During the first quarter of 2026, Palms Care Center was under the ownership of Palms Care Center Holdings, LLC, as reported by the Centers for Medicare and Medicaid Services (CMS). Located in Madera County, this nursing home has been part of Palms Care Center Holdings, LLC’s portfolio since May 17, 2019.
Palms Care Center operates as a for-profit establishment.
Throughout that period, the facility received an overall CMS rating of 4, surpassing California’s state nursing home average of 3.2. The CMS rating system is based on significant criteria, including health inspection reports, staffing, and the overall quality of care provided to residents.
Data show Palms Care Center had an average daily census of 58.1 residents during Q1 2026, with a licensed capacity of 65 beds. The facility is classified as non-hospital-based.
Palms Care Center recorded no incidents resulting in fines or penalties as of the first quarter of 2026.
Madera County accounted for a total of 4 for-profit nursing homes at that time.
U.S. Census Bureau estimates show the national older adult population is continuing to rise while the share of younger groups is falling. Americans 65 years and older grew by 13% from 2020 through 2024, as the population under age 18 declined by 1.7%. The country’s older population has expanded significantly since 1920, going from 4.9 million then to over 61 million by 2024.
A 2021 analysis found about half of Americans in this group—around 28 million—might need long-term services and supports, with more than a third ultimately requiring care from nursing homes.
“Living a long life is something that many of us want and could get,” said Jesse Slome, executive director of the American Association for Long-Term Care Insurance. “But when we live a long life, the chances of us needing long-term care increase exponentially. But when you need that type of care, there are limited options.”
| Nursing Home | Owner | Ownership Type | Overall Rating | Avg. No. of Residents per day |
|---|---|---|---|---|
| Golden Madera Care Center | Madera Operations Holdings, LLC | For profit – Limited Liability company | 4 | 56.6 |
| Madera Rehabilitation & Nursing Center | Crescent Facilities Operations, LLC | For profit – Limited Liability company | 2 | 167 |
| Majestic Mountain Care Center | Bayshire Central Valley, LLC | For profit – Limited Liability company | 1 | 61.1 |
| Palms Care Center | Palms Care Center Holdings, LLC | For profit – Limited Liability company | 4 | 58.1 |
Information in this article was sourced from the Centers for Medicare and Medicaid Services. The primary data can be accessed here.

