Nursing homeActiveSpecial Focus Facility candidate · what this means

Majestic Mountain Care Center

40131 Highway 49, Oakhurst, CA 93644559683224466 certified beds · 60 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
20
since 2019
Deficiencies
63
0576
Penalties · 3 yrs
$252,683
2 fines · 2 actions
Last survey
2026-05-06
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 2
Quality 4
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · California Department of Public Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-05-06Complaint010CMS-2567 (Care Compare)
2026-04-28Complaint010CMS-2567 (Care Compare)
2026-03-24Complaint020CMS-2567 (Care Compare)
2026-01-28Complaint010CMS-2567 (Care Compare)
2025-12-02Complaint010CMS-2567 (Care Compare)
2025-10-30Complaint001CMS-2567 (Care Compare)
2025-09-12Complaint012CMS-2567 (Care Compare)
2025-07-24Standard0131CMS-2567 (Care Compare)
2025-06-05Complaint020CMS-2567 (Care Compare)
2025-02-12Complaint010CMS-2567 (Care Compare)
2025-01-30Complaint020CMS-2567 (Care Compare)
2024-08-15Complaint010CMS-2567 (Care Compare)
2024-08-07Standard0112CMS-2567 (Care Compare)
2024-05-15Complaint010CMS-2567 (Care Compare)
2024-05-06Complaint010CMS-2567 (Care Compare)
2024-03-01Complaint020CMS-2567 (Care Compare)
2023-12-29Complaint010CMS-2567 (Care Compare)
2023-11-13Complaint030CMS-2567 (Care Compare)
2023-08-09Complaint020CMS-2567 (Care Compare)
2019-08-30Standard0100CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · California Department of Public Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-05-06Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-28Record 555115-20260506-F689
2026-04-28Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-19Record 555115-20260428-F689
2026-03-24Complaint survey · 2 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-18Record 555115-20260324-F600
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-18Record 555115-20260324-F609
2026-01-28Complaint survey · 1 deficiencyOfficial report
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-28Record 555115-20260128-F658
2025-12-02Complaint survey · 1 deficiencyOfficial report
F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-18Record 555115-20251202-F627
2025-10-30Complaint survey · 1 deficiencyOfficial report
F688Provide 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.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-12-02Record 555115-20251030-F688
2025-09-12Complaint survey · 3 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-10-07Record 555115-20250912-F689
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-12-02Record 555115-20250912-F697
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-07Record 555115-20250912-F658
2025-07-24Standard survey · 14 deficienciesOfficial report
F692Provide enough food/fluids to maintain a resident's health.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-10-30Record 555115-20250724-F692
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-30Record 555115-20250724-F550
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-11-13Record 555115-20250724-F584
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-10-30Record 555115-20250724-F726
F730Observe each nurse aide's job performance and give regular training.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-30Record 555115-20250724-F730
F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-10-30Record 555115-20250724-F801
F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-10-30Record 555115-20250724-F802
F803Ensure 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.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-10-30Record 555115-20250724-F803
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-10-30Record 555115-20250724-F804
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-30Record 555115-20250724-F806
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-10-30Record 555115-20250724-F812
F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-10-30Record 555115-20250724-F847
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-10-30Record 555115-20250724-F880
F908Keep all essential equipment working safely.Scope/severity FStandard
Environment
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-10-30Record 555115-20250724-F908
2025-06-05Complaint survey · 2 deficienciesOfficial report
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-03Record 555115-20250605-F658
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-03Record 555115-20250605-F689
2025-02-12Complaint survey · 1 deficiencyOfficial report
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-07Record 555115-20250212-F609
2025-01-30Complaint survey · 2 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-20Record 555115-20250130-F600
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-20Record 555115-20250130-F656
2024-08-15Complaint survey · 1 deficiencyOfficial report
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-14Record 555115-20240815-F658
2024-08-07Standard survey · 13 deficienciesOfficial report
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity KHarm
Care planning
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-08-29Record 555115-20240807-F686
F880Provide and implement an infection prevention and control program.Scope/severity LHarm
Infection control
Widespread; immediate jeopardy to resident health or safety.Corrected 2024-08-29Record 555115-20240807-F880
F565Honor the resident's right to organize and participate in resident/family groups in the facility.Scope/severity FStandard
Dignity & rights
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-08-29Record 555115-20240807-F565
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-29Record 555115-20240807-F580
F585Honor 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.Scope/severity FStandard
Dignity & rights
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-08-29Record 555115-20240807-F585
F638Assure that each resident’s assessment is updated at least once every 3 months.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-29Record 555115-20240807-F638
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-29Record 555115-20240807-F641
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-29Record 555115-20240807-F644
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-29Record 555115-20240807-F645
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-29Record 555115-20240807-F657
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-29Record 555115-20240807-F689
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-29Record 555115-20240807-F756
F759Ensure medication error rates are not 5 percent or greater.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-29Record 555115-20240807-F759
2024-05-15Complaint survey · 1 deficiencyOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-22Record 555115-20240515-F550
2024-05-06Complaint survey · 1 deficiencyOfficial report
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-17Record 555115-20240506-F609
2024-03-01Complaint survey · 2 deficienciesOfficial report
F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-25Record 555115-20240301-F676
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-25Record 555115-20240301-F880
2023-12-29Complaint survey · 1 deficiencyOfficial report
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-26Record 555115-20231229-F656
2023-11-13Complaint survey · 3 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-30Record 555115-20231113-F550
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-30Record 555115-20231113-F656
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-30Record 555115-20231113-F880
2023-08-09Complaint survey · 2 deficienciesOfficial report
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-01Record 555115-20230809-F658
F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-01Record 555115-20230809-F676
2019-08-30Standard survey · 10 deficienciesOfficial report
F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.Scope/severity FStandard
Dignity & rights
Widespread; no actual harm, potential for more than minimal harm.Corrected 2019-11-22Record 555115-20190830-F577
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-11-22Record 555115-20190830-F583
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-11-22Record 555115-20190830-F584
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-11-22Record 555115-20190830-F656
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-11-22Record 555115-20190830-F658
F730Observe each nurse aide's job performance and give regular training.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-11-22Record 555115-20190830-F730
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-11-22Record 555115-20190830-F758
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2019-11-22Record 555115-20190830-F812
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2019-11-22Record 555115-20190830-F880
F908Keep all essential equipment working safely.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-11-22Record 555115-20190830-F908

