MAJESTIC CARE OF AVON

πŸ“ 445 S COUNTY ROAD 525 E, avon, IN 46123 πŸ“ž 3177452522 πŸ›οΈ 140 beds

Overall Rating

⭐
1/5

Health Inspection

⭐
1/5

Staffing

⭐
1/5

Quality Measures

⭐⭐⭐
3/5

Inspection History Overview

92
Total Violations
8 years of data
$77,250
Total Fines
5 penalties
13
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2024 10 violations

Tag 0554 D Aug 8, 2024

Allow residents to self-administer drugs if determined clinically appropriate.

βœ“ Corrected: Sep 4, 2024
Tag 0565 E Aug 8, 2024

Honor the resident's right to organize and participate in resident/family groups in the facility.

βœ“ Corrected: Sep 4, 2024
Tag 0641 D Aug 8, 2024

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Sep 4, 2024
Tag 0689 E Aug 8, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Sep 4, 2024
Tag 0725 D Aug 8, 2024

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

βœ“ Corrected: Sep 4, 2024
Tag 0744 D Aug 8, 2024

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

βœ“ Corrected: Sep 4, 2024
Tag 0761 E Aug 8, 2024

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.

βœ“ Corrected: Sep 4, 2024
Tag 0744 E Mar 13, 2024

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

βœ“ Corrected: Apr 12, 2024
Tag 0600 D Feb 6, 2024

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Mar 1, 2024
Tag 0609 D Feb 6, 2024

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Mar 1, 2024

2023 15 violations

Tag 0565 E Jun 30, 2023

Honor the resident's right to organize and participate in resident/family groups in the facility.

βœ“ Corrected: Aug 4, 2023
Tag 0574 E Jun 30, 2023

The resident has the right to receive notices in a format and a language he or she understands.

βœ“ Corrected: Aug 4, 2023
Tag 0584 E Jun 30, 2023

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.

βœ“ Corrected: Aug 4, 2023
Tag 0641 B Jun 30, 2023

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Aug 4, 2023
Tag 0677 D Jun 30, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Aug 4, 2023
Tag 0689 D Jun 30, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Aug 4, 2023
Tag 0690 D Jun 30, 2023

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Aug 4, 2023
Tag 0695 E Jun 30, 2023

Provide safe and appropriate respiratory care for a resident when needed.

βœ“ Corrected: Aug 4, 2023
Tag 0732 B Jun 30, 2023

Post nurse staffing information every day.

βœ“ Corrected: Aug 4, 2023
Tag 0802 E Jun 30, 2023

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

βœ“ Corrected: Aug 4, 2023
Tag 0812 F Jun 30, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Aug 4, 2023
Tag 0925 E Jun 30, 2023

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

βœ“ Corrected: Aug 4, 2023
Tag 0755 E Apr 28, 2023

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: May 18, 2023
Tag 0684 D Feb 17, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Mar 20, 2023
Tag 0686 D Feb 17, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Mar 20, 2023

2022 10 violations

Tag 0686 E Sep 14, 2022

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Oct 1, 2022
Tag 0550 D Mar 15, 2022

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Apr 4, 2022
Tag 0657 D Mar 15, 2022

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Apr 4, 2022
Tag 0684 D Mar 15, 2022

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Apr 4, 2022
Tag 0744 D Mar 15, 2022

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

βœ“ Corrected: Apr 4, 2022
Tag 0755 D Mar 15, 2022

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Apr 4, 2022
Tag 0809 D Mar 15, 2022

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

βœ“ Corrected: Apr 4, 2022
Tag 0812 E Mar 15, 2022

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Apr 4, 2022
Tag 0880 D Mar 15, 2022

Provide and implement an infection prevention and control program.

βœ“ Corrected: Apr 4, 2022
Tag 0557 D Feb 8, 2022

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

βœ“ Corrected: Feb 28, 2022

2021 11 violations

Tag 0550 D Oct 4, 2021

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Oct 6, 2021
Tag 0921 E Oct 4, 2021

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

βœ“ Corrected: Oct 6, 2021
Tag 0584 E Jul 2, 2021

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.

βœ“ Corrected: Jul 21, 2021
Tag 0689 J Jul 2, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Jul 21, 2021
Tag 0761 D Jul 2, 2021

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.

βœ“ Corrected: Jul 21, 2021
Tag 0812 D Jul 2, 2021

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Jul 21, 2021
Tag 0661 E Jan 29, 2021

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

βœ“ Corrected: Feb 18, 2021
Tag 0676 D Jan 29, 2021

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

βœ“ Corrected: Feb 18, 2021
Tag 0684 D Jan 29, 2021

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Feb 18, 2021
Tag 0755 E Jan 29, 2021

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Feb 18, 2021
Tag 0761 E Jan 29, 2021

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.

βœ“ Corrected: Feb 18, 2021

2020 8 violations

Tag 0880 D Oct 30, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Nov 18, 2020
Tag 0880 D Oct 21, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Nov 18, 2020
Tag 0880 F Apr 14, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Apr 24, 2020
Tag 0550 E Mar 4, 2020

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Mar 22, 2020
Tag 0609 D Mar 4, 2020

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Mar 22, 2020
Tag 0842 D Mar 4, 2020

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Mar 22, 2020
Tag 0689 D Feb 20, 2020

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Mar 9, 2020
Tag 0600 D Jan 9, 2020

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Jan 28, 2020

2019 21 violations

Tag 0740 D Aug 19, 2019

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

βœ“ Corrected: Aug 29, 2019
Tag 0583 D Jul 25, 2019

Keep residents' personal and medical records private and confidential.

