Majestic Care of North Vernon: Unsafe X-Ray Harm - IN
The resident, identified in inspection records only as Resident B, had lived with a contracture of her right arm for years, the result of a stroke. She also had osteoporosis. She required two staff members for dressing, personal hygiene, and repositioning. She could not have assisted the X-ray technician on her own.
Nobody from Majestic Care of North Vernon was in the room.
Federal inspectors cited the facility at the actual harm level following a complaint inspection completed October 16, 2025. The citation covers what happened in August, when the X-ray technician came to the facility to image Resident B's right arm and completed the exam without calling for help, without notifying staff, and, by at least one account, without anyone at the facility even knowing the tech had been and gone until it was over.
The nurse practitioner who reviewed Resident B's X-ray results in October, identified in the report as NP 6, said afterward that if a resident with a contracture has that arm pulled, it could put the resident in a lot of pain or could even cause a fracture. She reviewed the results and referred Resident B to an orthopedic physician.
That referral came after the August visit. The inspection report does not specify what the X-ray found.
A second nurse practitioner, NP 5, told inspectors on October 16 that Resident B had the contracture for many years from having a stroke, that the resident was cognitively intact, and that if the contracted arm got pulled, the resident would be able to tell you it was hurting. NP 5 also noted the osteoporosis diagnosis and said flatly: anything could happen if the resident's contracture arm was pulled.
The certified nursing aide who regularly cared for Resident B, CNA 4, told inspectors she was present in the facility when the X-ray technician came in August. Nobody asked her to assist. Nobody told her the tech was there. She found out only after the technician had already left.
That struck her as wrong. In her experience, the X-ray techs always asked for help. They would always ask for staff, or ask staff to explain what assistance the resident needed. She said she had never seen them go into a room blindly and complete an X-ray. For Resident B specifically, she said the resident would not have been able to assist the X-ray tech with the X-ray of her right arm.
LPN 3 told inspectors how the process was supposed to work: the techs would arrive, collect the resident's face sheet and the order, then go to the room. Most of the time, they would ask for facility staff assistance if the resident was not cognitively intact or if they had concerns the resident wouldn't be physically able to help. Facility staff was always available. For Resident B in particular, LPN 3 said the X-ray tech would not have been able to get an X-ray of the resident's right arm without facility staff assistance, because of the increased pain in the arm.
That is what was supposed to happen. It is not what happened in August.
The X-ray company's own procedure manual, a portion of which was provided to inspectors by the company's regional president, stated the rule directly: if the resident must be transferred or significantly repositioned to perform the exam, facility staff must assist. The contract between the facility and the X-ray company, dated April 1, 2025, and provided by the administrator on the day of the inspection, committed both parties to following all applicable federal, state, and local laws and regulations and described the facility's obligation to educate service provider employees on its compliance requirements.
The administrator told inspectors the contract with the X-ray company should include language requiring them to follow regulations, and said she was unsure what the technicians' training consisted of. The facility, she acknowledged, had not provided them with any training information. She said the X-ray company would handle and have records of their own training.
That answer, given on the morning of October 16, came roughly two months after the visit in which a technician entered a stroke survivor's room alone, moved a contracted arm attached to bones made fragile by osteoporosis, and completed the exam before the aide who cared for that resident every day had any idea it was happening.
The gap between the contract language and what occurred in August is the center of the citation. The agreement signed in April 2025 described a system of mutual accountability, with both parties committed to preventing misconduct and ensuring compliance. The procedure manual from the X-ray company described a clear rule about repositioning. The aide who knew Resident B described a consistent practice of asking for help. None of it applied on the day it mattered.
Resident B was cognitively intact, NP 5 told inspectors. She would have been able to say when it was hurting.
The inspection report does not say whether she did.
It says she was referred to an orthopedic physician.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Majestic Care of North Vernon from 2025-10-16 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 24, 2026 · Our methodology
MAJESTIC CARE OF NORTH VERNON in NORTH VERNON, IN was cited for violations during a health inspection on October 16, 2025.
The resident, identified in inspection records only as Resident B, had lived with a contracture of her right arm for years, the result of a stroke.
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.