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MAJESTIC MOUNTAIN CARE CENTER

Open-data reference.

MAJESTIC MOUNTAIN CARE CENTER is a for profit - limited liability company facility in OAKHURST, CA with 66 certified beds and a 1-star overall CMS rating. The facility has 50 deficiency records on file. Total penalties: $253K.

40131 HIGHWAY 49, OAKHURST, CA 93644

Phone: 5596832244

Overall Rating

1/5

Health Inspection

1/5

Staffing

1/5

Quality Measures

3/5

Long-Stay Quality

4/5

Facility Information

Provider Number
555115
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
66
Residents
60
In Hospital
No
County
Madera
Last Inspection
Jul 24, 2025
Special Focus
SFF Candidate

Staffing Data

RN Hours
0.33 (nat'l avg: 0.68)
LPN Hours
1.01
CNA Hours
2.08
Total Nursing Hours
3.42 (nat'l avg: 3.89)
PT Hours
0.15
Nursing Turnover
63.0%
RN Turnover
66.7%

What the CMS Record Reveals About MAJESTIC MOUNTAIN CARE CENTER

MAJESTIC MOUNTAIN CARE CENTER operates 66 certified beds in OAKHURST, CA with approximately 60 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (1★), and quality measures (3★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 50 deficiency records from recent surveys, of which 6 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $253K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.42 total nursing hours per resident day (national average 3.89), with RN coverage at 0.33 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature. This facility is currently designated "SFF Candidate" under the CMS Special Focus Facility program, reserved for providers with a persistent pattern of serious quality problems.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, MAJESTIC MOUNTAIN CARE CENTER falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 63.0%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

D — Isolated - Minimal harm Dec 2, 2025 Tag: 0627

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Category: Resident Rights Deficiencies

G — Isolated - Actual harm Oct 30, 2025 Tag: 0688

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 2, 2025

G — Isolated - Actual harm Sep 12, 2025 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 2, 2025

G — Isolated - Actual harm Sep 12, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 7, 2025

D — Isolated - Minimal harm Sep 12, 2025 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 7, 2025

F — Widespread - Minimal harm Jul 24, 2025 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

Corrected: Oct 30, 2025

F — Widespread - Minimal harm Jul 24, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 30, 2025

F — Widespread - Minimal harm Jul 24, 2025 Tag: 0847

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Category: Administration Deficiencies

Corrected: Oct 30, 2025

F — Widespread - Minimal harm Jul 24, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 30, 2025

D — Isolated - Minimal harm Jul 24, 2025 Tag: 0806

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 30, 2025

F — Widespread - Minimal harm Jul 24, 2025 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 30, 2025

E — Pattern - Minimal harm Jul 24, 2025 Tag: 0803

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 30, 2025

F — Widespread - Minimal harm Jul 24, 2025 Tag: 0802

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 30, 2025

F — Widespread - Minimal harm Jul 24, 2025 Tag: 0801

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 30, 2025

D — Isolated - Minimal harm Jul 24, 2025 Tag: 0730

Observe each nurse aide's job performance and give regular training.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 30, 2025

E — Pattern - Minimal harm Jul 24, 2025 Tag: 0726

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 30, 2025

G — Isolated - Actual harm Jul 24, 2025 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 30, 2025

E — Pattern - Minimal harm Jul 24, 2025 Tag: 0584

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Category: Resident Rights Deficiencies

Corrected: Nov 13, 2025

D — Isolated - Minimal harm Jul 24, 2025 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Oct 30, 2025

D — Isolated - Minimal harm Jun 5, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 3, 2025

D — Isolated - Minimal harm Jun 5, 2025 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 3, 2025

D — Isolated - Minimal harm Feb 12, 2025 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 7, 2025

D — Isolated - Minimal harm Jan 30, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 20, 2025

D — Isolated - Minimal harm Jan 30, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Feb 20, 2025

D — Isolated - Minimal harm Aug 15, 2024 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 14, 2024

L — Widespread - Jeopardy Aug 7, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 29, 2024

E — Pattern - Minimal harm Aug 7, 2024 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Aug 29, 2024

E — Pattern - Minimal harm Aug 7, 2024 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Aug 29, 2024

D — Isolated - Minimal harm Aug 7, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 29, 2024

