Majestic Care Of Sheridan
MAJESTIC CARE OF SHERIDAN in SHERIDAN, IN — inspection on April 10, 2026.
Found 3 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
(injury/decline/room, etc.) that affect the resident.
abnormal blood sugar readings as ordered for 1 of 5 residents reviewed for notification of change.
p.m.
The diagnoses included, but were not limited to, type two diabetes mellitus, hypertension, and dementia.A care plan, dated 4/2/25, indicated Resident 65 was at risk for complications and symptoms of hypoglycemia (low blood sugar) or hyperglycemia (high blood sugar) with an intervention to obtain blood sugars as ordered and to document and notify the physician of abnormal findings.A physician's order, dated 4/3/25 and discontinued 4/2/26, indicated to obtain an Accu Check (blood sugar reading) four (4) times a day and to notify the provider if the blood sugar reading was less than 90 or greater than 350.The Medication Administration Record (MAR) indicated the following abnormal blood sugar readings were documented with N (no) for physician notification:On 12/26/25, with a blood sugar of 85.On 12/28/25, with a blood sugar of 74.On 12/31/25, with a blood sugar of 368.On 1/18/26, with a blood sugar of 367.On 2/19/26, with a blood sugar of 80.On 3/16/26, with a blood sugar of 83.On 3/18/26, with a blood sugar of 82.On 3/19/26, with a blood sugar of 84.During an interview, on 4/9/26 at 2:56 p.m., the Executive Director (ED) indicated if the physician was in the building at the time the abnormal blood sugar reading was taken, the nurse would have notified the physician and documented the finding in a progress note.
During an interview, on 4/9/26 at 3:00 p.m., Licensed Practical Nurse 2 indicated when a N was documented on the MAR, the physician would not have been notified.
During an interview, on 4/9/26 at 3:49 p.m., the ED indicated she was unable to find documentation for the physician notification of Resident 65's low blood sugar readings.During an interview, on 4/10/26 at 11:52 a.m., the ED indicated the facility did not have a policy regarding call orders and physician notification.410 IAC (Indiana Administrative Code) 3.1-5(a)(2)410 IAC (Indiana Administrative Code) 3.1-5(a)(3) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
155376 04/10/2026
Majestic Care of Sheridan 803 S Hamilton St Sheridan, IN 46069
choices, ensure a resident's abilities in ADLs do not deteriorate unless deterioration is unavoidable.
receive the necessary services to maintain good nutrition, grooming, and personal and oral
155376 04/10/2026
Majestic Care of Sheridan 803 S Hamilton St Sheridan, IN 46069
include:The clinical record for Resident 7 was reviewed on 4/8/26 at 10:12 a.m.
The diagnoses
vascular dementia, and intellectual disability.A physician's order, dated 3/8/26, indicated to utilize Enhanced Barrier Precautions when engaging in high contact resident care activities every shift related to a gastrostomy tube.A current care plan, dated 3/9/26, indicated Resident 7 required enhanced barrier precautions.During an observation, on 4/8/26 at 1:50 p.m., CNA 4 provided incontinence care to Resident 7.
The CNA put on gloves to change the resident's incontinence brief but did not put on a gown.
The CNA changed Resident 7's urine-soaked brief, wet shirt, wet bed sheets, and wet pants.
The wet urine-soaked bed sheet had come into contact with the CNA's uniform.
When the CNA was done changing some of the linens, the CNA walked out of the room with a dirty bag of linens and the same pair of gloves and then walked back into the room with the same pair of gloves and continued to provide care.The CNA did not wear a gown during any part of care or change gloves.An enhanced barrier precautions sign located on Resident 7's door indicated ENHANCED BARRIER PRECAUTIONS EVERYONE MUST: Cleanse their hands, including before entering and when leaving the room. PROVIDERS AND STAFF MUST ALSO: Wear gloves and a gown for the Following High-Contact Resident Care Activities.
Dressing.
Bathing/showering.
Transferring.
Changing linens.
Providing Hygiene.
Changing briefs or assisting with toileting.
Device care or use: central line, urinary catheter, feeding tube.
During an interview, on 4/8/26 at 2:18 p.m., CNA 4 indicated he did usually put on a gown for care, but he forgot and he should have worn a gown.During an interview, on 4/10/26 at 11:28 a.m., CNA 5 indicated when completing ADL care for a resident, staff should wear a gown and gloves if the resident was in enhanced barrier precautions.A current facility policy, titled Contact Precautions, dated 3/1/25 and received from the Executive Director on 4/10/26 at 11:35 a.m., indicated .Enhanced Barrier Precautions (EBP) is an infection control intervention designed to reduce transmission of multidrug-resistant organisms that employs targeted gown and gloves use during high contact resident/patient care activities.an order for enhanced barrier precautions will be obtained for residents/patients with any of the following.indwelling medical devices.High-contact resident/patient care activities include, but not limited to.Dressing.Providing hygiene.
Changing linens.
Changing briefs or assisting with toileting.410 IAC (Indiana Administrative Code) 16.2-3.1-18(b)(2)
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 SHERIDAN, 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 SHERIDAN or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.