Starfile

Starfile / California

MAJESTIC MOUNTAIN CARE CENTER

40131 HIGHWAY 49, OAKHURST, CA 93644 · CCN 555115

SFF Candidate

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★☆☆☆☆ 1
Quality measures
★★★☆☆ 3
Staffing
★☆☆☆☆ 1

Facility

Ownership type
For profit - Limited Liability company
Certified beds
66
Avg residents/day
59.7
Phone
5596832244

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityCalifornia avgNational avgvs state
12025-07-242215.69.5+6.4 worse
22024-08-072117.49.8+3.6 worse
32019-08-301717.19.3-0.1 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care5
Resident assessment and care planning3
Nursing and physician services2
Resident rights3
Nutrition and dietary6
Environmental1
Administration1
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.4263.0%
RN staffing (reported)0.3366.7%
Total nurse staffing (adjusted)3.33

Fines & penalties

Total fines
$252,683
Number of fines
2
Number of penalties
4
Payment denials
2

Chain

Chain
BAYSHIRE SENIOR COMMUNITIES
Facilities in chain
12
Chain avg overall
3.10 / 5

Inspection citations (60)2 immediate jeopardy4 actual harm

  1. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2026-01-28 · Health

    Potential for more than minimal harm

  2. DF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.2025-12-02 · Health · corrected 2025-12-18

    Potential for more than minimal harm

  3. GF0688Provide 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.2025-10-30 · Health · corrected 2025-12-02

    Actual harm

  4. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-09-12 · Health · corrected 2025-10-07

    Potential for more than minimal harm

  5. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-09-12 · Health · corrected 2025-10-07

    Actual harm

  6. GF0697Provide safe, appropriate pain management for a resident who requires such services.2025-09-12 · Health · corrected 2025-12-02

    Actual harm

  7. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-07-24 · Health · corrected 2025-10-30

    Potential for more than minimal harm

  8. EF0584Honor 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.2025-07-24 · Health · corrected 2025-11-13

    Potential for more than minimal harm

  9. GF0692Provide enough food/fluids to maintain a resident's health.2025-07-24 · Health · corrected 2025-10-30

    Actual harm

  10. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-07-24 · Health · corrected 2025-10-30

    Potential for more than minimal harm

  11. DF0730Observe each nurse aide's job performance and give regular training.2025-07-24 · Health · corrected 2025-10-30

    Potential for more than minimal harm

  12. FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2025-07-24 · Health · corrected 2025-10-30

    Potential for more than minimal harm

  13. FF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2025-07-24 · Health · corrected 2025-10-30

    Potential for more than minimal harm

  14. EF0803Ensure 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.2025-07-24 · Health · corrected 2025-10-30

    Potential for more than minimal harm

  15. FF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-07-24 · Health · corrected 2025-10-30

    Potential for more than minimal harm

  16. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2025-07-24 · Health · corrected 2025-10-30

    Potential for more than minimal harm

  17. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-07-24 · Health · corrected 2025-10-30

    Potential for more than minimal harm

  18. FF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2025-07-24 · Health · corrected 2025-10-30

    Potential for more than minimal harm

  19. FF0880Provide and implement an infection prevention and control program.2025-07-24 · Health · corrected 2025-10-30

    Potential for more than minimal harm

  20. FF0908Keep all essential equipment working safely.2025-07-24 · Health · corrected 2025-10-30

    Potential for more than minimal harm

  21. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-06-05 · Health · corrected 2025-07-03

    Potential for more than minimal harm

  22. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-06-05 · Health · corrected 2025-07-03

    Potential for more than minimal harm

  23. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-02-12 · Health · corrected 2025-03-07

    Potential for more than minimal harm

  24. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-01-30 · Health · corrected 2025-02-20

    Potential for more than minimal harm

  25. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-01-30 · Health · corrected 2025-02-20

    Potential for more than minimal harm

  26. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-08-15 · Health · corrected 2024-10-14

    Potential for more than minimal harm

  27. FF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2024-08-07 · Health · corrected 2024-08-29

    Potential for more than minimal harm

  28. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-08-07 · Health · corrected 2024-08-29