Penalties & enforcement

DateActionAmountSource
2025-07-24Civil money penalty$160,666CMS · Penalties
2025-07-24Denial of payment for new admissions
Payment denial for 102 days, from 2025-08-22
CMS · Penalties
2024-08-07Civil money penalty$92,017CMS · Penalties
2024-08-07Denial of payment for new admissions
Payment denial for 38 days, from 2024-09-06
CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.33
Facility
California
National
California 0.67 · National 0.69
Total nurse hours per resident day3.48
Facility
California
National
California 4.52 · National 3.86
Weekend total nurse hours3.44
Facility
California
National
California 4.09 · National 3.42
Total nursing staff turnover69%
Facility
California
National
California 37% · National 46%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityCaliforniaNational
Percentage of long-stay residents with pressure ulcers
lower is better
4.5%4.3%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
0.9%1.6%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
6.1%12.0%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.5%1.2%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.4%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
8.5%10.2%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
6.5%4.0%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
18.1%13.7%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Bayshire Central Valley LLC
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Carter, Benjamin
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Coleman, Chad
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Grossman, Stephen
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Kirby, Scott
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Parrott, Jason
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Salow, Donald
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Carter, Benjamin
Individual
ADP OF THE SNFNOT APPLICABLE
Coleman, Chad
Individual
ADP OF THE SNFNOT APPLICABLE
Grossman, Stephen
Individual
ADP OF THE SNFNOT APPLICABLE
Kirby, Scott
Individual
ADP OF THE SNFNOT APPLICABLE
Parrott, Jason
Individual
CORPORATE DIRECTORNOT APPLICABLE
Parrott, Jason
Individual
ADP OF THE SNFNOT APPLICABLE
Salow, Donald
Individual
ADP OF THE SNFNOT APPLICABLE
Part of a chain
Jericho Care Group7 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or California.

No county cost figures on file for Madera.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
John C. Fremont Healthcare District Dp/SNF
Mariposa
21.0 mi2026-02-100130
Willow Creek Healthcare Center
Clovis
34.2 mi2026-05-140304
Horizon Health & Subacute Center
Fresno
34.8 mi2026-03-201321
Morning Star Post Acute
Clovis
36.1 mi2026-06-181391
North Point Healthcare & Wellness Centre LP
Fresno
36.1 mi2025-03-270110
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01