Majestic Oaks Rehabilitation and Nursing Center
333 Newtown Road, Warminster, PA 18974 · Bucks County · 180 certified beds · avg 153 residents/day · certified since Mar 28, 1979
Part of chain: CONTINUUM HEALTHCARE (13 facilities, chain avg rating 2.5★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · May 28, 2024 · F-0580 · triggered by a complaint
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Why it matters: A family could learn about a serious injury or decline days later, after the chance to act has passed.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jun 24, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Apr 24, 2024 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jun 6, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (50)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 5, 2026 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Mar 5, 2026 | E · Potential for harm, repeated | The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times. |
| Mar 5, 2026 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Mar 5, 2026 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Mar 5, 2026 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Mar 5, 2026 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Mar 5, 2026 | D · Potential for harm, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Mar 5, 2026 | D · Potential for harm, one-off | The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. |
| Mar 5, 2026 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Feb 24, 2026 | D · Potential for harm, one-off | The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely. · from a complaint |
| Mar 20, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 20, 2025 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. |
| Mar 20, 2025 | F · Potential for harm, facility-wide | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. |
| Mar 20, 2025 | E · Potential for harm, repeated | The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. |
| Mar 20, 2025 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Mar 20, 2025 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Mar 20, 2025 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Mar 20, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Mar 20, 2025 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. |
| Mar 20, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Mar 20, 2025 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Mar 20, 2025 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Mar 20, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Mar 20, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Mar 20, 2025 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Mar 20, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Mar 20, 2025 | D · Potential for harm, one-off | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| Mar 20, 2025 | D · Potential for harm, one-off | The facility did not provide appropriate treatment and services to residents with a mental health condition, difficulty adjusting emotionally, or a history of trauma or post-traumatic stress disorder (PTSD). |
| Mar 20, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Mar 20, 2025 | D · Potential for harm, one-off | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. |
| Mar 20, 2025 | D · Potential for harm, one-off | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. |
| Oct 17, 2024 | E · Potential for harm, repeated | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · from a complaint |
| Sep 16, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Sep 16, 2024 | D · Potential for harm, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint |
| Jun 10, 2024 | D · Potential for harm, one-off | The facility did not let a resident return after a hospital stay or approved leave that lasted longer than the facility's bed-hold policy allowed. Residents generally have the right to come back to the next available bed. · from a complaint |
| May 28, 2024 | ▲ G · Actual harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| May 28, 2024 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| May 28, 2024 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| May 28, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| May 28, 2024 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| May 28, 2024 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| May 28, 2024 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| May 28, 2024 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| May 28, 2024 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| May 28, 2024 | D · Potential for harm, one-off | The facility did not provide timely, quality laboratory tests to meet residents' needs. |
| May 28, 2024 | D · Potential for harm, one-off | The facility did not provide residents with enough to drink, or with drinks matching their needs and preferences, to keep them properly hydrated. |
| May 28, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Apr 24, 2024 | ▲ G · Actual harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Apr 24, 2024 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Apr 24, 2024 | D · Potential for harm, one-off | The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. · from a complaint |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (21 → 9).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 19 | 2 | G ▲ |
| 2025 | 21 | 0 | F |
| 2026 | 10 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $35,175.
| Date | Type | Amount / length |
|---|---|---|
| Apr 24, 2024 | Fine | $35,175 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Pennsylvania avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.73 | 3.94 | 3.95 | top 47% in Pennsylvania; bottom 48% in the U.S. |
| Registered Nurse hours | 0.49 | 0.80 | 0.69 | bottom 24% in Pennsylvania; bottom 37% in the U.S. |
| Weekend total nurse staffing | 3.39 | 3.58 | 3.50 | top 48% in Pennsylvania; top 48% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.23 | 0.56 | 0.48 | bottom 7% in Pennsylvania; bottom 18% in the U.S. |
| Total nursing staff turnover (%) | 30.3 | 44.5 | 45.8 | top 15% in Pennsylvania; top 15% in the U.S. |
| RN turnover (%) | 4.8 | 39.9 | 42.9 | top 2% in Pennsylvania; top 2% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.30, RN 0.44, weekend 2.99. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bruckstein, Daniel | Individual | Direct Ownership Interest | NOT APPLICABLE | 10/03/2019 |
| Bruckstein, Robert | Individual | Direct Ownership Interest | NOT APPLICABLE | 10/03/2019 |
| B&B Reimbursement Consulting INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/03/2019 |
| B&B Reimbursement Consulting INC. | Organization | ADP of the SNF | NOT APPLICABLE | 05/20/2025 |
| Bruckstein, Daniel | Individual | ADP of the SNF | NOT APPLICABLE | 10/03/2019 |
| Bruckstein, Robert | Individual | ADP of the SNF | NOT APPLICABLE | 10/03/2019 |
| Continuum Healthcare I INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/03/2019 |
| Continuum Healthcare I INC | Organization | ADP of the SNF | NOT APPLICABLE | 05/20/2025 |
| Dorn, Cheryl | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2022 |
| Khan, Zafar | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/03/2019 |
| Khan, Zafar | Individual | ADP of the SNF | NOT APPLICABLE | 10/03/2019 |
| Leshkowitz & Company LLP | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/03/2019 |
| Leshkowitz & Company LLP | Organization | ADP of the SNF | NOT APPLICABLE | 05/20/2025 |
| Litman, Warren | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2024 |
| Lynn, Christina | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/23/2023 |
| Lynn, Christina | Individual | ADP of the SNF | NOT APPLICABLE | 01/23/2023 |
| Majestic Oaks Real Property, LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 10/03/2019 |
| Majestic Oaks Real Property, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/03/2019 |
| Mandelbaum, Daniel | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/03/2019 |
| Stonebridge Healthcare Holdings LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 10/03/2019 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "What happens if a resident is hungry between meals or misses a mealtime — what food options are available?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you coordinate and monitor care for residents who receive dialysis?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Luther Woods Nursing and Rehabilitation Center | 0.8 mi | Hatboro, PA | ★★★☆☆ | 3/5 | |
| Ann's Choice | 1.0 mi | Warminster, PA | ★★★★★ | 4/5 | |
| Willowbrooke Court-Southampton | 1.5 mi | Southampton, PA | ★★★★★ | 5/5 | |
| Christ's Home Retirement Community | 1.5 mi | Warminster, PA | ★★★★★ | 5/5 | |
| Willow Grove Post Acute | 2.0 mi | Hatboro, PA | ★★★☆☆ | 2/5 | |
| Masonic Village at Warminster | 2.4 mi | Warminster, PA | ★★★★★ | 5/5 | |
| Huntingdon Skilled Nursing and Rehabilitation Cent | 2.9 mi | Huntingdon Valley, PA | ★★★☆☆ | 3/5 | |
| Garden Spring Rehab and Care Center | 3.1 mi | Willow Grove, PA | ★★☆☆☆ | 2/5 | |
| Brookside Healthcare & Rehabilitation Center | 4.9 mi | Roslyn, PA | ★★★☆☆ | 3/5 | |
| Richboro Rehabilitation & Nursing Center | 5.0 mi | Richboro, PA | ★★★★☆ | 4/5 | |
| Accela Rehab and Care Center at Somerton | 5.4 mi | Philadelphia, PA | ★☆☆☆☆ | 2/5 | |
| HRH Transitional Care Unit(a D/B/A Entity of HRHS) | 5.4 mi | Meadowbrook, PA | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 395431.