Majestic Care of LivoniaCMS ratings, inspections and fines
- Address
- 28550 Five Mile Road, Livonia, MI 48154
- CCN
- 235057
- Ownership type
- For-profit, corporation
- Certified beds
- 142
- Chain
- Majestic Care
- Residents per day
- 96
- CMS flags
- None in the CMS record
Open the watch listCare 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 Livonia an overall rating of 3 of 5 stars. The last standard survey was on 26 Feb 2026. The latest survey cycle has 7 health citations. The median for nursing homes in Michigan is 8. CMS lists 3 fines with a total of $139,006 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.
| Rating (1 to 5 stars) | This home | Wayne County median | Michigan median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 3 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 3.0 | 4.0 | 2.9 |
| Quality measure rating | 5 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 63 homes in the county, 422 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.
| Survey cycle | Standard survey | Citations | Michigan median |
|---|---|---|---|
| Cycle 1 (latest) | 26 Feb 2026 | 7 | 8 |
| Cycle 2 | 10 Dec 2024 | 20 | 9 |
| Cycle 3 | No date | 19 | 10 |
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.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | I0 | ||
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 7 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 26 Feb 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 20 Mar 2026 |
| 26 Feb 2026 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 20 Mar 2026 |
| 26 Feb 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 20 Mar 2026 |
| 26 Feb 2026 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 20 Mar 2026 |
| 26 Feb 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 20 Mar 2026 |
| 26 Feb 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 20 Mar 2026 |
| 26 Feb 2026 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 20 Mar 2026 |
Survey cycle 2: 20 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 28 May 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 19 Jun 2025 |
| 5 Feb 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 21 Feb 2025 |
| 10 Dec 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 30 Dec 2024 |
| 10 Dec 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 30 Dec 2024 |
| 10 Dec 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 30 Dec 2024 |
| 10 Dec 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 30 Dec 2024 |
| 10 Dec 2024 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 30 Dec 2024 |
| 10 Dec 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 30 Dec 2024 |
| 10 Dec 2024 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Complaint investigation | 30 Dec 2024 |
| 10 Dec 2024 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Complaint investigation | 30 Dec 2024 |
| 10 Dec 2024 | F0761 | 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. | D | Standard survey | 30 Dec 2024 |
| 10 Dec 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 30 Dec 2024 |
| 10 Dec 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 30 Dec 2024 |
| 10 Dec 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 30 Dec 2024 |
| 10 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 30 Dec 2024 |
| 16 Oct 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 31 Oct 2024 |
| 15 Oct 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 31 Oct 2024 |
| 26 Sep 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 27 Sep 2024 |
| 5 Sep 2024 | F0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | Complaint investigation | 27 Sep 2024 |
| 1 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 26 Jul 2024 |
Survey cycle 3: 19 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 24 Jul 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 5 Aug 2024 |
| 18 Jul 2024 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Complaint investigation | 30 Jul 2024 |
| 18 Jul 2024 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Complaint investigation | 26 Jun 2024 |
| 18 Jul 2024 | F0680 | Ensure the activities program is directed by a qualified professional. | C | Complaint investigation | 30 Jul 2024 |
| 4 Apr 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 5 Apr 2024 |
| 22 Feb 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 23 Feb 2024 |
| 28 Nov 2023 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 4 Dec 2023 |
| 31 Oct 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 13 Nov 2023 |
| 4 Oct 2023 | F0584 | 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. | F | Complaint investigation | 13 Oct 2023 |
| 4 Oct 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | H | Complaint investigation | 13 Oct 2023 |
| 4 Oct 2023 | F0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | Complaint investigation | 13 Oct 2023 |
| 4 Oct 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 13 Oct 2023 |
| 4 Oct 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 13 Oct 2023 |
| 4 Oct 2023 | F0758 | 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. | D | Complaint investigation | 13 Oct 2023 |
| 4 Oct 2023 | F0761 | 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. | D | Standard survey | 13 Oct 2023 |
| 4 Oct 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 13 Oct 2023 |
| 4 Oct 2023 | F0814 | Dispose of garbage and refuse properly. | F | Standard survey | 13 Oct 2023 |
| 4 Oct 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 13 Oct 2023 |
| 23 Aug 2023 | F0584 | 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. | D | Complaint investigation | 24 Aug 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.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 18 Jul 2024 | Fine | $13,105 | |
| 4 Apr 2024 | Fine | $32,262 | |
| 4 Oct 2023 | Fine | $93,639 | |
| 4 Oct 2023 | Payment denial | 12 |
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.
