Majestic Care of Middletown LLC
Middletown, Ohio
Skilled nursing facility in Middletown, OH with 200 certified beds and a 2-star CMS overall rating.
Majestic Care of Middletown LLC is a skilled nursing facility in Middletown, Ohio (Butler County), with 200 Medicare/Medicaid-certified beds.
Address: 6898 Hamilton Middletown Road, Middletown, OH 45044. Phone: (513) 424-5321.
Ownership: For profit - Limited Liability company. Certified for Medicare and Medicaid. Automatic sprinkler systems in all required areas. Has a resident council. Part of the Majestic Care chain.
CMS Five-Star ratings (source: Medicare Care Compare): overall 2 of 5, health inspections 1, staffing 1, quality measures 5.
Levels of care
- Skilled nursing
Facility details
- Street address
- 6898 Hamilton Middletown Road
- City
- Middletown
- State
- Ohio
- ZIP code
- 45044
- Phone
- (513) 424-5321
- Levels of care
- Skilled nursing
- Payment options accepted
- Medicare, Medicaid
- Cms Ccn
- 365209
- County
- Butler
- Ownership Type
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Certified Beds
- 200
- Avg Daily Residents
- 127.3
- Continuing Care Community
- No
- Resident Family Council
- Resident
- Sprinklers All Areas
- Yes
- Medicare Medicaid Approved Date
- 1968-10-11
- Chain Name
- Majestic Care
- Overall Rating
- 2
- Health Inspection Rating
- 1
- Staffing Rating
- 1
- Quality Measure Rating
- 5
- Total Nurse Hours Per Resident Day
- 3.43185
- Rn Hours Per Resident Day
- 0.32576
- Latitude
- 39.4686
- Longitude
- -84.419
Medicare & Medicaid quality data
Published by the Centers for Medicare & Medicaid Services (CMS) [1] , data as of October 1, 2026. CMS ID 365209. Ratings compare this home with other nursing homes; they are not a pass or fail.
CMS overall rating
1 / 5
Much below average- Certified beds
- 200
- Residents per day
- 135
- Ownership
- For profit - Limited Liability company
- Health citations (latest)
- 8
- Fines
- 1 ($108,164)
Star ratings
CMS rates every certified nursing home from 1 to 5 stars in three areas and combines them into an overall rating. The ratings compare homes with each other: 5 is much above average, 3 is average, 1 is much below average.
Overall rating
Much below averageThe headline score, from 1 to 5 stars.
✗ Worse than the state average. State 3.2 · National 3.0
How is this scored?
Three steps: start with the health inspection stars; add one star if staffing is 5 stars (subtract one if it is 1 star); then add one star if quality measures are 5 stars (subtract one if 1 star). It never goes above 5 or below 1, and a home with 1 health inspection star can gain at most one star from the other two. It compares homes with each other; it is not a pass/fail grade. [11]
Health inspections
Much below averageHow the home did in recent state inspections and complaint investigations.
✗ Worse than the state average. State 2.8 · National 2.8
How is this scored?
Based on the two most recent annual inspections plus 36 months of complaint and infection-control inspections, and on how many revisits were needed to confirm fixes. Each citation is weighted by scope and severity. Homes are then ranked within their own state: the best 10% (lowest scores) earn 5 stars, the middle 70% earn 2, 3 or 4 stars in equal shares, and the worst 20% earn 1 star. [11]
Staffing
Much below averageHow many nurses care for each resident, and how stable the nursing team is.
✗ Worse than the state average. State 2.4 · National 3.0
How is this scored?
Six measures: three of staffing level (total nurse, registered nurse and weekend nurse hours per resident per day, adjusted for how much care residents need) and three of turnover (nursing staff, RNs and administrators). The hours come from payroll records submitted to CMS each quarter; turnover uses six quarters of that data. [11]
Quality measures
Above averageHow residents are actually doing.
