Majestic Care of Goshen
2400 College Ave · Goshen, IN · 46528 · 5745330351
186 certified beds For profit - Limited Liability company Chain: Majestic Care
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
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
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.11 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.51 | 0.55–0.75 |
| Weekend hours / resident-day | 2.52 | ≈ weekday level |
| Nursing turnover / year | 55% | median 45% |
| Fines (3-yr window) | 2 · $16,036 |
Inspection citations (78 in the current record)
-
Potential for harm · D February 3, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 25, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D February 3, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected February 25, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D January 7, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 20, 2026 · Quality of Life and Care
-
Potential for harm · D January 7, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 20, 2026 · Quality of Life and Care
-
Potential for harm · D January 7, 2026 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected January 20, 2026 · Quality of Life and Care
-
Potential for harm · D September 10, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 1, 2025 · Quality of Life and Care
-
Potential for harm · D January 23, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected February 12, 2025 · Resident Rights
-
Potential for harm · D January 23, 2025
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected February 12, 2025 · Resident Rights
-
Potential for harm · D January 23, 2025
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Corrected February 12, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D January 23, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 12, 2025 · Quality of Life and Care
-
Potential for harm · D January 23, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected February 12, 2025 · Quality of Life and Care
-
Potential for harm · D January 23, 2025
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected February 12, 2025 · Quality of Life and Care
-
Potential for harm · D January 23, 2025
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected February 12, 2025 · Pharmacy Service
-
Potential for harm · D January 23, 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 February 12, 2025 · Pharmacy Service
-
Potential for harm · D January 23, 2025
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected February 12, 2025 · Administration
-
Potential for harm · F January 23, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 12, 2025 · Nutrition and Dietary
-
Potential for harm · E January 23, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 12, 2025 · Infection Control
-
Potential for harm · D November 14, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 30, 2024 · Quality of Life and Care
-
Potential for harm · D November 14, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 30, 2024 · Quality of Life and Care
-
Potential for harm · D November 14, 2024 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected November 30, 2024 · Quality of Life and Care
-
Potential for harm · D September 12, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 27, 2024 · Quality of Life and Care
-
Potential for harm · D September 12, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 27, 2024 · Quality of Life and Care
-
Potential for harm · D September 12, 2024 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected September 27, 2024 · Quality of Life and Care
-
Potential for harm · D August 16, 2024 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected September 9, 2024 · Resident Rights
-
Potential for harm · D August 16, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 9, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 2, 2024 | Fine | $8,018 |
| March 2, 2024 | Fine | $8,018 |
| March 2, 2024 | Payment Denial | 14 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 155689 · certified since March 3, 2001. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.