| Staff | This home | Michigan median | Michigan average (CMS) |
|---|---|---|---|
| All nurse staff | 3.59 | 3.80 | 3.99 |
| Registered nurses (RN) | 0.31 | 0.70 | 0.78 |
| Licensed practical nurses (LPN) | 1.23 | 0.88 | |
| Nurse aides | 2.05 | 2.33 | |
| All nurse staff, weekends | 2.91 | 3.30 | 3.50 |
- Nurse staff turnover in a year
- 39.8%
- Nurse staff turnover, Michigan median
- 44.6%
- RN turnover in a year
- 20.0%
- Administrators who left in a year
- 0
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.
| Measure (CMS text) | Residents | This home | Michigan median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 2.3% | 9.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.4% | 2.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.5% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 1.8% | 10.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.9% | 4.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 5.4% | 13.5% | 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, corporation
- Legal business name
- Livonia SNF Operations LLC
- Chain
- Majestic Care (22 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Majestic Michigan Operations I LLC | 5% or greater direct ownership interest | 100% | 1 Jul 2021 |
| Livonia SNF Realty LLC | Operational/managerial control | 1 Jul 2021 | |
| Majestic Management Michigan LLC | Operational/managerial control | 1 Jul 2021 | |
| 4 MDR of Queens Inc | Adp of the snf | 1 Jul 2021 | |
| Livonia SNF Realty LLC | Adp of the snf | 1 Jul 2021 | |
| Majestic Management Michigan LLC | Adp of the snf | 15 Jul 2025 | |
| MDG Majestic Michigan Realty I LLC | Adp of the snf | 1 Jul 2021 | |
| MDG Real Estate Global Limited | Adp of the snf | 1 Jul 2021 |
The site shows organisations only. It does not show the names of persons.
Other homes in Wayne County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Regency at Livonia | Livonia | 3 of 5 | 7 | $0 | 3 Mar 2026 | |
| Marywood Nursing Care Center | Livonia | 5 of 5 | 5 | $0 | 10 Sep 2025 | |
| Fountain Bleu Health and Rehabilitation Center | Livonia | 4 of 5 | 3 | $8,985 | 10 Sep 2025 | |
| Medilodge of Livonia | Livonia | 3 of 5 | 9 | $45,429 | 19 Mar 2026 | |
| Four Chaplains Nursing Care Center | Westland | 4 of 5 | 3 | $45,126 | 13 Feb 2026 | |
| The Orchards at Redford | Redford | 1 of 5 | 12 | $0 | 9 Apr 2026 | |
| Four Seasons Nursing Center of Westland | Westland | 3 of 5 | 10 | $15,593 | 9 Apr 2026 | |
| Westland, A Villa Center | Westland | 1 of 5 | 29 | $0 | 20 Mar 2025 | |
| Medilodge of Haggerty Road | Plymouth | 5 of 5 | 0 | $0 | 30 Jul 2025 | |
| Medilodge of Plymouth | Plymouth | 5 of 5 | 1 | $0 | 17 Jul 2025 | |
| Regency at Westland | Westland | 4 of 5 | 6 | $10,062 | 29 Jan 2026 | |
| West Oaks Senior Care & Rehab Center | Detroit | 5 of 5 | 3 | $0 | 25 Jun 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Majestic Care of Livonia (CCN 235057). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/majestic-care-of-livonia-livonia-mi-235057/
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 Livonia last inspected?
- The latest inspection with a citation in the CMS record was on 26 Feb 2026. It was a standard survey and a complaint investigation. It gave 7 citations. The standard survey before the last one was on 10 Dec 2024.
- Who operates Majestic Care of Livonia?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Majestic Care. The CMS ownership file names Livonia SNF Realty LLC and Majestic Management Michigan LLC for operational or managerial control. This site does not show the names of persons.
- Is Majestic Care of Livonia a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in Michigan as Special Focus Facilities and 10 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.