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Complaint Investigation

Majestic Care Of North Vernon

October 16, 2025 · North Vernon, IN · 701 Henry Street
Citations 1
CMS Rating 2/5
Beds 120
Provider ID 155665
Healthcare Facility
Majestic Care Of North Vernon
North Vernon, 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 NORTH VERNON in NORTH VERNON, IN — inspection on October 16, 2025.

Found 1 citation. 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

FF0776
Administration Deficiencies

During an interview, on 10/16/2025 at 11:24 A.M., Certified Nurse Aide (CNA) 4 indicated the resident needed the complete assistance of two staff members for dressing, personal hygiene care, and turning and repositioning.

The resident was able to feed herself some. CNA 4 was there when the x-ray tech came in August but the CNA was never asked to assist or never heard of anyone else being asked.

She was unaware the x-ray tech was there, until they were gone.

Almost always when the x-rays tech came to the facility she would go into the room and assist them.

The x-ray techs would always ask for help or for staff to explain to them what assistance the resident needed.

She had never seen them go into a room blindly and complete an x-ray.

Resident B would not have been able to assist the x-ray tech with the x-ray of her right arm.

During an interview, on 10/16/2025 at 11:32 A.M., the Administrator indicated the contract with the x-ray company should include verbiage that they would follow regulations and was unsure what their training was.

The x-ray company would handle and have records of their training.

The facility did not provide them with any training information. A portion of the x-ray tech procedure manual was provided by the x-ray company's Regional [NAME] President.

The procedure manual indicated, If the resident must be transferred or significantly re-positioned to perform the exam, facility staff must assist in the transfer or re-positioning. A Portable Imaging and Diagnostic Testing Services Agreement, dated 04/01/2025, was provided by the Administrator on 10/16/2025 at 11:15 A.M.

The agreement indicated, .COMPANY [facility] has in place a Code of Conduct.the goal of which is to ensure that all applicable federal, state, and local laws and regulations are followed.

The Code includes a commitment to uphold a high standard of ethical and legal business practices and to prevent misconduct.

Through the implementation of this Contract, each party acknowledges the commitment to compliance and agrees to conduct all transactions which occur pursuant to this Contract in accordance with all applicable federal, state and local laws and regulations.COMPANY has also implemented a policy to detect, address and prevent issues of fraud, waste, and abuse.

This policy, the Code, and information regarding COMPANY'S Compliance Programs shall be made available to the Service Provider and Service Providers employees. COMPANY will educate all Service Provider employees and contractors who work on matters related to this Contract on such policy, the Code and other applicable requirements.This citation relates to Intake 2640227.3.1-49(a)3.1-49(g)

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 NORTH VERNON, 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 NORTH VERNON 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.