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Majestic Care of GoshenCMS ratings, inspections and fines

Address
2400 College Ave, Goshen, IN 46528
CCN
155689
Ownership type
For-profit, limited liability company
Certified beds
186
Chain
None in the CMS record
Residents per day
128
CMS flags
  • CMS abuse icon
CMS star ratings
Overall rating1 of 5
Health inspection rating1 of 5
Staffing rating1 of 5
Quality measure rating4 of 5
Care Compare record (Medicare.gov)

The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.

CMS gives Majestic Care of Goshen an overall rating of 1 of 5 stars. The last standard survey was on 23 Jan 2025. The latest survey cycle has 22 health citations. The median for nursing homes in Indiana is 6. CMS lists 2 fines with a total of $16,036 for this home in its penalties file. CMS also lists 1 payment denial.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .

Since the last CMS update

The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Majestic Care of Goshen, with medians
Rating (1 to 5 stars)This homeElkhart County medianIndiana medianUS average (CMS)
Overall rating12.03.03.0
Health inspection rating12.03.02.8
Staffing rating12.02.02.9
Quality measure rating44.05.03.6

A median is the middle value of the homes in the group: 13 homes in the county, 507 homes in the state. What the CMS star ratings measure

Citations by survey cycle

CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.

Health citations of Majestic Care of Goshen in the last three survey cycles
Survey cycleStandard surveyCitationsIndiana median
Cycle 1 (latest)23 Jan 2025226
Cycle 22 Mar 2024406
Cycle 3No date187

Health citations

The record of one deficiency in an inspection. One inspection can give many citations.

Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.

Scope and severity of the 80 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyJ0K0L0
Actual harm that is not immediate jeopardyH0I0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0B0

Survey cycle 1 (latest): 22 citations

Standard survey of this cycle: .

Health citations of Majestic Care of Goshen in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
12 Jun 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation28 Jun 2026
2 Jun 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation23 Jun 2026
2 Jun 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation23 Jun 2026
2 Jun 2026F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint investigation23 Jun 2026
2 Jun 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation23 Jun 2026
3 Feb 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation25 Feb 2026
3 Feb 2026F0610Respond appropriately to all alleged violations.DComplaint investigation25 Feb 2026
7 Jan 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation20 Jan 2026
7 Jan 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation20 Jan 2026
7 Jan 2026F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation20 Jan 2026
10 Sep 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation1 Oct 2025
23 Jan 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey12 Feb 2025
23 Jan 2025F0585Honor 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.DStandard survey12 Feb 2025
23 Jan 2025F0646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.DStandard survey12 Feb 2025
23 Jan 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey12 Feb 2025
23 Jan 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey12 Feb 2025
23 Jan 2025F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.DStandard survey12 Feb 2025
23 Jan 2025F0758Implement 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.DStandard survey12 Feb 2025
23 Jan 2025F0761Ensure 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.DStandard survey12 Feb 2025
23 Jan 2025F0770Provide timely, quality laboratory services/tests to meet the needs of residents.DStandard survey12 Feb 2025
23 Jan 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey12 Feb 2025
23 Jan 2025F0880Provide and implement an infection prevention and control program.EComplaint investigation12 Feb 2025

Survey cycle 2: 40 citations

Standard survey of this cycle: .

Health citations of Majestic Care of Goshen in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
14 Nov 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation30 Nov 2024
14 Nov 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation30 Nov 2024
14 Nov 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation30 Nov 2024
12 Sep 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation27 Sep 2024
12 Sep 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation27 Sep 2024
12 Sep 2024F0697Provide safe, appropriate pain management for a resident who requires such services.DComplaint investigation27 Sep 2024
16 Aug 2024F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation9 Sep 2024
16 Aug 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation9 Sep 2024
16 Aug 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation9 Sep 2024
16 Aug 2024F0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.DComplaint investigation9 Sep 2024
1 Aug 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation13 Aug 2024
2 Mar 2024F0584Honor 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.EComplaint investigation22 Mar 2024
2 Mar 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GStandard survey22 Mar 2024
2 Mar 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey22 Mar 2024
2 Mar 2024F0610Respond appropriately to all alleged violations.DStandard survey22 Mar 2024
2 Mar 2024F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard survey22 Mar 2024
2 Mar 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey22 Mar 2024
2 Mar 2024F0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DStandard survey22 Mar 2024
2 Mar 2024F0641Ensure each resident receives an accurate assessment.DStandard survey22 Mar 2024
2 Mar 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey22 Mar 2024
2 Mar 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey22 Mar 2024
2 Mar 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation22 Mar 2024
2 Mar 2024F0679Provide activities to meet all resident's needs.DStandard survey22 Mar 2024
2 Mar 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GStandard survey16 Apr 2024
2 Mar 2024F0685Assist a resident in gaining access to vision and hearing services.DStandard survey22 Mar 2024
2 Mar 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey22 Mar 2024
2 Mar 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey22 Mar 2024
2 Mar 2024F0692Provide enough food/fluids to maintain a resident's health.DStandard survey22 Mar 2024
2 Mar 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey22 Mar 2024
2 Mar 2024F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey22 Mar 2024
2 Mar 2024F0732Post nurse staffing information every day.CStandard survey22 Mar 2024
2 Mar 2024F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey22 Mar 2024
2 Mar 2024F0758Implement 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.DStandard survey22 Mar 2024
2 Mar 2024F0791Provide or obtain dental services for each resident.DStandard survey22 Mar 2024
2 Mar 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint investigation22 Mar 2024
2 Mar 2024F0808Ensure 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.EComplaint investigation22 Mar 2024
2 Mar 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey22 Mar 2024
2 Mar 2024F0880Provide and implement an infection prevention and control program.DStandard survey22 Mar 2024
2 Mar 2024F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey22 Mar 2024
2 Mar 2024F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EStandard survey22 Mar 2024

