The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: F
Nursing home report
MAJESTIC CARE OF AVON
AVON, IN · Medicare-certified · 117 beds
In good standing
For-profitChain member
2 of 5 overall
MAJESTIC CARE OF AVON has a 2-star overall rating, with very low health inspection and staffing ratings (1 star each) despite a 5-star quality measures rating. Reported nurse staffing is 3.75 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.7473 hrs/resident/day
Quality measures
Last inspection: August 22, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7473.
Staffing detail
- Registered nurses
- 0.50
- Licensed practical nurses
- 0.76
- Nurse aides
- 2.49
- Weekend nursing
- 3.22
Hours per resident per day.
Total staff turnover: 46%
Registered nurse turnover: 79%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
13.7%13.7%No change
Residents with a fall causing major injury
4%11.5%Worsening
Residents with pressure ulcers (bedsores)
1.9%2.5%Worsening
Residents with a urinary tract infection
2.7%2.6%No change
Residents who lost too much weight
11.1%12.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
2.9%3.1%No change
Residents whose ability to walk got worse
5.5%7.8%Worsening
Long-stay residents on antianxiety or sleep medication
37.5%42.4%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
25.9%20.3%Improving
Residents with depressive symptoms
63.4%65.7%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—95.1%—
Long-stay residents given the pneumonia vaccine
93.3%82.1%Worsening
Short-stay residents given the seasonal flu vaccine
—65.2%—
Short-stay residents given the pneumonia vaccine
81.8%55%Worsening
What the inspectors found
The nursing home failed to keep essential equipment working safely. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 908 — 42 CFR §483.90 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to protect residents’ right to organize and take part in resident and family groups. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 565 — 42 CFR §483.10 — S/S: E
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of MAJESTIC CARE · 35 homes · 2.5 stars avg
- Occupancy
- 82.1 residents on an average day (70% of 117 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 36 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.