The home failed to provide safe, appropriate dialysis care for a resident who needed it. Cited April 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 698 — 42 CFR §483.25(l) — S/S: J
Nursing home report
MAJESTIC CARE OF MIDDLETOWN LLC
MIDDLETOWN, OH · Medicare-certified · 200 beds
In good standing
For-profitChain member
2 of 5 overall
MAJESTIC CARE OF MIDDLETOWN LLC in Middletown, OH has a 2-star overall rating, with especially weak health inspection and staffing scores (both 1 star) despite a 5-star quality measures rating. Reported nurse staffing is 3.64 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
3.6357 hrs/resident/day
Quality measures
Last inspection: June 5, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6357.
Staffing detail
- Registered nurses
- 0.38
- Licensed practical nurses
- 1.41
- Nurse aides
- 1.85
- Weekend nursing
- 3.17
Hours per resident per day.
Total staff turnover: 56%
Registered nurse turnover: 71%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
10.7%Improving
Residents with a fall causing major injury
2.4%Improving
Residents with pressure ulcers (bedsores)
5.1%Worsening
Residents with a urinary tract infection
0.6%Steady
Residents who lost too much weight
5.8%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
3%Improving
Residents whose ability to walk got worse
1.3%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
34.8%Improving
Short-stay residents newly given an antipsychotic
2%Improving
Residents with a long-term catheter
0.2%Steady
Residents with new or worsening incontinence
24.3%Worsening
Residents with depressive symptoms
22.5%Improving
Long-stay residents given the seasonal flu vaccine
94.9%Steady
Long-stay residents given the pneumonia vaccine
89.6%Improving
Short-stay residents given the seasonal flu vaccine
71.7%Steady
Short-stay residents given the pneumonia vaccine
65.6%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The nursing home failed to reasonably accommodate each resident’s needs and preferences. Cited January 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 558 — 42 CFR §483.10 — 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 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $108,164 in total fines · 1 payment denial.
- 64 days
Medicare/Medicaid payment denial
Feb 14, 2024
- $108,164
Federal fine
Feb 14, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of MAJESTIC CARE · 35 homes · 2.5 stars avg
- Occupancy
- 127.2 residents on an average day (64% of 200 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 57 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.