRISES, LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
SMEDRA, IRA5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
WINTNER, JACOBCORPORATE OFFICERNOT APPLICABLE
SMEDRA, IRACORPORATE OFFICERNOT APPLICABLE
BUTENKO, JULIEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CAPELA, HEIDIOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
DAROUZE, MICHAELOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HASSELL, LANCEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
LUTZ, LINDAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MANOHARAN, ARUNOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SALAZAR, PAULINAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SILVEIRA, SKYLEROPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SMEDRA, IRAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
WINTNER, JACOBOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CAMBRIDGE HEALTHCARE SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BRETSCH, GREGORYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Health Deficiencies (34)
2025-11-19 · Health
D
F655 · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
2025-04-03 · Health
D
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
2024-10-23 · Health
E
F800 · Nutrition and Dietary Deficiencies
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
2024-08-23 · Health
F
F912 · Environmental Deficiencies
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
D
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
F804 · Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
E
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
C
F732 · Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F692 · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
F645 · Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
2023-10-09 · Health
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2021-04-29 · Health
D
F920 · Environmental Deficiencies
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.
E
F912 · Environmental Deficiencies
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
F
F868 · Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
D
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F761 · Pharmacy Service Deficiencies
Ensure 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.
E
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
F679 · Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
D
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
E
F565 · Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
D
F558 · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
2019-03-28 · Health
B
F912 · Environmental Deficiencies
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F838 · Administration Deficiencies
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
D
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.91
3.68
RN Hrs/Resident/Day
0.37
0.54
LPN Hrs/Resident/Day
1.05
0.81
CNA Hrs/Resident/Day
2.50
2.33
PT Hrs/Resident/Day
0.03
0.12
Data as of 2026-03-01