California › Madera County › Oakhurst
Majestic Mountain Care Center
40131 Highway 49, Oakhurst, CA 93644
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Majestic Mountain Care Center is a For-profit, limited liability company nursing home in Oakhurst, California, certified for 66 beds and caring for about 60 residents a day.
CMS gives it 1 of 5 stars overall, below the California median of 3; the health inspection rating is 1, staffing 2 and quality measures 4.
Inspectors recorded 63 health deficiencies across the three most recent survey cycles (24, 19, 20 by cycle, most recent first), 6 of them at the actual-harm or immediate-jeopardy level. That is 95.5 per 100 beds, more than the state median of 51.1.
CMS lists 4 penalties in the period covered: fines totalling $253K and 2 payment denials.
Reported nurse staffing is 3.5 hours per resident per day (0.3 RN), close to the California median of 4.2; nursing staff turnover is 69.0%.
CMS flags that the facility carries the CMS abuse icon and is a Special Focus Facility candidate.
Compared with county, state and nation
| Measure | This facility | Madera Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 63 | 39 | 44 | 28.7 |
| Citations per 100 beds | 95.5 | 60.0 | 51.1 | 26.8 |
| Total nurse hours per resident day | 3.5 | 4.0 | 4.2 | 3.9 |
| RN hours per resident day | 0.3 | 0.3 | 0.5 | 0.7 |
| Nursing staff turnover | 69.0% | 45.5% | 36.4% | 45.8% |
| Fines listed | $252,683 | $112,195 | $0 | — |
County and state figures are medians across facilities (5 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 24 Jul 2025, 7 Aug 2024.
Severity mix: K ×1 L ×1 G ×4 D ×39 E ×6 F ×12
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 6 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 28 May 2026 |
| 28 Apr 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 19 May 2026 |
| 24 Mar 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 18 Apr 2026 |
| 24 Mar 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 18 Apr 2026 |
| 28 Jan 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 28 Feb 2026 |
| 2 Dec 2025 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Complaint investigation | 18 Dec 2025 |
| 30 Oct 2025 | F0688 | 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. | G | Complaint investigation | 2 Dec 2025 |
| 12 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 7 Oct 2025 |
| 12 Sep 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint investigation | 2 Dec 2025 |
| 12 Sep 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 7 Oct 2025 |
| 24 Jul 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Standard survey | 30 Oct 2025 |
| 24 Jul 2025 | F0801 | 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. | F | Standard survey | 30 Oct 2025 |
| 24 Jul 2025 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | Standard survey | 30 Oct 2025 |
| 24 Jul 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Standard survey | 30 Oct 2025 |
| 24 Jul 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 30 Oct 2025 |
| 24 Jul 2025 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | F | Standard survey | 30 Oct 2025 |
| 24 Jul 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 30 Oct 2025 |
| 24 Jul 2025 | F0908 | Keep all essential equipment working safely. | F | Standard survey | 30 Oct 2025 |
| 24 Jul 2025 | F0584 | 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. | E | Standard survey | 13 Nov 2025 |
| 24 Jul 2025 | F0726 | 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. | E | Standard survey | 30 Oct 2025 |
| 24 Jul 2025 | F0803 | 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. | E | Standard survey | 30 Oct 2025 |
| 24 Jul 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 30 Oct 2025 |
| 24 Jul 2025 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 30 Oct 2025 |
| 24 Jul 2025 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 30 Oct 2025 |
| 5 Jun 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 3 Jul 2025 |
| 5 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 3 Jul 2025 |
| 12 Feb 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 7 Mar 2025 |
| 30 Jan 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 20 Feb 2025 |
| 30 Jan 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 20 Feb 2025 |
| 15 Aug 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 14 Oct 2024 |
| 7 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | L | Standard survey | 29 Aug 2024 |
| 7 Aug 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | K | Standard survey | 29 Aug 2024 |
| 7 Aug 2024 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | F | Standard survey | 29 Aug 2024 |
| 7 Aug 2024 | F0585 | 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. | F | Standard survey | 29 Aug 2024 |
| 7 Aug 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 29 Aug 2024 |
| 7 Aug 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 29 Aug 2024 |
| 7 Aug 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 29 Aug 2024 |
| 7 Aug 2024 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Standard survey | 29 Aug 2024 |
| 7 Aug 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 29 Aug 2024 |
| 7 Aug 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 29 Aug 2024 |
| 7 Aug 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 29 Aug 2024 |
| 7 Aug 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 29 Aug 2024 |
| 7 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 29 Aug 2024 |
| 15 May 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 22 Jul 2024 |
| 6 May 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 17 May 2024 |
| 1 Mar 2024 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Complaint investigation | 25 Mar 2024 |
| 1 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 25 Mar 2024 |
| 29 Dec 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 26 Jan 2024 |
| 13 Nov 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 30 Nov 2023 |
| 13 Nov 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 30 Nov 2023 |
| 13 Nov 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 30 Nov 2023 |
| 9 Aug 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 1 Sep 2023 |
| 9 Aug 2023 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Complaint investigation | 1 Sep 2023 |
| 30 Aug 2019 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | F | Standard survey | 22 Nov 2019 |
| 30 Aug 2019 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 22 Nov 2019 |
| 30 Aug 2019 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 22 Nov 2019 |
| 30 Aug 2019 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 22 Nov 2019 |
| 30 Aug 2019 | F0584 | 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. | D | Standard survey | 22 Nov 2019 |
| 30 Aug 2019 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 22 Nov 2019 |
| 30 Aug 2019 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 22 Nov 2019 |
| 30 Aug 2019 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 22 Nov 2019 |
| 30 Aug 2019 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 22 Nov 2019 |
| 30 Aug 2019 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 22 Nov 2019 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 24 Jul 2025 | Payment denial | — | 102 days |
| 24 Jul 2025 | Fine | $160,666 | |
| 7 Aug 2024 | Payment denial | — | 38 days |
| 7 Aug 2024 | Fine | $92,017 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 69.0%, RNs —; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 8.5% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.5% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.9% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.5% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.5% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 6.1% | 9.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Oakhurst Skilled Care Llc. Chain: Jericho Care Group (7 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Bayshire Central Valley LLC | 5% or greater direct ownership interest | 100% | 05/01/2024 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Madera County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Chowchilla Memorial Healthcare District | Chowchilla | 29 | 4 | 4 | 3 | 23 | 79.3 | $112K | 19 Feb 2026 |
| Madera Care Center | Madera | 64 | 4 | 4 | 3 | 38 | 59.4 | $42K | 19 Mar 2026 |
| Palms Care Center | Chowchilla | 65 | 4 | 4 | 3 | 39 | 60.0 | — | 4 Apr 2025 |
| Madera Rehabilitation & Nursing Center | Madera | 176 | 1 | 1 | 3 | 71 | 40.3 | $374K | 24 Feb 2026 |
All 5 facilities in Madera County
Questions and answers
How many deficiencies has Majestic Mountain Care Center been cited for?
63 health deficiencies across the three most recent survey cycles, 6 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has Majestic Mountain Care Center been fined?
Yes. CMS lists fines totalling $253K in the period covered, plus 2 payment denials.
How does staffing at Majestic Mountain Care Center compare?
Reported total nurse staffing is 3.5 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Majestic Mountain Care Center?
It is part of the Jericho Care Group chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Bayshire Central Valley LLC. Individual owners and managers are not listed on this site.
When was Majestic Mountain Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 6 May 2026; the most recent standard health survey was 24 Jul 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.