F

MAJESTIC MOUNTAIN CARE CENTER

40131 HIGHWAY 49, OAKHURST, CA 93644
Score: 6 / 100
⚠️ SFF Candidate

With a score of 6/100, Majestic Mountain Care Center ranks in the bottom tier of California nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

With 3.42 total nurse hours per resident per day, Majestic Mountain Care Center falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.

Recent CMS inspections identified 60 deficiencies at Majestic Mountain Care Center, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure services provided by the nursing facility meet professional standards of quality..

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.42 3.8 Below Average
Registered Nurses (RN) 0.33 0.7 Below Average
Licensed Practical Nurses (LPN) 1.01 0.7 Above Average
Certified Nursing Assistants (CNA) 2.08 2.4 Below Average
Weekend Total Nursing 3.13 3.8 Below Average
Weekend RN Hours 0.30 0.7 Below Average

🔍 Inspection & Deficiency History

60
Total Deficiencies
Jan 27, 2026
Most Recent Inspection
🟠 58 Moderate 🔴 2 Serious
View recent deficiencies (5 shown)
  • Tag 0658 Severity D
    Ensure services provided by the nursing facility meet professional standards of quality.
    Jan 27, 2026 · Resident Assessment and Care Planning Deficiencies
  • Tag 0627 Severity D
    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
    Dec 1, 2025 · Resident Rights Deficiencies
  • Tag 0688 Severity G
    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 medic
    Oct 29, 2025 · Quality of Life and Care Deficiencies
  • Tag 0689 Severity G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Sep 11, 2025 · Quality of Life and Care Deficiencies
  • Tag 0697 Severity G
    Provide safe, appropriate pain management for a resident who requires such services.
    Sep 11, 2025 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 5.7% 4.5% Worse
Falls with major injury 3.9% 3.0% Worse
On antipsychotic medication 8.5% 14.5% Better
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 12.6% 14.0% Average
Excessive weight loss 7.3% 7.5% Average
New/worsened incontinence 9.2% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $252,683

How This Grade Was Calculated

This facility's grade of F is based on a score of 6 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -10 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
66
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jul 23, 2025
Deficiencies (Cycle 1)
22