Deficiency Index

Majestic Oaks

Orange City, Florida · CCN 105374

11 surveys since 2012, and no finding has been recorded at harm level.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
32
Surveys
11
Harm or worse
0
Immediate jeopardy
0
The record, 2012–2024
’12’15’20’24
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file10/11

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
150
Ownership
Non profit - Corporation
Chain
Independent
County
Volusia
Medicare-certified since
1980

CMS ratings

Overall
5
Health inspection
5
Staffing
5
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=1, floor 20).

Last survey on record

Dec 12, 2024

697 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.983.72
Registered-nurse hours per resident day0.72—
Annual nurse turnover26.1%31.8%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1100.0%E—F—
No harm, potential for minimalA—B—C—
CMS’s current file: 1 of the 32 citations on record.

In the surveyor’s words

From the most serious findings on record at Majestic Oaks, in the surveyor’s own words.

  • No harm, potential for more than minimal, isolatedF842Dec 12, 2024

    Based on record review, staff interviews and facility policy review, the facility failed to maintain complete and accurately documented medical records in accordance with accepted professional standards of practice for three (Residents #329, #330, and #332) of 31 sampled residents, by failing to include medical diagnoses to the resident electronic medical record. The findings include: 1. A medical record review of Resident #329 revealed he was admitted on [DATE], with diagnoses including muscle weakness, difficulty walking, and other signs & symptoms involving skeletal system. […]

Read 20 findings in full →The most serious and the most recent: 20 of 32 on record.

Every survey on record

FindingsAt actual harm or above

  • Dec 12, 2024Standard1 finding
  • Nov 23, 2020Infection control2 findings
  • Jun 27, 2019Standard1 finding
  • Mar 22, 2018Standard6 findings
  • Jun 1, 2017Complaint3 findings
  • Feb 23, 2017Standard5 findings
  • Oct 3, 2016Complaint1 finding
  • Jan 28, 2016Standard4 findings
Show the 3 earlier surveys
  • Oct 30, 2014Standard4 findings
  • Sep 6, 2013—2 findings
  • Jun 28, 2012—3 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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