Majestic Care of Sheridan: Infection Control Failures - IN
The March incident at Majestic Care of Sheridan violated physician orders and facility policy designed to prevent the spread of drug-resistant infections. Federal inspectors documented the violation during an April visit.
Resident 7 required enhanced barrier precautions due to a gastrostomy tube, according to a physician's order dated March 8. The resident also had vascular dementia, intellectual disability, and prostate problems.
A care plan from March 9 confirmed the resident needed enhanced barrier precautions. A sign on the resident's door spelled out the requirements: staff must wear gloves and gowns for high-contact care activities including changing briefs, providing hygiene, changing linens, and device care.
On April 8 at 1:50 p.m., inspectors watched CNA 4 provide incontinence care to Resident 7. The nursing assistant put on gloves but no gown before changing the resident's urine-soaked brief.
The CNA proceeded to change the resident's wet shirt, wet bed sheets, and wet pants. The urine-soaked bed sheet came into direct contact with the CNA's uniform during the process.
When finished changing some linens, the CNA walked out of the room carrying a dirty bag of linens while wearing the same contaminated gloves. He then returned to the room with the same gloves and continued providing care.
The nursing assistant never put on a gown during any part of the care. He also failed to change his gloves between tasks.
Facility policy required enhanced barrier precautions for residents with indwelling medical devices like feeding tubes. The policy defined high-contact activities as dressing, providing hygiene, changing linens, and changing briefs or assisting with toileting.
When interviewed 28 minutes after the observed violation, CNA 4 acknowledged he usually wore a gown for such care but had forgotten this time. He admitted he should have worn a gown.
Two days later, CNA 5 confirmed to inspectors that staff should wear both gowns and gloves when completing personal care activities for residents on enhanced barrier precautions.
The facility's contact precautions policy, dated March 1, 2025, explained that enhanced barrier precautions are designed to reduce transmission of multidrug-resistant organisms. The intervention requires targeted use of gowns and gloves during high-contact resident care activities.
Enhanced barrier precautions represent an infection control strategy developed to combat the spread of dangerous bacteria that resist multiple antibiotics. These organisms can cause serious infections that are difficult to treat.
Residents with medical devices like feeding tubes face higher infection risks because the devices provide pathways for bacteria to enter the body. The precautions create barriers between potentially contaminated surfaces and healthcare workers' clothing and skin.
The violation occurred despite clear signage on the resident's door listing required precautions. The sign specified that providers and staff must wear gloves and gowns for activities including changing briefs, providing hygiene, changing linens, and device care.
Federal inspectors classified the violation as causing minimal harm or potential for actual harm. However, infection control breaches can have serious consequences when drug-resistant organisms spread between residents through contaminated clothing or equipment.
The CNA's contaminated uniform could have carried bacteria from Resident 7's urine to other residents or surfaces throughout the facility. His failure to change gloves between tasks created additional opportunities for cross-contamination.
Majestic Care of Sheridan's infection control failure demonstrates how easily prevention protocols can break down when individual staff members ignore established procedures, even when clear instructions are posted and training has been provided.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Majestic Care of Sheridan from 2026-04-10 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 SHERIDAN in SHERIDAN, IN was cited for violations during a health inspection on April 10, 2026.
The March incident at Majestic Care of Sheridan violated physician orders and facility policy designed to prevent the spread of drug-resistant infections.
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.