Majestic Care Of Toledo Snf
MAJESTIC CARE OF TOLEDO SNF in TOLEDO, OH — inspection on April 28, 2026.
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
Review of a progress note on 12/26/25 at 3:30 P.M. revealed Resident #56 was assessed for discoloration to each side of her face.Review of a skin assessment for Resident #59, completed by Registered Nurse (RN) #101 and dated 12/26/25 at 3:30 P.M., revealed new skin issues described as discoloration to bilateral sides of the resident's face.
The assessment indicated the Director of Nursing (DON) was notified at 2:00 P.M., hospice was notified at 3:00 P.M., and Resident #59's family was notified at 3:50 P.M.Interview on 04/28/26 at 10:15 A.M. with RN #101 revealed the discoloration observed on Resident #59's bilateral face was located under the cheek bones, were red in color, equally midline between the ears and top corners of the mouth, and were symmetrical in shape the approximate size of a quarter.Review of facility self-reported incidents (SRIs) revealed no investigation or notification to the State Survey Agency was made regarding the identification of new discoloration on Resident #59's bilateral cheeks on 12/26/25.Interview on 04/28/26 at 3:30 P.M. with the DON regarding Resident #56's discoloration to her bilateral cheeks identified on 12/26/25, revealed she assumed, based on the resident's history of flailing herself, the discoloration was self-inflicted due to behaviors.
The DON confirmed the discoloration to Resident #59's bilateral cheeks was not reported as an injury of unknown origin, nor investigated as such, by the facility.Review of a facility policy titled, Abuse Prevention Program, dated March 2021, revealed an injury of unknown origin was one that was not observed and suspicious due to nature, location, and/or quantity.
Continued review revealed injuries of unknown origin would be reported and investigated by the facility.This deficiency represents non-compliance investigated under Complaint Number 2722375.
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
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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.