Majestic Care of McCordsville: Lift Transfer Failure - IN
The incident happened on August 10, 2025, during what should have been a routine shower.
Resident B needed a stand-up lift to move between her bed, wheelchair, and shower chair. Her care plan required two staff for every transfer, not as a preference but for a specific mechanical reason: one person had to support the resident while the other positioned the lift pad beneath her back. Without both people, the lift couldn't be done safely.
CNA 2 did it alone anyway.
LPN 4 was walking with another resident near the shower room when CNA 2 called her name. She looked in and saw CNA 2 in the process of hooking Resident B to the stand-up lift by herself. No one else was in the room. LPN 4 told inspectors she saw no sign that Resident B was in pain at that moment, and she moved on.
Shortly after, CNA 2 came to find her and asked her to come look at Resident B's leg.
When LPN 4 touched Resident B's left leg, the resident flinched back and said "ouch."
LPN 4 told inspectors she had no idea who, if anyone, helped transfer Resident B back into bed after the shower. She hadn't assisted with any of Resident B's transfers that day. She had only looked into the shower room for a moment when her name was called.
CNA 3 told inspectors she helped with one transfer of Resident B that morning, moving her from her wheelchair to the shower chair at breakfast time. She was not in the shower room for the transfer from the shower chair back to the wheelchair. "I'm sure," she said.
That left CNA 2 as the only person who could account for what happened inside that shower room. The inspection report does not record what CNA 2 said about it.
The facility's own policy, provided by the Director of Nursing during the inspection, stated plainly that two staff members must be used when transferring residents with a mechanical lift, and that transfers must follow each resident's individual care plan. Resident B's plan required two people. On the morning of August 10, she got one.
The inspection, conducted August 19, 2025, was a complaint investigation. Federal inspectors cited the facility under the tag covering accident hazards and supervision, finding that the failure to use a second person during the mechanical lift transfer created the potential for actual harm. The level of harm was recorded as minimal harm or potential for actual harm, affecting a few residents.
What the report doesn't resolve is whether Resident B's sore leg came from the transfer itself or from something that happened in the moments no one else was present to witness. LPN 4 saw the beginning. CNA 3 saw the morning. Nobody could account for the middle.
Resident B flinched and said "ouch." That's what the record shows.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Majestic Care of Mccordsville from 2025-08-19 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: July 3, 2026 · Our methodology
MAJESTIC CARE OF MCCORDSVILLE in MCCORDSVILLE, IN was cited for violations during a health inspection on August 19, 2025.
The incident happened on August 10, 2025, during what should have been a routine shower.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.