Nursing HomeInspections

Majestic Care of Middletown LLC

Nursing home in Middletown, OH

Medicare & Medicaid certified2★ overall (CMS)

Call (513) 424-5321Send a messageMap ↗

Public-record details

Address
6898 Hamilton Middletown Road, Middletown, OH 45044
Phone
(513) 424-5321
Listed under
For-profit
Medicare CCN
365209
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measures rating
5 of 5
Certified beds
200
Average residents per day
127
Ownership
For-profit, limited Liability company
Chain
Majestic Care (22 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Oct 11, 1968
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 365209. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jun 5, 2025. CMS lists 60 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jul 11, 2019 to May 1, 2026): 33 from complaint inspections, 2 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
May 1, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
May 1, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Jun 5, 2025Honor 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.
Resident Rights
D
Potential for more than minimal harm, isolated
Jun 5, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jun 5, 2025Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service
D
Potential for more than minimal harm, isolated
Jun 5, 2025Ensure 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…
Pharmacy Service
D
Potential for more than minimal harm, isolated
Jun 5, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary
F
Potential for more than minimal harm, widespread
Jun 5, 2025Provide and implement an infection prevention and control program.
Infection Control · complaint inspection
F
Potential for more than minimal harm, widespread
Feb 4, 2025Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Jan 17, 2025Reasonably accommodate the needs and preferences of each resident.
Resident Rights · complaint inspection
E
Potential for more than minimal harm, pattern
Jan 6, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Jan 6, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 60. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $108,164 and 1 denial of Medicare payment for new admissions in the last three years.

Feb 14, 2024Fine: $108,164
Feb 14, 2024Payment denial for 64 days from Apr 16, 2024

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.43 hours
Registered nurse (RN) time per resident per day
0.33 hours
Nurse aide time per resident per day
1.81 hours
Total nurse staffing on weekends
3.01 hours
Nursing staff turnover (yearly)
45%
RN turnover (yearly)
57%
Administrators who left in the past year
2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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