✗ Worse than the state average. State 4.5 · National 3.7
How is this scored?
Scores 15 quality measures drawn from resident assessments (the Minimum Data Set) and Medicare claims, such as falls with major injury, pressure ulcers, rehospitalizations and medication use. Long-stay and short-stay residents are rated separately and combined. [11]
This home State average National average
- Long-stay quality
- Residents who live in the home: outcomes such as falls, pressure ulcers and medication use.
- Short-stay quality
- Residents staying for rehab or recovery: outcomes such as rehospitalization and regaining function.
How to read the numbers on this page
- Star ratings — 1 to 5 (no stars = not rated)
- 5 is much above average and 1 is much below average, compared with other nursing homes. A home with too little data may have no rating.
- Health inspection score — 0 and up, lower is better
- Points added up from citations (see the scope and severity grid) and revisits. 0 means a clean record; the state table shows which scores earn which stars.
- Quality measure percentages — 0 to 100%
- The share of residents with an outcome, such as a fall with major injury. For most measures a lower percentage is better; for vaccination measures a higher percentage is better.
- Nurse hours per resident per day — Hours, higher is better
- Paid nursing time divided by residents. For example 4.0 means each resident gets about four hours of nursing care a day, shared across all shifts.
- Staff turnover — 0 to 100%, lower is better
- The share of nursing staff who left during the year. High turnover can mean less continuity of care.
- Case-mix index — Around 1.0 is typical
- How much care the residents need. Above 1 means sicker or more dependent residents who need more staff time.
- Fines — Dollars; payment denials in days
- Penalties CMS imposed for serious or repeated problems. A payment denial stops Medicare/Medicaid payment for new admissions.
Sources: Nursing Home Provider Information [1] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Staffing & turnover
More nursing time per resident and a steadier team are both signs of better care. Hours come from payroll records the home submits to CMS each quarter.
Nurse hours per resident per day, by role
A resident's day is 24 hours; this is how much paid nursing time each resident gets, shared across all shifts.
RN 0.37 · LPN 1.27 · Nurse aide 1.75. What the home's payroll records show.
RN 0.78 · LPN 0.97 · Nurse aide 2.63. What CMS predicts a home with these residents' needs would staff.
RN 0.32 · LPN 1.12 · Nurse aide 1.55. The reported hours rescaled so homes with sicker or healthier residents can be compared fairly.
Compared with OH and the nation
This home State average National average
- Total nurse hours (hrs/resident/day, higher is better)
- 3.38
✗ Worse than the state average. State 3.71 · National 3.90
- Registered nurse (RN) hours (hrs/resident/day, higher is better)
- 0.37
✗ Worse than the state average. State 0.64 · National 0.69
- Licensed nurse hours (RN + LPN) (hrs/resident/day, higher is better)
- 1.64
✓ Better than the state average. State 1.60 · National 1.55
- Nurse aide hours (hrs/resident/day, higher is better)
- 1.75
✗ Worse than the state average. State 2.12 · National 2.35
- Weekend total nurse hours (hrs/resident/day, higher is better)
- 2.90
✗ Worse than the state average. State 3.29 · National 3.43
- Weekend RN hours (hrs/resident/day, higher is better)
- 0.17
✗ Worse than the state average. State 0.43 · National 0.48
- Physical therapist hours (hrs/resident/day, higher is better)
- 0.03
✗ Worse than the state average. State 0.05 · National 0.07
- Nursing staff turnover (%, lower is better)
- 52.2%
✗ Worse than the state average. State 49.0% · National 45.3%
- RN turnover (%, lower is better)
- 46.7%
✗ Worse than the state average. State 44.4% · National 42.5%
- Administrators who left (people, lower is better)
- 2
✗ Worse than the state average. State 1 · National 1
- Nursing case-mix index (index)
- 1.58
State 1.51 · National 1.41
Turnover is the share of nursing staff who left over the year. The case-mix index shows how much care residents need: about 1.0 is typical, higher means more dependent residents.
