Medicare flags this nursing home for abuse. Medicare adds this flag when a home was cited for abuse that harmed a resident, or for potential abuse more than once. Ask the home what changed.
Inspection citations
10’19
4’23
18’24
24’25
5’26
61 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| May 6, 2026 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Apr 28, 2026 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Mar 24, 2026 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Mar 24, 2026 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Jan 28, 2026 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Dec 2, 2025 | D · potential | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Complaint |
| Oct 30, 2025 | G · harm | 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. | Complaint |
| Sep 12, 2025 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Sep 12, 2025 | G · harm | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Sep 12, 2025 | G · harm | Provide safe, appropriate pain management for a resident who requires such services. | Complaint |
| Jul 24, 2025 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Jul 24, 2025 | E · potential | 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. | Routine |
| Jul 24, 2025 | G · harm | Provide enough food/fluids to maintain a resident's health. | Routine |
| Jul 24, 2025 | E · potential | 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. | Routine |
| Jul 24, 2025 | D · potential | Observe each nurse aide's job performance and give regular training. | Routine |
| Jul 24, 2025 | F · potential | 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. | Routine |
| Jul 24, 2025 | F · potential | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Routine |
| Jul 24, 2025 | E · potential | 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. | Routine |
| Jul 24, 2025 | F · potential | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Routine |
| Jul 24, 2025 | D · potential | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Routine |
| Jul 24, 2025 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Jul 24, 2025 | F · potential | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Routine |
| Jul 24, 2025 | F · potential | Provide and implement an infection prevention and control program. | Routine |
| Jul 24, 2025 | F · potential | Keep all essential equipment working safely. | Routine |
| Jun 5, 2025 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Jun 5, 2025 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Feb 12, 2025 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Jan 30, 2025 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Jan 30, 2025 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Aug 15, 2024 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Aug 7, 2024 | F · potential | Honor the resident's right to organize and participate in resident/family groups in the facility. | Routine |
| Aug 7, 2024 | D · potential | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Routine |
| Aug 7, 2024 | F · potential | 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. | Routine |
| Aug 7, 2024 | D · potential | Assure that each resident’s assessment is updated at least once every 3 months. | Routine |
| Aug 7, 2024 | D · potential | Ensure each resident receives an accurate assessment. | Routine |
| Aug 7, 2024 | D · potential | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Routine |
| Aug 7, 2024 | D · potential | PASARR screening for Mental disorders or Intellectual Disabilities | Routine |
| Aug 7, 2024 | D · potential | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Routine |
| Aug 7, 2024 | K · harm | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Routine |
| Aug 7, 2024 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Aug 7, 2024 | E · potential | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Routine |
| Aug 7, 2024 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Aug 7, 2024 | L · harm | Provide and implement an infection prevention and control program. | Routine |
| May 15, 2024 | E · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Complaint |
| May 6, 2024 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Mar 1, 2024 | D · potential | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Complaint |
| Mar 1, 2024 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Dec 29, 2023 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Nov 13, 2023 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Complaint |
| Nov 13, 2023 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Nov 13, 2023 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Aug 30, 2019 | F · potential | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Routine |
| Aug 30, 2019 | D · potential | Keep residents' personal and medical records private and confidential. | Routine |
| Aug 30, 2019 | D · potential | 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. | Routine |
| Aug 30, 2019 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Aug 30, 2019 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Aug 30, 2019 | D · potential | Observe each nurse aide's job performance and give regular training. | Routine |
| Aug 30, 2019 | D · potential | 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. | Routine |
| Aug 30, 2019 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Aug 30, 2019 | F · potential | Provide and implement an infection prevention and control program. | Routine |
| Aug 30, 2019 | D · potential | Keep all essential equipment working safely. | Routine |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
Majestic Mountain Care Center
40131 Highway 49, Oakhurst, CA 93644 · (559) 683-2244
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 555115
- Certified beds
- 66
- Legal owner
- Oakhurst Skilled Care LLC
- Part of
- Jericho Care Group
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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