βœ“ Corrected: Aug 17, 2019
Tag 0585 E Jul 25, 2019

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

βœ“ Corrected: Aug 17, 2019
Tag 0600 G Jul 25, 2019

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Aug 17, 2019
Tag 0610 D Jul 25, 2019

Respond appropriately to all alleged violations.

βœ“ Corrected: Aug 17, 2019
Tag 0656 D Jul 25, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Aug 17, 2019
Tag 0684 G Jul 25, 2019

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Aug 17, 2019
Tag 0686 D Jul 25, 2019

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Aug 17, 2019
Tag 0689 K Jul 25, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Aug 17, 2019
Tag 0690 D Jul 25, 2019

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Aug 17, 2019
Tag 0692 D Jul 25, 2019

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: Aug 17, 2019
Tag 0698 D Jul 25, 2019

Provide safe, appropriate dialysis care/services for a resident who requires such services.

βœ“ Corrected: Aug 17, 2019
Tag 0761 E Jul 25, 2019

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.

βœ“ Corrected: Aug 17, 2019
Tag 0812 F Jul 25, 2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Aug 17, 2019
Tag 0867 G Jul 25, 2019

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

βœ“ Corrected: Aug 17, 2019
Tag 0880 F Jul 25, 2019

Provide and implement an infection prevention and control program.

βœ“ Corrected: Aug 17, 2019
Tag 0881 F Jul 25, 2019

Implement a program that monitors antibiotic use.

βœ“ Corrected: Aug 17, 2019
Tag 0883 D Jul 25, 2019

Develop and implement policies and procedures for flu and pneumonia vaccinations.

βœ“ Corrected: Aug 17, 2019
Tag 0744 D Jun 7, 2019

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

βœ“ Corrected: Jun 19, 2019
Tag 0759 D Apr 25, 2019

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: May 25, 2019

2018 10 violations

Tag 0558 D Aug 20, 2018

Reasonably accommodate the needs and preferences of each resident.

βœ“ Corrected: Sep 19, 2018
Tag 0578 D Aug 20, 2018

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

βœ“ Corrected: Sep 19, 2018
Tag 0582 D Aug 20, 2018

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

βœ“ Corrected: Sep 19, 2018
Tag 0623 D Aug 20, 2018

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

βœ“ Corrected: Sep 19, 2018
Tag 0645 D Aug 20, 2018

PASARR screening for Mental disorders or Intellectual Disabilities

βœ“ Corrected: Sep 19, 2018
Tag 0657 D Aug 20, 2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Sep 19, 2018
Tag 0661 D Aug 20, 2018

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

βœ“ Corrected: Sep 19, 2018
Tag 0689 D Aug 20, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Sep 19, 2018
Tag 0812 D Aug 20, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Sep 19, 2018
Tag 0880 D Aug 20, 2018

Provide and implement an infection prevention and control program.

βœ“ Corrected: Sep 19, 2018

2017 7 violations

Tag 0312 D Sep 15, 2017

Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

βœ“ Corrected: Oct 15, 2017
Tag 0318 D Sep 15, 2017

Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.

βœ“ Corrected: Oct 15, 2017
Tag 0332 D Sep 15, 2017

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.

βœ“ Corrected: Oct 15, 2017
Tag 0333 D Sep 15, 2017

Ensure that residents are safe from serious medication errors.

βœ“ Corrected: Oct 15, 2017
Tag 0371 D Sep 15, 2017

Store, cook, and serve food in a safe and clean way.

βœ“ Corrected: Oct 15, 2017
Tag 0428 D Sep 15, 2017

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.

βœ“ Corrected: Oct 15, 2017
Tag 0441 E Sep 15, 2017

Have a program that investigates, controls and keeps infection from spreading.

βœ“ Corrected: Oct 15, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 2 penalties totaling $24,750

$15,000
Fine
February 8, 2022
$9,750
Fine
February 8, 2022
Average: $12,375 | Range: $9,750 - $15,000

2021 2 penalties totaling $22,500

$650
Fine
August 2, 2021
$21,850
Fine
July 2, 2021
Average: $11,250 | Range: $650 - $21,850

2020 1 penalties totaling $30,000

$30,000
Fine
October 21, 2020
Average: $30,000 | Range: $30,000 - $30,000

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

August 8, 2024
0.00

Health

March 13, 2024
0.00

Health

February 6, 2024
0.00

Health

June 30, 2023
0.00

Health

April 28, 2023
0.00

Health

February 17, 2023
0.00

Health

September 14, 2022
0.00

Health

March 15, 2022
0.00

Health

February 8, 2022
0.00

Health

October 4, 2021
0.00

Health

July 2, 2021
0.00

Health

January 29, 2021
0.00

Health

July 25, 2019
0.00

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Ownership Information

Government - County
Independent (Not part of a chain)
155338
155338
3177452522
Hendricks

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Individual
August 25, 2025
Individual