facebook tracking Majestic Care of Middletown, Middletown OH: CMS Ratings
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Majestic Care of Middletown

All states › Ohio › Middletown › Majestic Care of Middletown

6898 Hamilton Middletown Road Middletown, OH 45044 · Butler County

(513) 424-5321

All 5 nursing homes in Middletown, OH (5 take Medicaid)

Accepts Medicare Accepts Medicaid 200 certified beds For profit

CMS certification number 365209 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Majestic Care of Middletown a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Majestic Care of Middletown as of October 2026.

CMS rates it 1 out of 5 stars overall, below the Ohio average of 3.2. Inspectors issued 58 citations in the last three years. CMS imposed 2 penalties, including $108,164 in fines, in that time. For short-term rehab patients CMS rates quality 2 out of 5; for long-term residents, 5 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Next steps

Compare with the 3 closest homes

Staffing

Nursing staff spend about 3.38 hours per resident per day at Majestic Care of Middletown, below the Ohio median of 3.58 (US median: 3.72). About 0.37 of those hours are from registered nurses. On weekends it falls to 2.90 hours, 14% below its all-week average. 52.2% of nursing staff left within a year (Ohio median 48.9%). 2 administrators left in the past year.

Nursing care per resident per day 3.38 hours
Below the Ohio median of 3.58 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.37 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.90 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 52.2% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 46.7% a year Share of registered nurses who left over a year.
Administrators who left 2 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds200
Residents per day 135 About 67% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceOctober 1968
Part of a chainMajestic Care
Legal business nameMAJESTIC CARE OF MIDDLETOWN LLC

Paying for care at Majestic Care of Middletown: Medicare and Medicaid

Majestic Care of Middletown is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Ohio's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on June 5, 2025 and found 5 deficiencies, plus 3 from complaint inspections in the same period. In total, inspectors issued 58 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 58 citations at Majestic Care of Middletown across 12 inspection dates, 31 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on April 29, 2024 (complaint inspection). The most common areas cited were quality of life and care (19) and resident rights (10). The most serious was cited under the CMS rule to "provide safe, appropriate dialysis care/services for a resident who requires such services" (tag F0698, level J, April 29, 2024). 7 citations were under CMS's abuse, neglect and exploitation rules.

May 1, 2026 · 2 citations · includes complaint inspection

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

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (May 28, 2026)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (May 28, 2026)

June 5, 2025 · 6 citations · includes complaint inspection

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Aug 5, 2025)

FProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Aug 5, 2025)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Aug 5, 2025)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (Aug 5, 2025)

DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0756 · Deficient, Provider has date of correction (Aug 5, 2025)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Aug 5, 2025)

February 4, 2025 · 1 citation · includes complaint inspection

DProvide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0691 · Complaint inspection · Deficient, Provider has date of correction (Mar 12, 2025)

January 17, 2025 · 1 citation · includes complaint inspection

EReasonably accommodate the needs and preferences of each resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0558 · Complaint inspection · Deficient, Provider has date of correction (Mar 12, 2025)

January 6, 2025 · 4 citations · includes complaint inspection

DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Complaint inspection · Deficient, Provider has date of correction (Mar 12, 2025)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Complaint inspection · Deficient, Provider has date of correction (Mar 12, 2025)

DEnsure that residents are free from significant medication errors.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0760 · Complaint inspection · Deficient, Provider has date of correction (Mar 12, 2025)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Mar 12, 2025)

May 29, 2024 · 3 citations · includes complaint inspection

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Complaint inspection · Deficient, Provider has date of correction (Jun 19, 2024)

DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Complaint inspection · Deficient, Provider has date of correction (Jun 19, 2024)

DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0804 · Complaint inspection · Deficient, Provider has date of correction (Jun 19, 2024)

April 29, 2024 · 3 citations, includes immediate jeopardy · includes complaint inspection

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

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0698 · Complaint inspection · Deficient, Provider has date of correction (Jun 19, 2024)

DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Complaint inspection · Deficient, Provider has date of correction (Jun 19, 2024)

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

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Jun 19, 2024)

March 18, 2024 · 8 citations, includes actual harm · includes complaint inspection

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

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Infection control · Deficient, Provider has date of correction (Jun 19, 2024)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Complaint inspection · Infection control · Deficient, Provider has date of correction (Jun 19, 2024)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0692 · Complaint inspection · Infection control · Deficient, Provider has date of correction (Jun 19, 2024)

EEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0726 · Complaint inspection · Infection control · Deficient, Provider has date of correction (Jun 19, 2024)

DPASARR screening for Mental disorders or Intellectual Disabilities

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0645 · Complaint inspection · Infection control · Deficient, Provider has date of correction (Jun 19, 2024)

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

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Complaint inspection · Infection control · Deficient, Provider has date of correction (Jun 19, 2024)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Infection control · Deficient, Provider has date of correction (Jun 19, 2024)

