Majestic Mountain Care Center
40131 Highway 49 · Oakhurst, CA · 93644 · 5596832244
66 certified beds For profit - Limited Liability company Chain: Bayshire Senior Communities
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $252,683 in fines in the last 24 months.
- 4 citations involved actual harm to residents.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
4 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$252,683 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.29 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
67% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.77 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.29 | 0.55–0.75 |
| Weekend hours / resident-day | 3.50 | ≈ weekday level |
| Nursing turnover / year | 67% | median 45% |
| Fines (3-yr window) | 2 · $252,683 |
Inspection citations (62 in the current record)
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Potential for harm · D April 28, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has no plan of correction · Quality of Life and Care
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Potential for harm · D March 24, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 18, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 24, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 18, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D January 28, 2026 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 28, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D December 2, 2025 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected December 18, 2025 · Resident Rights
-
Actual harm · G October 30, 2025 · found via complaint
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.
Corrected December 2, 2025 · Quality of Life and Care
-
Actual harm · G September 12, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 7, 2025 · Quality of Life and Care
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Actual harm · G September 12, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected December 2, 2025 · Quality of Life and Care
-
Potential for harm · D September 12, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 7, 2025 · Resident Assessment and Care Planning
-
Actual harm · G July 24, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected October 30, 2025 · Quality of Life and Care
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Potential for harm · D July 24, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 30, 2025 · Resident Rights
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Potential for harm · E July 24, 2025
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.
Corrected November 13, 2025 · Resident Rights
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Potential for harm · E July 24, 2025
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.
Corrected October 30, 2025 · Nursing and Physician Services
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Potential for harm · D July 24, 2025
Observe each nurse aide's job performance and give regular training.
Corrected October 30, 2025 · Nursing and Physician Services
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Potential for harm · F July 24, 2025
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.
Corrected October 30, 2025 · Nutrition and Dietary
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Potential for harm · F July 24, 2025
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected October 30, 2025 · Nutrition and Dietary
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Potential for harm · E July 24, 2025
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.
Corrected October 30, 2025 · Nutrition and Dietary
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Potential for harm · F July 24, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected October 30, 2025 · Nutrition and Dietary
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Potential for harm · D July 24, 2025
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected October 30, 2025 · Nutrition and Dietary
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Potential for harm · F July 24, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 30, 2025 · Nutrition and Dietary
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Potential for harm · F July 24, 2025
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected October 30, 2025 · Administration
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Potential for harm · F July 24, 2025
Provide and implement an infection prevention and control program.
Corrected October 30, 2025 · Infection Control
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Potential for harm · F July 24, 2025
Keep all essential equipment working safely.
Corrected October 30, 2025 · Environmental
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Potential for harm · D June 5, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 5, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 3, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 24, 2025 | Fine | $160,666 |
| July 24, 2025 | Payment Denial | 102 days |
| August 7, 2024 | Fine | $92,017 |
| August 7, 2024 | Payment Denial | 38 days |
Better-scoring options nearby
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555115 · certified since August 6, 1979. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.