Sources: Nursing Home Provider Information [1] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Inspections
State inspectors visit each home about once a year and investigate complaints. Every problem they cite is a deficiency, lettered A to L by how serious and how widespread it was.
Health inspection score
158.8 points — in OH that earns (Much below average).
Lower is better. The score adds up points for every citation (more for serious, widespread problems) and for revisits needed to confirm fixes, then weights recent inspections most. [11]
Score needed for each star in OH [10]
- 5 ★
- 0.000-15.000
- 4 ★
- 15.001-42.000
- 3 ★
- 42.001-69.000
- 2 ★
- 69.001-121.250
- 1 ★ (this home)
- >121.250
| Period | Inspection | Citations (complaint) | Citation points | Revisits | Revisit points | Total |
|---|---|---|---|---|---|---|
| Most recent cycle | Jun 5, 2025 | 8 (3) | 56 | 1 | 0 | 56 |
| Prior cycles (2 and 3) | Mar 29, 2023 | 43 (28) | 311 | 2 | 156 | 467 |
Includes 8 citations from infection control inspections.
Health citations per inspection
Jun 5, 2025
Mar 29, 2023
Jul 11, 2019
State average for that cycle. Fewer is better.
Fire-safety citations per inspection
Jun 5, 2025
Mar 29, 2023
Jul 11, 2019
State average for that cycle. Fewer is better.
What the latest health inspection cited
- Emergency Preparedness 5
- Quality of Life and Care 2
- Pharmacy Service 2
- Freedom from Abuse and Neglect and Exploitation 1
- Resident Rights 1
- Nutrition and Dietary 1
- Infection Control 1
What the latest fire-safety inspection cited
- Smoke 7
- Gas and Vacuum and Electrical Systems 3
- Miscellaneous 2
- Egress 1
How serious were the citations?
Each health citation gets a letter. The number in each cell is how many of this home's citations got that letter; the points show what each letter adds to the health inspection score. Citations where care was substandard score higher than shown. [11]
| Isolated (a few residents) | Pattern (some residents) | Widespread (many residents) | |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J · 50 pts 1 | K · 100 pts 0 | L · 150 pts 0 |
| Actual harm, not immediate jeopardy | G · 20 pts 1 | H · 35 pts 0 | I · 45 pts 0 |
| No actual harm, potential for more than minimal harm | D · 4 pts 42 | E · 8 pts 11 | F · 16 pts 3 |
| No actual harm, potential for minimal harm only | A · 0 pts 0 | B · 0 pts 0 | C · 0 pts 0 |
Darker cells mean more citations. Counts cover every health citation CMS lists for this home.
All health citations (58) [2]
Inspection on May 1, 2026 · 2 citations
-
D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (May 28, 2026) · From a complaint
-
D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (May 28, 2026) · From a complaint
Inspection on Jun 5, 2025 · 6 citations
-
D
Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Aug 5, 2025)
-
D
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.
F0761 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Aug 5, 2025)
-
D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Aug 5, 2025)
-
F
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Aug 5, 2025) · From a complaint
-
F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Aug 5, 2025)
-
D
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.
F0584 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Aug 5, 2025)
Inspection on Feb 4, 2025 · 1 citation
-
D
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
F0691 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Mar 12, 2025) · From a complaint
Inspection on Jan 17, 2025 · 1 citation
-
E
Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Mar 12, 2025) · From a complaint
Inspection on Jan 6, 2025 · 4 citations
-
D
Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Mar 12, 2025) · From a complaint
-
D
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Mar 12, 2025) · From a complaint
-
D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Mar 12, 2025) · From a complaint
-
D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Mar 12, 2025) · From a complaint
Inspection on May 29, 2024 · 3 citations
-
E
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 19, 2024) · From a complaint
-
D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jun 19, 2024) · From a complaint
-
D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Jun 19, 2024) · From a complaint
Inspection on Apr 29, 2024 · 3 citations
-
D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jun 19, 2024) · From a complaint
-
D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jun 19, 2024) · From a complaint
-
J
Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 19, 2024) · From a complaint
Inspection on Mar 18, 2024 · 8 citations
-
D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Jun 19, 2024) · From a complaint · Infection control
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 19, 2024) · From a complaint · Infection control
-
E
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.
