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Complaint Investigation

Majestic Care Of Connersville

October 29, 2025 · Connersville, IN · 1029 E 5th Street
Citations 4
CMS Rating 1/5
Beds 113
Provider ID 155491
Healthcare Facility
Majestic Care Of Connersville
Connersville, IN  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

MAJESTIC CARE OF CONNERSVILLE in CONNERSVILLE, IN — inspection on October 29, 2025.

Found 4 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0600
Freedom from Abuse, Neglect, and Exploitation Deficiencies

During an interview with Resident G on 10/27/25 at 1:55 p.m., Resident G indicated a couple weeks prior that she was wheeling herself in her wheelchair down the hallway when Resident C came up behind her and started pushing the wheelchair for her.

Resident G indicated Resident C took his hand and started sliding it down the front of her chest.

Resident G indicated she swiped his hand away and told him to cut it out.

Resident G indicated she had told a couple of staff members.

Resident G indicated these sexual behaviors keep happening outside when residents were coming back in from the smoking area with Resident C, but no one ever sees it.

Resident G indicated the DON had not come in to speak with her about this event.

An Abuse, Mistreatment, Neglect, Exploitation and Misappropriation policy was provided by the DON on 10/27/25 at 11:00 a.m. It indicated .Sexual abuse is a non-consensual sexual contact of any type with a resident .C.

Prevention & Identification (b.) identifying, correcting, and intervening in situations in which abuse is more likely to occur .D.

Protect the Resident (b.)3) The facility will ensure other residents are protected This citation is related to Intake 2644466. 3.1-27(a)(1)

155491 10/29/2025

Majestic Care of Connersville 1029 E 5th Street Connersville, IN 47331

During an interview with Registered Nurse (RN) 1 on 10/27/25 at 11:40 a.m., she indicated she was the nurse, on 10/6/25, and Resident C was on 15-minute checks. RN 1 was unsure why the resident was on 15-minute checks and was unable to find any further documentation besides the 15-minute check sheet for Resident C.

During an interview with the Director of Nursing (DON) on 10/27/25 at 1:40 p.m., she indicated, on 10/5/25, it was reported to her that Resident C may have been doing something he should not have been doing.

The DON indicated another resident reported that Resident C was being inappropriate with female residents.

Resident G might have been one of them.

The DON indicated the incident was not reported to IDOH.

During an interview with the Regional [NAME] President of Operations on 10/28/25 at 9:43 a.m., he indicated he was the Administrator of the facility, on 10/5/25, and the DON had texted him and said Resident C was touching a female resident and he was unsure who the female resident was.

The allegation was not reported to IDOH.

During an interview with RN 1 on 10/28/25 at 10:47 a.m., she indicated she remembered, on 10/5/25, that Resident C was on 15-minute checks because he was sexually acting out towards female residents. RN 1 was unsure who the female residents were.

During an interview with the DON on 10/28/25 at 12:45 p.m., she indicated she was unsure why there was no documentation in Resident C's clinical record about the incident on 10/5/25. 2.

The clinical record for Resident G was reviewed on 10/28/25 at 9:40 a.m.

The diagnoses included, but were not limited to, type 2 diabetes mellitus, generalized anxiety disorder, and depression.The Quarterly MDS assessment, dated 9/19/25, indicated Resident G was moderately cognitively impaired.

During an interview with Resident G on 10/27/25 at 1:55 p.m., Resident G indicated a couple weeks ago that she was wheeling herself in her wheelchair down the hallway when Resident C came up behind her and started pushing the wheelchair.

Resident G indicated Resident C took his hand and started sliding it down the front of her chest.

Resident G indicated she swiped his hand away and told him to cut it out.

Resident G indicated she had told a couple of staff members but were unsure of their names.

Resident G indicated these sexual behaviors keep happening outside when residents were coming back in from the smoking area with Resident C, but no one ever sees it.

Resident G indicated the DON had not spoken with her about this event.The abuse policy was provided by the DON on 10/27/25 at 11:00 a.m.

The policy indicated if there was an allegation of abuse the Administrator would notify the IDOH.

This citation relates to Intake 2644466. 3.1-28(c)

155491 10/29/2025

Majestic Care of Connersville 1029 E 5th Street Connersville, IN 47331

During an interview with RN 1 on 10/28/25 at 10:47 a.m., she indicated she remembered, on 10/5/25, that Resident C was on 15-minute checks because he was sexually acting out towards female residents.

RN 1 was unsure who the female residents were.

During an interview with the DON on 10/28/25 at 12:04 p.m., she indicated the facility got statements from LPN 2 and CNA 4 about the incident with Resident C and Resident G on 10/15/25, and there were no further resident or staff interviews completed.

The DON indicated it was the responsibility of the Interdisciplinary Team (IDT) to ensure a complete and thorough investigation was conducted for allegations of sexual abuse. 2.

The clinical record for Resident B was reviewed on 10/27/25 at 1:30 p.m.

The diagnoses included, but were not limited to, nicotine dependance, anxiety disorder, and major depressive disorder.A Significant Change MDS assessment, dated 9/19/25, indicated Resident B was moderately cognitively impaired.A progress note, dated 10/15/25 at 8:30 p.m., indicated Resident B alerted staff that another resident had reached over her shoulder and touched her chest when coming inside from a smoke break.

Resident B stated she swatted his hand away and another resident had witnessed this happen and also alerted staff of what he saw.

The aide that had taken the residents out to smoke was inside the door holding it for others, and did not witness what happened but was immediately alerted once residents were all inside.

The nurse immediately alerted the DON.