    Potential for more than minimal harm

  29. FF0585Honor 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.2024-08-07 · Health · corrected 2024-08-29

    Potential for more than minimal harm

  30. DF0638Assure that each resident’s assessment is updated at least once every 3 months.2024-08-07 · Health · corrected 2024-08-29

    Potential for more than minimal harm

  31. DF0641Ensure each resident receives an accurate assessment.2024-08-07 · Health · corrected 2024-08-29

    Potential for more than minimal harm

  32. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-08-07 · Health · corrected 2024-08-29

    Potential for more than minimal harm

  33. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-08-07 · Health · corrected 2024-08-29

    Potential for more than minimal harm

  34. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-08-07 · Health · corrected 2024-08-29

    Potential for more than minimal harm

  35. KF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-08-07 · Health · corrected 2024-08-29

    Immediate jeopardy

  36. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-07 · Health · corrected 2024-08-29

    Potential for more than minimal harm

  37. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-08-07 · Health · corrected 2024-08-29

    Potential for more than minimal harm

  38. EF0759Ensure medication error rates are not 5 percent or greater.2024-08-07 · Health · corrected 2024-08-29

    Potential for more than minimal harm

  39. LF0880Provide and implement an infection prevention and control program.2024-08-07 · Health · corrected 2024-08-29

    Immediate jeopardy

  40. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-05-15 · Health · corrected 2024-07-22

    Potential for more than minimal harm

  41. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-05-06 · Health · corrected 2024-05-17

    Potential for more than minimal harm

  42. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2024-03-01 · Health · corrected 2024-03-25

    Potential for more than minimal harm

  43. DF0880Provide and implement an infection prevention and control program.2024-03-01 · Health · corrected 2024-03-25

    Potential for more than minimal harm

  44. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-12-29 · Health · corrected 2024-01-26

    Potential for more than minimal harm

  45. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-11-13 · Health · corrected 2023-11-30

    Potential for more than minimal harm

  46. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-11-13 · Health · corrected 2023-11-30

    Potential for more than minimal harm

  47. DF0880Provide and implement an infection prevention and control program.2023-11-13 · Health · corrected 2023-11-30

    Potential for more than minimal harm

  48. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-08-09 · Health · corrected 2023-09-01

    Potential for more than minimal harm

  49. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2023-08-09 · Health · corrected 2023-09-01

    Potential for more than minimal harm

  50. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-03-23 · Health · corrected 2023-05-11

    Potential for more than minimal harm

  51. FF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2019-08-30 · Health · corrected 2019-11-22

    Potential for more than minimal harm

  52. DF0583Keep residents' personal and medical records private and confidential.2019-08-30 · Health · corrected 2019-11-22

    Potential for more than minimal harm

  53. DF0584Honor 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.2019-08-30 · Health · corrected 2019-11-22

    Potential for more than minimal harm

  54. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2019-08-30 · Health · corrected 2019-11-22

    Potential for more than minimal harm

  55. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2019-08-30 · Health · corrected 2019-11-22

    Potential for more than minimal harm

  56. DF0730Observe each nurse aide's job performance and give regular training.2019-08-30 · Health · corrected 2019-11-22

    Potential for more than minimal harm

  57. DF0758Implement 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.2019-08-30 · Health · corrected 2019-11-22

    Potential for more than minimal harm

  58. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-08-30 · Health · corrected 2019-11-22

    Potential for more than minimal harm

  59. FF0880Provide and implement an infection prevention and control program.2019-08-30 · Health · corrected 2019-11-22

    Potential for more than minimal harm

  60. DF0908Keep all essential equipment working safely.2019-08-30 · Health · corrected 2019-11-22

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
BAYSHIRE CENTRAL VALLEY LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2024-05-01
BAYSHIRE LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-05-01
CARTER, BENJAMINIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-05-01
KIRBY, SCOTTIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-05-01
SALOW, DONALDIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-05-01
CARTER, BENJAMINIndividualCORPORATE OFFICER2024-05-01
KIRBY, SCOTTIndividualCORPORATE OFFICER2024-05-01
SALOW, DONALDIndividualCORPORATE OFFICER2024-05-01
KIRBY, SCOTTIndividualW-2 MANAGING EMPLOYEE2024-05-02

Other facilities in OAKHURST

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.