F0726 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Jun 19, 2024) · From a complaint · Infection control
-
D
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Jun 19, 2024) · From a complaint · Infection control
-
E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jun 19, 2024) · From a complaint · Infection control
-
D
PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jun 19, 2024) · From a complaint · Infection control
-
E
Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 19, 2024) · From a complaint · Infection control
-
D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies · Deficient, Provider has date of correction (Jun 19, 2024) · From a complaint · Infection control
Inspection on Feb 14, 2024 · 4 citations
-
D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 19, 2024) · From a complaint
-
D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jun 19, 2024) · From a complaint
-
D
Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 19, 2024) · From a complaint
-
D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 19, 2024) · From a complaint
Inspection on Nov 16, 2023 · 4 citations
-
D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Dec 11, 2023) · From a complaint
-
E
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
F0837 · Administration Deficiencies · Deficient, Provider has date of correction (Dec 11, 2023) · From a complaint
-
E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Dec 11, 2023) · From a complaint
-
E
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
F0694 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Dec 11, 2023) · From a complaint
Inspection on Mar 29, 2023 · 15 citations
-
D
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
F0569 · Resident Rights Deficiencies · Deficient, Provider has date of correction (May 10, 2023)
-
F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Jun 1, 2023)
-
D
Provide appropriate foot care.
F0687 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (May 10, 2023)
-
D
Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (May 10, 2023)
-
D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (May 10, 2023)
-
D
Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (May 10, 2023)
-
D
PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (May 10, 2023)
-
D
Provide or get specialized rehabilitative services as required for a resident.
F0825 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (May 10, 2023)
-
E
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
F0803 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (May 10, 2023)
-
D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
F0661 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (May 10, 2023)
-
E
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.
F0584 · Resident Rights Deficiencies · Deficient, Provider has date of correction (May 10, 2023)
-
D
Honor the resident's right to manage his or her financial affairs.
F0567 · Resident Rights Deficiencies · Deficient, Provider has date of correction (May 10, 2023)
-
D
Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (May 10, 2023)
-
D
Provide or obtain dental services for each resident.
F0791 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (May 10, 2023)
-
D
Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (May 10, 2023)
Inspection on Jul 11, 2019 · 7 citations
-
D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Aug 13, 2019)
-
E
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.
F0761 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Aug 13, 2019)
-
D
Assist a resident in gaining access to vision and hearing services.
F0685 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Aug 13, 2019)
-
D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Aug 13, 2019)
-
D
Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Aug 13, 2019)
-
D
Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Aug 13, 2019)
-
D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Aug 13, 2019)
All fire-safety citations (47) [3]
Inspection on Jun 5, 2025 · 18 citations
-
E
Have exits that are accessible at all times.
K0271 · Egress Deficiencies · Deficient, Provider has date of correction (Aug 5, 2025)
-
E
Install an approved automatic sprinkler system.
K0351 · Smoke Deficiencies · Deficient, Provider has date of correction (Aug 5, 2025)
-
F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
K0761 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Aug 5, 2025)
-
F
Establish procedures for tracking staff and patients during an emergency.
E0018 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Aug 5, 2025)
-
E
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
K0343 · Smoke Deficiencies · Deficient, Provider has date of correction (Aug 5, 2025)
-
F
Establish policies and procedures for volunteers.
E0024 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Aug 5, 2025)
-
F
Install corridor and hallway doors that block smoke.
