Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 395431

Majestic Oaks Rehabilitation And Nursing Center

62 federal citations on record , and 1 federal enforcement actions totaling $35,175.

Record summary

Federal record · Q1 2026
62
Total citations
62
Last 3 years
2
Actual harm+
1
Federal penalties
$35,175
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care14 Resident Rights13 Care Planning9 Nutrition & Dietary8 Medication & Pharmacy5

Most common F-tags at this facility

F6564 F5843 F6863 F5852 F6842

Citation history

62 on record
SurveyF-TagViolationSeveritySource
Mar 20, 2025F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.FStandard
Mar 20, 2025F919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard
Mar 20, 2025F880Provide and implement an infection prevention and control program.EStandard
Mar 20, 2025F814Dispose of garbage and refuse properly.FStandard
Mar 20, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Mar 20, 2025F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
Mar 20, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
Mar 20, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Mar 20, 2025F742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.DStandard
Mar 20, 2025F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DStandard
Mar 20, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Mar 20, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Mar 20, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Mar 20, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Mar 20, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Mar 20, 2025F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Mar 20, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard
Mar 20, 2025F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard
Mar 20, 2025F585Honor 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.DStandard
Mar 20, 2025F584Honor 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.EStandard
Mar 20, 2025F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.EStandard
Oct 17, 2024F908Keep all essential equipment working safely.EComplaint
Sep 16, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint
Sep 16, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jun 10, 2024F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.DComplaint
May 28, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
May 28, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.GComplaint
May 28, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
May 28, 2024F807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.DStandard
May 28, 2024F770Provide timely, quality laboratory services/tests to meet the needs of residents.DStandard
May 28, 2024F758Implement 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.DStandard
May 28, 2024F692Provide enough food/fluids to maintain a resident's health.DStandard
May 28, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
May 28, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
May 28, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
May 28, 2024F610Respond appropriately to all alleged violations.DStandard
May 28, 2024F584Honor 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.EStandard
Apr 24, 2024F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DComplaint
Apr 24, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Apr 24, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jun 30, 2023F919Make sure that a working call system is available in each resident's bathroom and bathing area.DComplaint
Jun 30, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Jun 30, 2023F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DComplaint
Jun 30, 2023F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint
Jun 30, 2023F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DComplaint
Jun 30, 2023F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DComplaint
Jun 30, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Jun 30, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
Jun 30, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Jun 30, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EComplaint
Jun 30, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jun 30, 2023F610Respond appropriately to all alleged violations.DComplaint
Jun 30, 2023F585Honor 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.EComplaint
Jun 30, 2023F584Honor 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.DComplaint
Jun 30, 2023F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Jun 30, 2023F880Provide and implement an infection prevention and control program.DStandard
Jun 30, 2023F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Jun 30, 2023F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Jun 30, 2023F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Jun 30, 2023F572Give residents a notice of rights, rules, services and charges.DStandard
Jun 30, 2023F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.DStandard
Jun 30, 2023F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.DStandard

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $35,175 .

DateTypeFinePayment denial
Apr 24, 2024Fine$35,175—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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