Majestic Care of Avon
445 S County Road 525 E · Avon, IN · 46123 · 3177452522
117 certified beds For profit - Corporation Chain: Majestic Care
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 72 points, but Recommended is gated: inspection record below the Recommended bar; CMS rates its health inspections "much below average". That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.75 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.50 | 0.55–0.75 |
| Weekend hours / resident-day | 3.22 | ≈ weekday level |
| Nursing turnover / year | 46% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (32 in the current record)
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Potential for harm · E August 22, 2025
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected October 1, 2025 · Resident Rights
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Potential for harm · D August 22, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected October 1, 2025 · Resident Rights
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Potential for harm · E August 22, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 1, 2025 · Quality of Life and Care
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Potential for harm · D August 22, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 1, 2025 · Quality of Life and Care
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Potential for harm · F August 22, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected October 1, 2025 · Nursing and Physician Services
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Potential for harm · E August 22, 2025
Ensure 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.
Corrected October 1, 2025 · Pharmacy Service
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Potential for harm · E August 22, 2025
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Corrected October 1, 2025 · Nutrition and Dietary
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Potential for harm · F August 22, 2025
Keep all essential equipment working safely.
Corrected October 1, 2025 · Environmental
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Potential for harm · E June 25, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected July 17, 2025 · Nutrition and Dietary
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Potential for harm · D June 25, 2025 · found via complaint
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected July 17, 2025 · Nutrition and Dietary
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Potential for harm · D August 8, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected September 4, 2024 · Resident Rights
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Potential for harm · E August 8, 2024
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected September 4, 2024 · Resident Rights
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Potential for harm · D August 8, 2024
Ensure each resident receives an accurate assessment.
Corrected September 4, 2024 · Resident Assessment and Care Planning
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Potential for harm · E August 8, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 4, 2024 · Quality of Life and Care
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Potential for harm · D August 8, 2024
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected September 4, 2024 · Nursing and Physician Services
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Potential for harm · D August 8, 2024
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected September 4, 2024 · Quality of Life and Care
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Potential for harm · E August 8, 2024
Ensure 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.
Corrected September 4, 2024 · Pharmacy Service
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Potential for harm · E March 13, 2024 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected April 12, 2024 · Quality of Life and Care
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Potential for harm · D February 6, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 1, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 6, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 1, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E June 30, 2023
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected August 4, 2023 · Resident Rights
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Potential for harm · E June 30, 2023
The resident has the right to receive notices in a format and a language he or she understands.
Corrected August 4, 2023 · Resident Rights
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Potential for harm · E June 30, 2023
Honor 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.
Corrected August 4, 2023 · Resident Rights
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Potential for harm · D June 30, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 4, 2023 · Quality of Life and Care
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Potential for harm · D June 30, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 4, 2023 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 155338 · certified since August 7, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.