Majestic Care of Middletown LLCCMS ratings, inspections and fines
- Address
- 6898 Hamilton Middletown Road, Middletown, OH 45044
- CCN
- 365209
- Ownership type
- For-profit, limited liability company
- Certified beds
- 200
- Chain
- Majestic Care
- Residents per day
- 127
- 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 Middletown LLC an overall rating of 2 of 5 stars. The last standard survey was on 5 Jun 2025. The latest survey cycle has 8 health citations. The median for nursing homes in Ohio is 8. CMS lists 1 fine of $108,164 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 | Butler County median | Ohio median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 4.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 4.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 2.0 | 2.0 | 2.9 |
| Quality measure rating | 5 | 5.0 | 5.0 | 3.6 |
A median is the middle value of the homes in the group: 25 homes in the county, 922 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 | Ohio median |
|---|---|---|---|
| Cycle 1 (latest) | 5 Jun 2025 | 8 | 8 |
| Cycle 2 | 29 Mar 2023 | 21 | 8 |
| Cycle 3 | No date | 31 | 8 |
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 | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 8 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 1 May 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 28 May 2026 |
| 1 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 28 May 2026 |
| 5 Jun 2025 | 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 | Standard survey | 5 Aug 2025 |
| 5 Jun 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 5 Aug 2025 |
| 5 Jun 2025 | 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 | 5 Aug 2025 |
| 5 Jun 2025 | 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 | 5 Aug 2025 |
| 5 Jun 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 5 Aug 2025 |
| 5 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 5 Aug 2025 |
Survey cycle 2: 21 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 4 Feb 2025 | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | Complaint investigation | 12 Mar 2025 |
| 17 Jan 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint investigation | 12 Mar 2025 |
| 6 Jan 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 12 Mar 2025 |
| 6 Jan 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 | 12 Mar 2025 |
| 6 Jan 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 12 Mar 2025 |
| 6 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 12 Mar 2025 |
| 29 Mar 2023 | F0567 | Honor the resident's right to manage his or her financial affairs. | D | Standard survey | 10 May 2023 |
| 29 Mar 2023 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Standard survey | 10 May 2023 |
| 29 Mar 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. | E | Standard survey | 10 May 2023 |
| 29 Mar 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 10 May 2023 |
| 29 Mar 2023 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 10 May 2023 |
| 29 Mar 2023 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 10 May 2023 |
| 29 Mar 2023 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard survey | 10 May 2023 |
| 29 Mar 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 10 May 2023 |
| 29 Mar 2023 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 10 May 2023 |
| 29 Mar 2023 | F0687 | Provide appropriate foot care. | D | Standard survey | 10 May 2023 |
| 29 Mar 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 10 May 2023 |
| 29 Mar 2023 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 10 May 2023 |
| 29 Mar 2023 | F0803 | 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. | E | Standard survey | 10 May 2023 |
| 29 Mar 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 | 1 Jun 2023 |
| 29 Mar 2023 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Standard survey | 10 May 2023 |
Survey cycle 3: 31 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 |
|---|---|---|---|---|---|
| 29 May 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 19 Jun 2024 |
| 29 May 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Complaint investigation | 19 Jun 2024 |
| 29 May 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Complaint investigation | 19 Jun 2024 |
| 29 Apr 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 19 Jun 2024 |
| 29 Apr 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 19 Jun 2024 |
| 29 Apr 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | J | Complaint investigation | 19 Jun 2024 |
| 18 Mar 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Complaint investigation | 19 Jun 2024 |
| 18 Mar 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. | E | Complaint investigation | 19 Jun 2024 |
| 18 Mar 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 19 Jun 2024 |
| 18 Mar 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Complaint investigation | 19 Jun 2024 |
| 18 Mar 2024 | F0726 | 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. | E | Complaint investigation | 19 Jun 2024 |
| 18 Mar 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 19 Jun 2024 |
| 18 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 19 Jun 2024 |
| 18 Mar 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Complaint investigation | 19 Jun 2024 |
| 14 Feb 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 19 Jun 2024 |
| 14 Feb 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 19 Jun 2024 |
| 14 Feb 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 19 Jun 2024 |
| 14 Feb 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 19 Jun 2024 |
| 16 Nov 2023 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | E | Complaint investigation | 11 Dec 2023 |
| 16 Nov 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 11 Dec 2023 |
| 16 Nov 2023 | F0837 | 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. | E | Complaint investigation | 11 Dec 2023 |
| 16 Nov 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 11 Dec 2023 |
| 24 Aug 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 13 Sep 2023 |
| 24 Aug 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 13 Sep 2023 |
| 11 Jul 2019 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 13 Aug 2019 |
| 11 Jul 2019 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 13 Aug 2019 |
| 11 Jul 2019 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 13 Aug 2019 |
| 11 Jul 2019 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 13 Aug 2019 |
| 11 Jul 2019 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 13 Aug 2019 |
| 11 Jul 2019 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 13 Aug 2019 |
| 11 Jul 2019 | 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. | E | Standard survey | 13 Aug 2019 |
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 |
|---|---|---|---|
| 14 Feb 2024 | Fine | $108,164 | |
| 14 Feb 2024 | Payment denial | 64 |
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 | Ohio median | Ohio average (CMS) |
|---|---|---|---|
| All nurse staff | 3.43 | 3.60 | 3.69 |
| Registered nurses (RN) | 0.33 | 0.60 | 0.64 |
| Licensed practical nurses (LPN) | 1.30 | 0.95 | |
| Nurse aides | 1.81 | 2.09 | |
| All nurse staff, weekends | 3.01 | 3.20 | 3.28 |
- Nurse staff turnover in a year
- 45.3%
- Nurse staff turnover, Ohio median
- 48.5%
- RN turnover in a year
- 57.1%
- Administrators who left in a year
- 2
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 | Ohio median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 2.6% | 4.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.2% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.4% | 0.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.4% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.1% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 2.1% | 4.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.5% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.9% | 7.5% | 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, limited liability company
- Chain
- Majestic Care (22 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| RB SNF Operations Holdings LLC | 5% or greater direct ownership interest | 100% | 1 Oct 2020 |
| 6898 Hamilton Middletown Road SNF Realty LLC | Operational/managerial control | 1 Oct 2020 | |
| Majestic Management LLC | Operational/managerial control | 1 Oct 2020 | |
| 6898 Hamilton Middletown Road SNF Realty LLC | Adp of the snf | 1 Oct 2020 | |
| Majestic Management LLC | Adp of the snf | 11 Jul 2025 | |
| RB SNF Real Estate Holdings LLC | Adp of the snf | 1 Oct 2020 |
The site shows organisations only. It does not show the names of persons.
Other homes in Butler County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Hawthorn Glen Nursing Center | Middletown | 1 of 5 | 13 | $0 | 31 Jul 2025 | |
| Ohio Living Mount Pleasant | Monroe | 4 of 5 | 3 | $0 | 22 Jan 2026 | |
| The Laurels of Middletown | Middletown | 4 of 5 | 14 | $0 | 23 May 2024 | |
| Arlington Pointe Care Center | Middletown | 4 of 5 | 2 | $0 | 18 Dec 2025 | |
| Gateway Springs Health Campus | Hamilton | 5 of 5 | 4 | $0 | 31 Jan 2024 | |
| Willow Knoll Post-Acute and Senior Living | Middletown | 3 of 5 | 3 | $0 | 5 Dec 2025 | |
| Liberty Station Health Campus | Liberty Twp | Not rated | 2 | $0 | 4 Dec 2023 | |
| Doverwood Village | Hamilton | 5 of 5 | 4 | $0 | 27 Jun 2025 | |
| Birchwood Care Center | Hamilton | 5 of 5 | 0 | $0 | 14 Apr 2026 | |
| Glen Meadows | Hamilton | 5 of 5 | 2 | $0 | 26 Mar 2026 | |
| Heritagespring Healthcare Center of West Chester | West Chester | 3 of 5 | 2 | $40,745 | 19 Nov 2025 | |
| Hamilton Respiratory and Nursing Center | Hamilton | 3 of 5 | 8 | $0 | 20 Apr 2026 |
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 Middletown LLC (CCN 365209). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/majestic-care-of-middletown-llc-middletown-oh-365209/
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 Middletown LLC last inspected?
- The latest inspection with a citation in the CMS record was on 1 May 2026. It was a complaint investigation. It gave 2 citations. The standard survey before the last one was on 29 Mar 2023.
- Who operates Majestic Care of Middletown LLC?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Majestic Care. The CMS ownership file names 6898 Hamilton Middletown Road SNF Realty LLC and Majestic Management LLC for operational or managerial control. This site does not show the names of persons.
- Is Majestic Care of Middletown LLC a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 5 homes in Ohio as Special Focus Facilities and 25 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.