Majestic Care of Middletown LLC
6898 Hamilton Middletown Road · Middletown, OH · 45044 · 5134245321
200 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 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
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.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
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 | 3.64 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.38 | 0.55–0.75 |
| Weekend hours / resident-day | 3.17 | ≈ weekday level |
| Nursing turnover / year | 56% | median 45% |
| Fines (3-yr window) | 1 · $108,164 |
Inspection citations (58 in the current record)
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Potential for harm · D June 5, 2025
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 5, 2025 · Resident Rights
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Potential for harm · D June 5, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 5, 2025 · Quality of Life and Care
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Potential for harm · D June 5, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected August 5, 2025 · Pharmacy Service
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Potential for harm · D June 5, 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 August 5, 2025 · Pharmacy Service
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Potential for harm · F June 5, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 5, 2025 · Nutrition and Dietary
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Potential for harm · F June 5, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected August 5, 2025 · Infection Control
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Potential for harm · D February 4, 2025 · found via complaint
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected March 12, 2025 · Quality of Life and Care
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Potential for harm · E January 17, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected March 12, 2025 · Resident Rights
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Potential for harm · D January 6, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected March 12, 2025 · Resident Rights
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Potential for harm · D January 6, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 12, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 6, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected March 12, 2025 · Pharmacy Service
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Potential for harm · D January 6, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 12, 2025 · Infection Control
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Potential for harm · D May 29, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected June 19, 2024 · Resident Rights
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Potential for harm · E May 29, 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 June 19, 2024 · Quality of Life and Care
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Potential for harm · D May 29, 2024 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected June 19, 2024 · Nutrition and Dietary
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Immediate jeopardy · J April 29, 2024 · found via complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected June 19, 2024 · Quality of Life and Care
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Potential for harm · D April 29, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected June 19, 2024 · Resident Rights
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Potential for harm · D April 29, 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 June 19, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G March 18, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 19, 2024 · Quality of Life and Care
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Potential for harm · D March 18, 2024 · found via complaint
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected June 19, 2024 · Resident Assessment and Care Planning
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Potential for harm · E March 18, 2024 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 19, 2024 · Resident Assessment and Care Planning
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Potential for harm · E March 18, 2024 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected June 19, 2024 · Quality of Life and Care
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Potential for harm · E March 18, 2024 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected June 19, 2024 · Nursing and Physician Services
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Potential for harm · D March 18, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 19, 2024 · Pharmacy Service
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Potential for harm · D March 18, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected June 19, 2024 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 14, 2024 | Fine | $108,164 |
| February 14, 2024 | Payment Denial | 64 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 365209 · certified since October 11, 1968. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.