Survey cycle 3: 18 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Majestic Care of Goshen in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
4 Jan 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation12 Jan 2024
23 Oct 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation3 Nov 2023
18 Jan 2023F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard survey10 Feb 2023
18 Jan 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard survey10 Feb 2023
18 Jan 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey10 Feb 2023
18 Jan 2023F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard survey10 Feb 2023
18 Jan 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey10 Feb 2023
18 Jan 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey10 Feb 2023
18 Jan 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey10 Feb 2023
18 Jan 2023F0679Provide activities to meet all resident's needs.DStandard survey10 Feb 2023
18 Jan 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey10 Feb 2023
18 Jan 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey10 Feb 2023
18 Jan 2023F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard survey10 Feb 2023
18 Jan 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey10 Feb 2023
18 Jan 2023F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey10 Feb 2023
18 Jan 2023F0758Implement 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.DStandard survey10 Feb 2023
18 Jan 2023F0761Ensure 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.DStandard survey10 Feb 2023
18 Jan 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey10 Feb 2023

The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report

Penalties

A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.

Penalties of Majestic Care of Goshen in the CMS penalties file
DateTypeFineDays without payment
2 Mar 2024Fine$8,018
2 Mar 2024Fine$8,018
2 Mar 2024Payment denial14

Staffing

Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.

Nurse staffing hours per resident per day at Majestic Care of Goshen
StaffThis homeIndiana medianIndiana average (CMS)
All nurse staff3.173.603.68
Registered nurses (RN)0.470.600.67
Licensed practical nurses (LPN)0.800.78
Nurse aides1.912.23
All nurse staff, weekends2.573.103.24
Nurse staff turnover in a year
56.1%
Nurse staff turnover, Indiana median
45.4%
RN turnover in a year
59.1%
Administrators who left in a year
1

Homes report the hours to CMS in the Payroll-Based Journal.

Quality measures

A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.

Quality measures of Majestic Care of Goshen, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeIndiana medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay0.6%8.3%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.2%0.5%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay6.2%3.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay0.8%9.3%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay5.4%3.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay10.9%11.4%13.4%

For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure

Ownership

An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.

Ownership type
For-profit, limited liability company
Legal business name
Legal Business Name Not Available

The CMS ownership record of this home lists no organisation.

The site shows organisations only. It does not show the names of persons.

Other homes in Elkhart County

The 12 nearest other nursing homes in Elkhart County, Indiana
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Greencroft HealthcareGoshen2 of 519$023 May 2025
Waterford CrossingGoshen5 of 52$023 Mar 2026
Restoracy of Goshen, TheGoshen4 of 56$02 Jun 2025
Elkhart MeadowsElkhart5 of 50$04 Sep 2025
Valley View Healthcare CenterElkhart1 of 512$284,56028 Mar 2025
Brickyard Healthcare - Elkhart Care CenterElkhart1 of 512$012 Aug 2025
Waters of Wakarusa Skilled Nursing Facility, TheWakarusa1 of 512$14,66114 Mar 2025
Hubbard Hill Estates IncElkhart5 of 51$015 Dec 2025
East Lake Nursing & Rehabilitation CenterElkhart3 of 55$020 Apr 2026
Greenleaf Health CampusElkhart3 of 58$026 Sep 2025
Riverside VillageElkhart2 of 57$024 Feb 2026
Woodland ManorElkhart1 of 510$114,33921 Nov 2025

All 13 nursing homes in Elkhart County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Majestic Care of Goshen (CCN 155689). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/majestic-care-of-goshen-goshen-in-155689/

Provenance

Licence
US government work, public domain
CMS processed the data on

A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.

Questions

When was Majestic Care of Goshen last inspected?
The latest inspection with a citation in the CMS record was on 12 Jun 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 2 Mar 2024.
Who operates Majestic Care of Goshen?
The CMS record gives the ownership type as for-profit, limited liability company. CMS lists no chain for the home. The CMS ownership file names no organisation for this home. This site does not show the names of persons.
Is Majestic Care of Goshen a Special Focus Facility?
No. The CMS provider file lists no Special Focus status for this home. CMS lists 3 homes in Indiana as Special Focus Facilities and 15 as candidates.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.