K0363 · Smoke Deficiencies · Deficient, Provider has date of correction (Sep 5, 2025)
-
F
Construct fire resistant interior walls.
K0331 · Smoke Deficiencies · Deficient, Provider has date of correction (Aug 5, 2025)
-
F
Ensure proper usage of power strips and extension cords.
K0920 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Aug 5, 2025)
-
F
Inspect, test, and maintain automatic sprinkler systems.
K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (Aug 5, 2025)
-
F
Have proper power supply for life support equipment.
K0915 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Oct 5, 2025)
-
F
Develop and maintain an Emergency Preparedness Program (EP).
E0004 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Aug 5, 2025)
-
F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K0321 · Smoke Deficiencies · Deficient, Provider has date of correction (Aug 5, 2025)
-
F
Have simulated fire drills held at unexpected times.
K0712 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Aug 5, 2025)
-
F
Provide family notifications of emergency plan.
E0035 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Aug 5, 2025)
-
F
Have approved installation, maintenance and testing program for fire alarm systems.
K0345 · Smoke Deficiencies · Deficient, Provider has date of correction (Aug 5, 2025)
-
F
Conduct testing and exercise requirements.
E0039 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Aug 5, 2025)
-
F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
K0914 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Aug 5, 2025)
Inspection on Mar 29, 2023 · 19 citations
-
F
Install emergency lighting that can last at least 1 1/2 hours.
K0291 · Egress Deficiencies · Deficient, Provider has date of correction (May 10, 2023)
-
F
Have generator or other power source capable of supplying service within 10 seconds.
K0918 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Jun 1, 2023)
-
F
Provide properly protected cooking facilities.
K0324 · Smoke Deficiencies · Deficient, Provider has date of correction (May 10, 2023)
-
E
Have properly installed electrical wiring and gas equipment.
K0511 · Services Deficiencies · Deficient, Provider has date of correction (May 10, 2023)
-
F
Construct fire resistant interior walls.
K0331 · Smoke Deficiencies · Fire Safety Evaluation Survey (May 23, 2023)
-
F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K0372 · Smoke Deficiencies · Deficient, Provider has date of correction (Jun 1, 2023)
-
F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
K0761 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (May 10, 2023)
-
E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
K0741 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (May 10, 2023)
-
E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K0521 · Services Deficiencies · Deficient, Provider has date of correction (May 10, 2023)
-
C
Conduct testing and exercise requirements.
E0039 · Emergency Preparedness Deficiencies · Deficient, Provider has plan of correction (May 23, 2023)
-
E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
K0223 · Egress Deficiencies · Deficient, Provider has date of correction (Jun 1, 2023)
-
F
Have simulated fire drills held at unexpected times.
K0712 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (May 10, 2023)
-
F
Have approved installation, maintenance and testing program for fire alarm systems.
K0345 · Smoke Deficiencies · Deficient, Provider has date of correction (Jun 1, 2023)
-
F
Install a fire alarm system that can be heard throughout the facility.
K0341 · Smoke Deficiencies · Deficient, Provider has date of correction (Jun 1, 2023)
-
F
Inspect, test, and maintain automatic sprinkler systems.
K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (Jun 1, 2023)
-
F
Have proper power supply for life support equipment.
K0915 · Gas, Vacuum, and Electrical Systems Deficiencies · Waiver has been granted (May 23, 2023)
-
F
Establish emergency prep training and testing.
E0036 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (May 10, 2023)
-
E
Ensure proper usage of power strips and extension cords.
K0920 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (May 10, 2023)
-
E
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
K0343 · Smoke Deficiencies · Deficient, Provider has date of correction (May 10, 2023)
Inspection on Jul 11, 2019 · 10 citations
-
F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
K0761 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Aug 13, 2019)
-
F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
K0346 · Smoke Deficiencies · Deficient, Provider has date of correction (Aug 13, 2019)
-
F
Have approved installation, maintenance and testing program for fire alarm systems.
