All states › California › Oakhurst › Majestic Mountain Care Center
40131 Highway 49 Oakhurst, CA 93644 · Madera County
CMS certification number 555115 · See this home on Medicare Care Compare
Is Majestic Mountain Care Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Majestic Mountain Care Center as of October 2026.
CMS rates it 1 out of 5 stars overall, below the California average of 3.2.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.50 hours per resident per day at Majestic Mountain Care Center, below the California median of 4.27 (US median: 3.72). About 0.33 of those hours are from registered nurses. Weekend staffing is close to its all-week average. 72% of nursing staff left within a year (California median 36%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Majestic Mountain Care Center: Medicare and Medicaid
Majestic Mountain Care Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet California's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on July 24, 2025 and found 14 deficiencies, plus 7 from complaint inspections in the same period. In total, inspectors issued 61 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 61 citations at Majestic Mountain Care Center across 19 inspection dates, 24 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on August 7, 2024. The most common areas cited were resident assessment and care planning (14) and resident rights (11). The most serious was cited under the CMS rule to "provide and implement an infection prevention and control program" (tag F0880, level L, August 7, 2024). 5 citations were under CMS's abuse, neglect and exploitation rules.
May 6, 2026 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
April 28, 2026 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
March 24, 2026 · 2 citations · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
January 28, 2026 · 1 citation · includes complaint inspection
DEnsure services provided by the nursing facility meet professional standards of quality.
December 2, 2025 · 1 citation · includes complaint inspection
DEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
October 30, 2025 · 1 citation, includes actual harm · includes complaint inspection
GProvide 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.
September 12, 2025 · 3 citations, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
GProvide safe, appropriate pain management for a resident who requires such services.
DEnsure services provided by the nursing facility meet professional standards of quality.
July 24, 2025 · 14 citations, includes actual harm
GProvide enough food/fluids to maintain a resident's health.
FEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
FProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
FEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FInform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
FProvide and implement an infection prevention and control program.
FKeep all essential equipment working safely.
EHonor 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.
EEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
EEnsure 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.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DObserve each nurse aide's job performance and give regular training.
DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
June 5, 2025 · 2 citations · includes complaint inspection
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
February 12, 2025 · 1 citation · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
January 30, 2025 · 2 citations · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
August 15, 2024 · 1 citation · includes complaint inspection
DEnsure services provided by the nursing facility meet professional standards of quality.
August 7, 2024 · 13 citations, includes immediate jeopardy
LProvide and implement an infection prevention and control program.
KProvide appropriate pressure ulcer care and prevent new ulcers from developing.
FHonor the resident's right to organize and participate in resident/family groups in the facility.
FHonor 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.
EEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
EEnsure medication error rates are not 5 percent or greater.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DAssure that each resident’s assessment is updated at least once every 3 months.
DEnsure each resident receives an accurate assessment.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DPASARR screening for Mental disorders or Intellectual Disabilities
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 15, 2024 · 1 citation · includes complaint inspection
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
May 6, 2024 · 1 citation · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
March 1, 2024 · 2 citations · includes complaint inspection
DEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
DProvide and implement an infection prevention and control program.
December 29, 2023 · 1 citation · includes complaint inspection
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
November 13, 2023 · 3 citations · includes complaint inspection
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide and implement an infection prevention and control program.
August 30, 2019 · 10 citations
FAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FProvide and implement an infection prevention and control program.
DKeep residents' personal and medical records private and confidential.
DHonor 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.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure services provided by the nursing facility meet professional standards of quality.
DObserve each nurse aide's job performance and give regular training.
DImplement 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.
DKeep all essential equipment working safely.
Questions to ask on a tour of Majestic Mountain Care Center
- Inspectors cited the home at the immediate-jeopardy level on August 7, 2024 under the rule on infection control. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on March 24, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 72% a year. How many of the staff come from agencies?
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
4 penalties in the last three years, including $188,357 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jul 24, 2025 | Fine | $96,340 |
| Jul 24, 2025 | Payment Denial | 102 days of payments denied |
| Aug 7, 2024 | Fine | $92,017 |
| Aug 7, 2024 | Payment Denial | 38 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 2/5 | 3/5 |
| August 2026 | 1/5 | 1/5 | 2/5 | 4/5 |
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Location
Hospitals near Majestic Mountain Care Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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20.8 mi
John C Fremont Healthcare District MariposaEmergency roomMedian ER visit 2h 4m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Other Jericho Care Group nursing homes in California
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- Vineyard Care Center · Reedley · 3 stars
- Covenant Post Acute · Fresno · 3 stars
- Foundation Skilled Nursing · Fresno · 1 stars
- Stonehaven Senior Living · Fresno · not rated
Affiliation comes from CMS's affiliated-entity data, October 2026. All 7 Jericho Care Group nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.