During an interview with Resident B on 10/27/25 at 11:38 a.m., Resident B indicated a couple weeks prior she was being wheeled by Resident C back into the facility in her wheelchair after smoking.

Resident B indicated Resident C started rubbing her shoulders while standing behind her, then reached his hand down the front of Resident B's chest area.

Resident B indicated she then swiped Resident C's hand away.

Resident B indicated she then informed LPN 2 that Resident C had tried to touch her chest while wheeling her in her wheelchair back into the facility.3.

The clinical record for Resident G was reviewed on 10/28/25 at 9:40 a.m.

The diagnoses included, but were not limited to, type 2 diabetes mellitus, generalized anxiety disorder, and depression.The Quarterly MDS assessment, dated 9/19/25, indicated Resident G was moderately cognitively impaired.

During an interview with Resident G on 10/27/25 at 1:55 p.m., Resident G indicated a couple weeks prior she was wheeling herself in her wheelchair down the hallway when Resident C was pushing the wheelchair for her.

Resident G indicated Resident C took his hand and started sliding it down the front of her chest.

Resident G indicated she swiped his hand away and told him to cut it out.

Resident G indicated she had told a couple of staff members but was unsure of their names.

Resident G indicated these sexual behaviors kept happening outside when residents were coming back in from the smoking area with Resident C, but no one ever sees it.

Resident G indicated the DON had not spoken to her about this event.The abuse policy was provided by the DON on 10/27/25 at 11:00 a.m.

The policy indicated once the Administrator and the Indiana

conducted.

The investigation must be completed within 5 working days.

The investigation generally would take the following actions: interview the resident/patient, the accused, and all witnesses.

Witnesses generally include anyone who: witnessed or heard the incident; came in close contact with resident/patient the day of the incident (residents, family members), employees who worked closely with the accused person and/or alleged victim the day of the incident.

Review all relevant medical reports and records.

This citation is related to Intake 2644466.3.1-28(d)

155491 10/29/2025

Majestic Care of Connersville 1029 E 5th Street Connersville, IN 47331

During an interview with the Regional [NAME] President of Operations on 10/28/25 at 9:43 a.m., he indicated he was the Administrator of the facility, on 10/5/25, and the DON had texted him and said Resident C was touching a female resident and he was unsure who the female resident was.

During an interview with RN 1 on 10/28/25 at 10:47 a.m., she indicated she remembered, on 10/5/25, that Resident C was on 15-minute checks because he was sexually acting out towards female residents. RN 1 was unsure who the female residents were.

During an interview with CNA 4 on 10/28/25 at 12:04 p.m., she indicated she was working, on 10/15/25, when there was an allegation of sexual abuse with Resident C. CNA 4 indicated she was not aware that Resident C had a history of sexually inappropriate behaviors, but she did know he was moved from the memory care unit because he liked to girlfriend everyone.

During an interview with the DON on 10/28/25 at 12:45 p.m., she indicated the facility moved Resident C to the long-term care unit because the facility did not feel like Resident C was the instigator.

The female residents on the memory care unit gravitated towards Resident C and was encouraging it.

The DON indicated staff were made aware of residents with sexually inappropriate behaviors by the care plan and the Kardex.B.) The clinical record for Resident B was reviewed on 10/27/25 at 1:30 p.m.

The diagnoses included, but were not limited to, nicotine dependance, anxiety disorder, and major depressive disorder.A Significant Change MDS assessment, dated 9/19/25, indicated Resident B was moderately cognitively impaired.

During an interview with Resident B on 10/27/25 at 11:38 a.m., Resident B indicated a couple weeks prior she was being wheeled back into the facility in her wheelchair after smoking by Resident C.

Resident B indicated Resident C was standing behind her and started rubbing her shoulder; then reached his hand down the front of Resident B's chest area.

Resident B indicated she then swiped Resident C's hand away.

Resident B indicated she then informed LPN 2 that Resident C had tried to touch her chest while wheeling her in her wheelchair back into the facility.C.) The clinical record for Resident G was reviewed on 10/28/25 at 9:40 a.m.

The diagnoses included, but were not limited to, type 2 diabetes mellitus, generalized anxiety disorder, and depression.The Quarterly MDS assessment, dated 9/19/25, indicated Resident G was moderately cognitively impaired.

During an interview with Resident G on 10/27/25 at 1:55 p.m., Resident G indicated a couple weeks prior that she was wheeling herself in her wheelchair down the hallway when Resident C was pushing the wheelchair for her.

Resident G indicated Resident C took his hand and started sliding it down the front of her chest.

Resident G indicated she swiped his hand away and told him to cut it out.

Resident G indicated she had told a couple of staff members but were unsure of the names.

Resident G indicated these sexual behaviors keep happening outside when residents were coming back in from the smoking area with Resident C, but no one ever sees it.

Resident G indicated the DON had not spoken to her about this event.The dementia care policy was provided by the Regional Nurse Consultant on 10/29/25 at 11:15 a.m.

The policy indicated the facility would provide appropriate treatment and services in relation to Activities of Daily Living to ensure all needs are met on a daily basis, while attaining or maintaining the dementia resident's highest practicable physical, mental and psychosocial well-being.

The plan of care would describe potential distress triggers or behaviors as related to Activities of Daily Living.

The care plan would include strategies and approaches to address distress triggers or behaviors so the level of distress could be minimized.

The care plan interventions would be monitored on an ongoing basis for effectiveness.

This citation is related to Intake 2644466.3.1-37(a)

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in CONNERSVILLE, IN, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from MAJESTIC CARE OF CONNERSVILLE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.