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

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0883 · Complaint inspection · Infection control · Deficient, Provider has date of correction (Jun 19, 2024)

February 14, 2024 · 4 citations · includes complaint inspection

DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Complaint inspection · Deficient, Provider has date of correction (Jun 19, 2024)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Complaint inspection · Deficient, Provider has date of correction (Jun 19, 2024)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Jun 19, 2024)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Complaint inspection · Deficient, Provider has date of correction (Jun 19, 2024)

November 16, 2023 · 4 citations · includes complaint inspection

EProvide for the safe, appropriate administration of IV fluids for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0694 · Complaint inspection · Deficient, Provider has date of correction (Dec 11, 2023)

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

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Complaint inspection · Deficient, Provider has date of correction (Dec 11, 2023)

EEstablish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

Potential for more than minimal harm · Administration Deficiencies · Tag F0837 · Complaint inspection · Deficient, Provider has date of correction (Dec 11, 2023)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Complaint inspection · Deficient, Provider has date of correction (Dec 11, 2023)

March 29, 2023 · 15 citations

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jun 1, 2023)

EHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (May 10, 2023)

EEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0803 · Deficient, Provider has date of correction (May 10, 2023)

DHonor the resident's right to manage his or her financial affairs.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0567 · Deficient, Provider has date of correction (May 10, 2023)

DNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0569 · Deficient, Provider has date of correction (May 10, 2023)

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

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Deficient, Provider has date of correction (May 10, 2023)

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Deficient, Provider has date of correction (May 10, 2023)

DPASARR screening for Mental disorders or Intellectual Disabilities

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0645 · Deficient, Provider has date of correction (May 10, 2023)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0661 · Deficient, Provider has date of correction (May 10, 2023)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (May 10, 2023)

DProvide activities to meet all resident's needs.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0679 · Deficient, Provider has date of correction (May 10, 2023)

DProvide appropriate foot care.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0687 · Deficient, Provider has date of correction (May 10, 2023)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0692 · Deficient, Provider has date of correction (May 10, 2023)

DProvide or obtain dental services for each resident.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0791 · Deficient, Provider has date of correction (May 10, 2023)

DProvide or get specialized rehabilitative services as required for a resident.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0825 · Deficient, Provider has date of correction (May 10, 2023)

July 11, 2019 · 7 citations

EEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Aug 13, 2019)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0582 · Deficient, Provider has date of correction (Aug 13, 2019)

DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 · Deficient, Provider has date of correction (Aug 13, 2019)

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

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Deficient, Provider has date of correction (Aug 13, 2019)

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Deficient, Provider has date of correction (Aug 13, 2019)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (Aug 13, 2019)

DAssist a resident in gaining access to vision and hearing services.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0685 · Deficient, Provider has date of correction (Aug 13, 2019)

Questions to ask on a tour of Majestic Care of Middletown

  1. Inspectors cited the home at the immediate-jeopardy level on April 29, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on May 1, 2026. How are staff trained, and how are concerns reported?
  3. There were 8 infection-control citations. Who leads infection prevention, and what is the current outbreak policy?
  4. CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  5. Several administrators left in the past year. What has changed for residents since then?
  6. CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
  7. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  8. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

2 penalties in the last three years, including $108,164 in fines.

DateTypeAmount or length
Feb 14, 2024 Fine $108,164
Feb 14, 2024 Payment Denial 64 days of payments denied

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 1/5 1/5 1/5 4/5
August 2026 2/5 1/5 1/5 5/5
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Location

Hospitals near Majestic Care of Middletown

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 3.7 mi
    Atrium Medical Center Middletown
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 43m for patients treated and sent home
  • 8.0 mi
    West Chester Medical Center West Chester
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 3h 39m for patients treated and sent home
  • 8.9 mi
    Beckett Springs West Chester
    No ER listed in Medicare data

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Hawthorn Glen Nursing Center Middletown · 2.7 mi away ★★☆☆☆ Inspection 2/5 · Staffing 1/5 74 beds · Medicaid
Ohio Living Mount Pleasant Monroe · 3.2 mi away ★★★★☆ Inspection 3/5 · Staffing 4/5 32 beds · Medicaid
The Laurels of Middletown Middletown · 3.5 mi away ★★★☆☆ Inspection 2/5 · Staffing 3/5 109 beds · Medicaid
Arlington Pointe Care Center Middletown · 4.1 mi away ★★★★☆ Inspection 4/5 · Staffing 2/5 107 beds · Medicaid
Gateway Springs Health Campus Hamilton · 5.7 mi away ★★★★★ Inspection 4/5 · Staffing 4/5 53 beds · Medicaid

More nursing homes near Majestic Care of Middletown ›   All nursing homes in Middletown ›

Compare Majestic Care of Middletown with the 3 closest homes side by side ›

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Other Majestic Care nursing homes in Ohio

Affiliation comes from CMS's affiliated-entity data, October 2026. All 29 Majestic Care nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/ohio/middletown/majestic-care-of-middletown/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.