K0345 · Smoke Deficiencies · Deficient, Provider has date of correction (Aug 13, 2019)
-
F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
K0914 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Aug 13, 2019)
-
E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
K0222 · Egress Deficiencies · Deficient, Provider has date of correction (Aug 13, 2019)
-
F
Install emergency lighting that can last at least 1 1/2 hours.
K0291 · Egress Deficiencies · Deficient, Provider has date of correction (Aug 13, 2019)
-
E
Have exits that are accessible at all times.
K0271 · Egress Deficiencies · Deficient, Provider has date of correction (Aug 13, 2019)
-
F
Have simulated fire drills held at unexpected times.
K0712 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Aug 13, 2019)
-
F
Meet requirements for sections of health care facilities separated by fire resistive construction.
K0131 · Construction Deficiencies · Deficient, Provider has date of correction (Aug 13, 2019)
-
F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K0321 · Smoke Deficiencies · Deficient, Provider has date of correction (Aug 13, 2019)
Sources: Nursing Home Provider Information [1] ; Nursing Home Survey Summary [4] ; Nursing Home Health Deficiencies [2] ; Nursing Home Fire Safety Deficiencies [3] ; Nursing Home Health Inspection Cut Points [10] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Fines & penalties
CMS can fine a home or stop Medicare and Medicaid payments for new admissions when problems are serious or keep recurring. Most homes have none.
- Fines
- 1 State avg 0.6 · National 0.9
- Total fined
- $108,164 State avg 25,699 · National 30,351
- Payment denials
- 1 Periods with no Medicare/Medicaid payment for new admissions
Fines by year
| Date | Type | Amount | Payment denial |
|---|---|---|---|
| Feb 14, 2024 | Payment Denial | — | 64 days from Apr 16, 2024 |
| Feb 14, 2024 | Fine | $108,164 | — |
Sources: Nursing Home Provider Information [1] ; Nursing Home Penalties [5] ; Nursing Home State & National Averages [9]
Resident quality measures
These measure what actually happens to residents, as a percentage from 0 to 100 (or events per 1,000 resident days). For almost all of them a lower number is better; the vaccination measures are the exception and are marked. A star means the measure counts toward the quality star rating.
This home State average National average
Long-stay residents (14) [7]
Residents who live in the home. From their regular health assessments (the Minimum Data Set), averaged over four quarters. Period: 2025Q3-2026Q2.
- Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Higher is better
- 92.1
≈ About the state average. State 92.7 · National 93.7
- Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Higher is better
- 93.3
≈ About the state average. State 93.7 · National 95.3
- Percentage of long-stay residents experiencing one or more falls with major injury ★ Lower is better
- 2.0
✓ Better than the state average. State 3.1 · National 3.2
- Percentage of long-stay residents who have depressive symptoms Lower is better
- 20.3
✓ Better than the state average. State 31.6 · National 13.5
- Percentage of long-stay residents who lose too much weight Lower is better
- 5.6
✓ Better than the state average. State 6.1 · National 5.1
- Percentage of long-stay residents who received an antianxiety or hypnotic medication Lower is better
- 38.4
✗ Worse than the state average. State 25.5 · National 19.5
- Percentage of long-stay residents who received an antipsychotic medication ★ Lower is better
- 9.1
✗ Worse than the state average. State 8.5 · National 15.4
- Percentage of long-stay residents who were physically restrained Lower is better
- 0.0
✓ Better than the state average. State 0.1 · National 0.1
- Percentage of long-stay residents whose ability to walk independently worsened ★ Lower is better
- 2.4
✓ Better than the state average. State 5.3 · National 12.7
- Percentage of long-stay residents whose need for help with daily activities has increased ★ Lower is better
- 2.4
✓ Better than the state average. State 5.0 · National 13.5
- Percentage of long-stay residents with a catheter inserted and left in their bladder ★ Lower is better
- 0.2
✗ Worse than the state average. State 0.2 · National 0.7
- Percentage of long-stay residents with a urinary tract infection ★ Lower is better
- 0.2
✓ Better than the state average. State 0.4 · National 1.5
- Percentage of long-stay residents with new or worsened bowel or bladder incontinence Lower is better
- 25.9
✗ Worse than the state average. State 20.9 · National 18.3
- Percentage of long-stay residents with pressure ulcers ★ Lower is better
- 4.0
✗ Worse than the state average. State 3.2 · National 4.5
Short-stay residents (3) [7]
Residents staying for rehab or recovery. From their health assessments, averaged over four quarters. Period: 2025Q3-2026Q2.
- Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Higher is better
- 60.3
✗ Worse than the state average. State 78.4 · National 82.3
- Percentage of short-stay residents who newly received an antipsychotic medication ★ Lower is better
- 1.0
✓ Better than the state average. State 1.2 · National 1.5
- Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Higher is better
- 54.4
✗ Worse than the state average. State 76.4 · National 80.1
Long-stay residents: hospital use (2) [8]
Hospital stays and emergency visits found in Medicare claims, adjusted for how sick residents were. Period: 20250401-20260331.
Short-stay residents: hospital use (2) [8]
Rehospitalizations and emergency visits after admission, found in Medicare claims and adjusted for how sick residents were. Period: 20250401-20260331.
- Percentage of short-stay residents who had an outpatient emergency department visit ★ Lower is better · Expected for these residents: 15.4
- 13.0
✗ Worse than the state average. State 12.6 · National 11.8
- Percentage of short-stay residents who were rehospitalized after a nursing home admission ★ Lower is better · Expected for these residents: 33.2
- 29.1
✗ Worse than the state average. State 24.4 · National 23.4
Sources: Nursing Home MDS Quality Measures [7] ; Nursing Home Medicare Claims Quality Measures [8] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Ownership & operator
Who owns and runs a home can matter: for-profit, non-profit and chain-owned homes tend to differ on staffing and inspection results.
- Ownership type
- For profit - Limited Liability company
- Legal business name
- MAJESTIC CARE OF MIDDLETOWN LLC
- Certified for
- Medicare and Medicaid
- Certified beds
- 200
- Residents per day (average)
- 134.9
- In Medicare/Medicaid since
- Oct 11, 1968
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
- County
- Butler
- Located in a hospital
- No
Company profiles: Majestic Care (29 homes, average 2.6 stars), Majestic Management LLC (20 homes, average 2.6 stars), Rb SNF Operations Holdings LLC (3 homes, average 2.7 stars)
Part of MAJESTIC CARE
One of 29 homes in this chain. Average star ratings across the chain (1 to 5):
- Overall
- 2.6
- Health inspections
- 2.1
- Staffing
- 1.7
- Quality
- 4.6
Owners, officers and managers (23) [6]
Operational/Managerial Control
- 6898 HAMILTON MIDDLETOWN ROAD SNF REALTY LLC (organization, NOT APPLICABLE, since 10/01/2020)
- CHAMBERLAIN, MARGARET (individual, NOT APPLICABLE, since 09/11/2023)
- MAJESTIC MANAGEMENT LLC (organization, NOT APPLICABLE, since 10/01/2020)
- MARX, DAVID (individual, NOT APPLICABLE, since 10/01/2020)
- PRUITT, PAUL (individual, NOT APPLICABLE, since 05/01/2023)
- REWA, ANGELA (individual, NOT APPLICABLE, since 10/23/2023)
- RUSSELL, ROBERT (individual, NOT APPLICABLE, since 04/08/2024)
- SHATROV, ANZHELIKA (individual, NOT APPLICABLE, since 12/02/2024)
- WOLFE, ERIC (individual, NOT APPLICABLE, since 09/11/2023)
- WYLIE, AMY (individual, NOT APPLICABLE, since 01/01/2025)
Adp Of The Snf
- 6898 HAMILTON MIDDLETOWN ROAD SNF REALTY LLC (organization, NOT APPLICABLE, since 10/01/2020)
- CHAMBERLAIN, MARGARET (individual, NOT APPLICABLE, since 09/11/2023)
- MAJESTIC MANAGEMENT LLC (organization, NOT APPLICABLE, since 07/11/2025)
- MARX, DAVID (individual, NOT APPLICABLE, since 10/01/2020)
- PRUITT, PAUL (individual, NOT APPLICABLE, since 05/01/2023)
- RB SNF REAL ESTATE HOLDINGS LLC (organization, NOT APPLICABLE, since 10/01/2020)
- REWA, ANGELA (individual, NOT APPLICABLE, since 10/23/2023)