K — Pattern - Jeopardy Aug 7, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 29, 2024

D — Isolated - Minimal harm Aug 7, 2024 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 29, 2024

D — Isolated - Minimal harm Aug 7, 2024 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 29, 2024

D — Isolated - Minimal harm Aug 7, 2024 Tag: 0644

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 29, 2024

D — Isolated - Minimal harm Aug 7, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 29, 2024

D — Isolated - Minimal harm Aug 7, 2024 Tag: 0638

Assure that each resident’s assessment is updated at least once every 3 months.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 29, 2024

F — Widespread - Minimal harm Aug 7, 2024 Tag: 0585

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Category: Resident Rights Deficiencies

Corrected: Aug 29, 2024

D — Isolated - Minimal harm Aug 7, 2024 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Aug 29, 2024

F — Widespread - Minimal harm Aug 7, 2024 Tag: 0565

Honor the resident's right to organize and participate in resident/family groups in the facility.

Category: Resident Rights Deficiencies

Corrected: Aug 29, 2024

E — Pattern - Minimal harm May 15, 2024 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Jul 22, 2024

D — Isolated - Minimal harm May 6, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 17, 2024

D — Isolated - Minimal harm Mar 1, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 25, 2024

D — Isolated - Minimal harm Mar 1, 2024 Tag: 0676

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 25, 2024

D — Isolated - Minimal harm Dec 29, 2023 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 26, 2024

D — Isolated - Minimal harm Nov 13, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Nov 30, 2023

D — Isolated - Minimal harm Nov 13, 2023 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 30, 2023

D — Isolated - Minimal harm Nov 13, 2023 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Nov 30, 2023

D — Isolated - Minimal harm Aug 9, 2023 Tag: 0676

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 1, 2023

D — Isolated - Minimal harm Aug 9, 2023 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 1, 2023

D — Isolated - Minimal harm Mar 23, 2023 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 11, 2023

D — Isolated - Minimal harm Aug 30, 2019 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

Corrected: Nov 22, 2019

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 12.6% Yes
Percentage of long-stay residents who lose too much weight Long Stay 7.3% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 2.2% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.9% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 97.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 92.3% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 10.9% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 18.5% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 97.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 87.5% No
Percentage of long-stay residents with pressure ulcers Long Stay 5.7% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 9.2% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 8.5% Yes

Penalty History 2 penalties totaling $253K

Date Type Amount
Jul 24, 2025 Fine $161K
Jul 24, 2025 Payment Denial -
Aug 7, 2024 Fine $92K
Aug 7, 2024 Payment Denial -

Frequently Asked Questions

What is the overall CMS rating for MAJESTIC MOUNTAIN CARE CENTER?
MAJESTIC MOUNTAIN CARE CENTER has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (1★), and quality measures (3★).
What are the staffing levels at MAJESTIC MOUNTAIN CARE CENTER?
MAJESTIC MOUNTAIN CARE CENTER reports 3.42 total nursing hours per resident day (national average: 3.89). RN hours are 0.33 per resident day (national average: 0.68). Nursing staff turnover is 63.0%.
How many beds does MAJESTIC MOUNTAIN CARE CENTER have?
MAJESTIC MOUNTAIN CARE CENTER has 66 certified beds with approximately 60 residents. The facility is located at 40131 HIGHWAY 49, OAKHURST, CA 93644.
Does MAJESTIC MOUNTAIN CARE CENTER have any deficiencies on record?
Yes, MAJESTIC MOUNTAIN CARE CENTER has 50 deficiencies on record from recent inspections. Of these, 6 are classified as causing actual harm or jeopardy.
Has MAJESTIC MOUNTAIN CARE CENTER received any fines or penalties?
Yes, MAJESTIC MOUNTAIN CARE CENTER has received 2 penalties totaling $253K.
Who owns MAJESTIC MOUNTAIN CARE CENTER?
MAJESTIC MOUNTAIN CARE CENTER is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was MAJESTIC MOUNTAIN CARE CENTER last inspected?
The most recent health inspection for MAJESTIC MOUNTAIN CARE CENTER was on Jul 24, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for MAJESTIC MOUNTAIN CARE CENTER?
MAJESTIC MOUNTAIN CARE CENTER is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial