Majestic Care of Cedar Village: Unqualified Staff - OH
The assistant, identified as NA #540 in state records, was hired on January 23, 2024, and allowed to work through April 18, 2025, despite failing to complete required certification. State regulations permit nursing assistants to work only four months before passing their state certification exam.
NA #540 should have stopped working by March 27, 2025. Instead, detailed payroll records show the assistant continued providing direct patient care for an additional three weeks.
Human Resource manager #434 confirmed during an August 14 interview that the facility knew NA #540 had completed coursework for the certified nursing assistant program but never passed the state test. The manager acknowledged the assistant was "eligible to work for a total of four months with her nursing certificate" but admitted NA #540 "should not have worked as a NA past 03/27/25."
The violation affected the facility's entire census of 142 residents, according to state inspectors who investigated the complaint in September.
Federal regulations require nursing homes to ensure all staff providing direct care are properly trained and competent. Facilities must verify that nursing assistants working more than four months have passed state certification exams, while those working less than four months must be enrolled in appropriate training programs.
The detailed hours report revealed NA #540 worked consistently from November 28, 2024, through April 18, 2025, providing hands-on care to residents in both the assisted living and long-term care units. During this period, the assistant was classified and paid as a certified nursing assistant despite lacking proper credentials.
State inspectors found no evidence the facility had enrolled NA #540 in additional training or taken steps to ensure competency during the extended unauthorized work period. The assistant continued providing direct patient care including assistance with daily activities, medication administration support, and other nursing tasks reserved for certified staff.
The facility's human resources department maintained records showing NA #540's hire date and training status but failed to implement systems preventing unauthorized work beyond the four-month limit. The payroll system continued processing payments for nursing assistant duties well past the legal deadline.
Federal investigators classified the violation as having "minimal harm or potential for actual harm" but noted it affected "many" residents due to the facility-wide impact. The finding represents a failure in the facility's credentialing and oversight systems designed to protect vulnerable residents.
The investigation stemmed from complaints filed under state complaint numbers 1359585 and OH00162141, though inspectors did not detail the specific concerns that triggered the review.
Majestic Care of Cedar Village operates as a 142-bed facility providing both assisted living and long-term care services. The facility must now submit a plan of correction addressing how it will prevent similar violations and ensure all nursing staff maintain proper certification.
The case highlights ongoing challenges nursing homes face in maintaining adequate staffing while ensuring all employees meet federal qualification requirements. Facilities struggling with staffing shortages sometimes extend work periods for uncertified assistants, potentially compromising resident safety and violating federal standards.
NA #540's extended unauthorized work period lasted from late March through mid-April 2025, during which time residents received care from someone the state had not verified as competent to provide nursing services. The facility's failure to track certification deadlines and enforce compliance put residents at unnecessary risk.
State inspectors completed their investigation on September 4, 2025, nearly five months after NA #540 stopped working at the facility. The timing suggests the violation may have continued longer if not for the complaints that triggered the state review.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Majestic Care of Cedar Village. from 2025-09-04 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: June 20, 2026 · Our methodology
MAJESTIC CARE OF CEDAR VILLAGE. in MASON, OH was cited for violations during a health inspection on September 4, 2025.
State regulations permit nursing assistants to work only four months before passing their state certification exam.
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.