- RUSSELL, ROBERT (individual, NOT APPLICABLE, since 04/08/2024)
- SHATROV, ANZHELIKA (individual, NOT APPLICABLE, since 12/02/2024)
- WOLFE, ERIC (individual, NOT APPLICABLE, since 09/11/2023)
- WYLIE, AMY (individual, NOT APPLICABLE, since 01/01/2025)
Managing Control - Governing Body
- PRUITT, PAUL (individual, NOT APPLICABLE, since 05/01/2023)
5% Or Greater Direct Ownership Interest
- RB SNF OPERATIONS HOLDINGS LLC (organization, 100%, since 10/01/2020)
Sources: Nursing Home Provider Information [1] ; Nursing Home Ownership [6]
Sources
All figures on this page come from the U.S. government's published nursing home data, as of October 1, 2026. We reproduce them without change except for rounding and layout; ratings, scores and flags are CMS's, not ours. Averages and comparisons use the state and national figures CMS publishes in the same release.
- 1. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Provider Information. Star ratings, staffing, turnover, inspection scores, fines, chain and flag data. https://data.cms.gov/provider-data/dataset/4pq5-n9py
- 2. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Health Deficiencies. Each health deficiency cited, with scope and severity. https://data.cms.gov/provider-data/dataset/r5ix-sfxw
- 3. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Fire Safety Deficiencies. Each fire-safety deficiency cited. https://data.cms.gov/provider-data/dataset/ifjz-ge4w
- 4. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Survey Summary. Deficiency totals by inspection cycle and category. https://data.cms.gov/provider-data/dataset/tbry-pc2d
- 5. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Penalties. Fines and payment denials. https://data.cms.gov/provider-data/dataset/g6vv-u9sr
- 6. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Ownership. Owners, officers, directors and managers. https://data.cms.gov/provider-data/dataset/y2hd-n93e
- 7. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home MDS Quality Measures. Quarterly quality measure scores from resident assessments. https://data.cms.gov/provider-data/dataset/djen-97ju
- 8. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Medicare Claims Quality Measures. Risk-adjusted quality measures from Medicare claims. https://data.cms.gov/provider-data/dataset/ijh5-nb2v
- 9. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home State & National Averages. State and national averages used for comparison. https://data.cms.gov/provider-data/dataset/xcdc-v8bm
- 10. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Health Inspection Cut Points. Score ranges that earn each health inspection star in a state. https://data.cms.gov/provider-data/dataset/hicp-9999
- 11. Centers for Medicare & Medicaid Services. Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide. How the star ratings, scope and severity points, and abuse and Special Focus flags are defined. https://www.cms.gov/medicare/provider-enrollment-and-certification/certificationandcomplianc/downloads/usersguide.pdf
- 12. Centers for Medicare & Medicaid Services. Medicare Care Compare. CMS's own consumer site, with the latest figures. https://www.medicare.gov/care-compare/
Attendant Homes is not affiliated with or endorsed by CMS. The data describes past inspections and reported figures and can be out of date or contain errors; it is not a recommendation. Confirm current information with the facility and on Medicare Care Compare [12] .
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