Majestic Mountain Care Center — Oakhurst, CA
This page sets out what the federal inspection record says about Majestic Mountain Care Center, a 66-bed nursing home at 40131 Highway 49, Oakhurst, California. Every figure below is copied from data the Centers for Medicare & Medicaid Services (CMS) publishes about nursing homes that take Medicare or Medicaid. We have not added our own judgment to it.
The record at a glance
| Federal ID (CCN) | 555115 |
| Legal business name | Oakhurst Skilled Care LLC |
| Listed chain or group | Jericho Care Group |
| Address | 40131 Highway 49, Oakhurst, CA 93644 |
| Phone listed with CMS | (559) 683-2244 |
| Ownership type | For profit – Limited Liability company |
| Certified beds | 66 |
| Average residents per day | 60.0 |
| Certified since | August 6, 1979 |
| Overall CMS rating | 1 out of 5 |
| Health inspection rating | 1 out of 5 |
| Staffing rating | 2 out of 5 |
| Quality measures rating | 4 out of 5 |
| Total nursing staff turnover | 69.0% |
| Most recent standard inspection | July 24, 2025 |
CMS scores nursing homes from one to five stars. The health inspection rating is set relative to other nursing homes in the same state, so a one-star home is in the bottom fifth in California, not the bottom fifth nationally. Staffing and quality measure ratings are scored against national thresholds.
Federal penalties
CMS’s penalty file lists 4 federal penalties against this facility: 2 fines totalling $252,683, and 2 denials of payment for new admissions. A denial of payment means CMS stopped paying the home for residents admitted after a set date until the problem was fixed.
Flags CMS has placed on this facility
- Abuse icon. CMS marks this facility with the abuse icon on Care Compare. CMS applies that icon to homes cited for “abuse that led to harm of a resident within the past year” or “abuse that could have potentially led to harm of a resident in each of the last two years.” CMS updates the list monthly and removes homes that no longer meet the criteria.
- Special Focus Facility candidate. CMS lists this home as a candidate for the Special Focus Facility program. Candidates are drawn from the homes with the worst inspection records in the state; CMS selects a limited number of them into the program itself.
Inspectors have cited this home 47 times since January 2024
6 of those were at severity level G or above — what CMS calls actual harm. 2 reached immediate jeopardy, CMS’s most serious category. 20 came from complaints rather than routine inspections. Every one of them is listed below, with its date and what the rule required.
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Inspection citations since January 2024
CMS records 47 health citations at this facility from inspections between March 1, 2024 and May 6, 2026.
| Inspected | Tag | What the rule requires | Scope and severity | Status |
|---|---|---|---|---|
| May 6, 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (complaint) | D — Isolated, Potential for more than minimal harm | Correction date May 28, 2026 |
| Apr 28, 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (complaint) | D — Isolated, Potential for more than minimal harm | Correction date May 19, 2026 |
| Mar 24, 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (complaint) | D — Isolated, Potential for more than minimal harm | Correction date Apr 18, 2026 |
| Mar 24, 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (complaint) | D — Isolated, Potential for more than minimal harm | Correction date Apr 18, 2026 |
| Jan 28, 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. (complaint) | D — Isolated, Potential for more than minimal harm | Correction date Feb 28, 2026 |
| Dec 2, 2025 | F0627 | Ensure the transfer/discharge meets the resident’s needs/preferences and that the resident is prepared for a safe transfer/discharge. (complaint) | D — Isolated, Potential for more than minimal harm | Correction date Dec 18, 2025 |
| Oct 30, 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. (complaint) | G — Isolated, Actual harm | Correction date Dec 2, 2025 |
| Sep 12, 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. (complaint) | G — Isolated, Actual harm | Correction date Dec 2, 2025 |
| Sep 12, 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (complaint) | G — Isolated, Actual harm | Correction date Oct 7, 2025 |
| Jul 24, 2025 | F0692 | Provide enough food/fluids to maintain a resident’s health. | G — Isolated, Actual harm | Correction date Oct 30, 2025 |
| Aug 7, 2024 | F0880 | Provide and implement an infection prevention and control program. | L — Widespread, Immediate jeopardy | Correction date Aug 29, 2024 |
| Aug 7, 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | K — Pattern, Immediate jeopardy | Correction date Aug 29, 2024 |
The wording in the third column is CMS’s own plain-language summary of the federal rule that was cited, not a description of what happened. This table shows every one of the 6 citations at actual-harm level or above, plus the 6 most recent of the rest. The other 35 are in the CMS file linked below.
How to read scope and severity
Every citation gets a letter from A to L. The letter carries two things at once: how serious the problem was, and how many residents it reached.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J | K | L |
| Actual harm | G | H | I |
| No actual harm, potential for more than minimal harm | D | E | F |
| No actual harm, potential for minimal harm | A | B | C |
“Immediate jeopardy” is CMS’s term for a situation that has caused, or is likely to cause, serious injury, harm, impairment or death. It requires the home to act at once.
What this page does not tell you
- A citation is an inspector’s finding against a federal rule. It is not a court judgment, and the facility may be disputing it. Citations marked “under dispute” above are in CMS’s formal review process.
- Citation counts partly reflect how often a home was inspected and how many complaints were filed about it. A home with more citations has not automatically given worse care than one with fewer.
- Bigger homes have more residents, more staff and more inspections, so they tend to accumulate more citations.
- None of this says anything about the care any one resident received. A home with a clean record can still fail somebody, and a home with a bad record can be caring for your mother well.
- This is a snapshot. CMS updates these files monthly, and the figures here are from the file dated August 1, 2026.
Where this comes from
- Ratings, ownership, beds and penalties: CMS Provider Information dataset (4pq5-n9py), file dated August 1, 2026.
- Citations: CMS Health Deficiencies dataset (r5ix-sfxw), file dated August 1, 2026, filtered to inspections on or after January 1, 2024.
- This facility on the government’s own site: Medicare Care Compare.
- Retrieved August 29, 2026. Our method is set out in Editorial policy and How we count.
For the facility
If anything on this page is wrong, out of date or missing context, we will correct it. Majestic Mountain Care Center and anyone acting for it can reach the watchdog team through our corrections and right of reply page. We publish the response alongside the record.
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