Ohio average 6.7
Last Health inspection on Jun 2025

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Majestic Care Middletown Assisted Living is a 100-bed assisted living and memory care community at 6898 Hamilton-Middletown Road, Middletown, Butler County, Ohio, providing independent living, assisted living, memory care, respite care, short-term rehabilitation, long-term care, and specialized therapies including physical, occupational, and speech services. The facility maintains 24-hour staffing with on-site licensed nurses and certified nursing assistants; nursing hours per resident per day exceed the Ohio state average by 14 percent. Located 2.9 miles from Middletown’s city center, the facility does not accept Medicare or Medicaid.
The inspection record over six years reveals substantive and recurring compliance failures across multiple care domains. Thirteen inspections (three comprehensive health surveys conducted in July 2019, March 2023, and June 2025; ten complaint investigations between March 2023 and February 2025) documented 59 total deficiencies. The July 2019 comprehensive survey identified 7 deficiencies. The March 2023 comprehensive survey found 15 deficiencies covering medication sourcing, IV fluid management, facility cleanliness and environmental safety, financial management, care planning, and food safety.
A concurrent complaint investigation on the same date substantiated 1 additional deficiency in facility cleanliness. Ten subsequent complaint investigations identified persistent patterns: fall prevention failures with missing perimeter mattresses and inaccessible call lights (August 2023, 2 deficiencies); proprietary medication sourcing violations affecting 41 residents spanning three inspections (November 2023, 4 deficiencies); delayed physician notification of abnormal laboratory results (February 2024 and recurring thereafter); inadequate incontinence and catheter care delivered without timely assistance (February 2024, 4 deficiencies); violations of preadmission mental health screening requirements and absence of documented quarterly care conferences affecting five residents (March 2024, 8 deficiencies); a preventable fall with actual harm—resident sustained femur and humerus fractures requiring open reduction internal fixation—resulting from failure to provide adequate supervision during bed mobility (March 2024); substantiated physical abuse by nursing staff involving forcible restriction of resident movement and verbal abuse; failure to coordinate continuity of care with outpatient dialysis, resulting in a resident with end-stage renal disease going four days without hemodialysis and suffering cardiopulmonary arrest and death (marked Immediate Jeopardy in April 2024, 3 deficiencies); significant unintended weight loss in residents without physician or family notification (May 2024, 3 deficiencies); inadequate colostomy care with recurrent skin breakdown and infrequent pouch changes (February 2025, 1 deficiency); failure to notify resident representatives of changes in health status (January 2025, 4 deficiencies); smoking area accessibility deficiencies (January 2025, 1 deficiency); and structural defects including damaged ceiling tiles in resident rooms, unmet personal hygiene needs, food storage contamination including insect-infested refrigeration, cold food service, and absence of an implemented Legionella prevention program (June 2025, 6 deficiencies).
Amenities include prepared meals, life enrichment activities, on-site licensed nurse availability, residential options, assistance with activities of daily living, housekeeping, laundry and household maintenance, and outdoor patio and garden areas.
Families should ask about corrections for the serious findings documented in inspection record, particularly the June 2025 health inspection deficiencies and the prior substantiated incidents of abuse and resident death.
In Ohio, the Department of Health, Bureau of Survey and Certification conducts unannounced onsite inspections to evaluate the quality of care and environment in all licensed facilities.
Citations
| This Facility | OH Average | vs. OH Avg |
|---|---|---|---|
|
Total citations
| 5 | 2 | This facility has 150% more total citations than a typical Ohio nursing home (5 vs. OH avg 2).↑ 150% worse |
|
Citations per year
| 0.7 | 0.3 | This facility has 133% more citations per year than a typical Ohio nursing home (0.7 vs. OH avg 0.3).↑ 133% worse |
Ohio average 6.7
Last Health inspection on Jun 2025
Ohio average 30.9
Ohio average 4.59
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
24 of 63 citations resulted from standard inspections; 38 of 63 resulted from complaint investigations; and 1 of 63 came from combined inspections (standard and complaint).
Ohio average: 0.3
Ohio average: 0.9
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
2,559 contractor hours this quarter
| Certified Nursing Assistant | 73 | 0 | 73 | 21,601 | 92 | 100% | 8.8 |
| Licensed Practical Nurse | 41 | 0 | 41 | 14,329 | 92 | 100% | 9.3 |
| Clinical Nurse Specialist | 9 | 0 | 9 | 2,312 | 78 | 85% | 8 |
| RN Director of Nursing | 6 | 0 | 6 | 2,222 | 71 | 77% | 8 |
| Other Dietary Services Staff | 7 | 0 | 7 | 1,981 | 92 | 100% | 7.3 |
| Registered Nurse | 8 | 0 | 8 | 1,622 | 87 | 95% | 9.4 |
| Speech Language Pathologist | 0 | 4 | 4 | 616 | 89 | 97% | 4.1 |
| Dietitian | 2 | 0 | 2 | 592 | 66 | 72% | 9 |
| Physical Therapy Aide | 0 | 2 | 2 | 571 | 63 | 68% | 4.8 |
| Dental Services Staff | 2 | 0 | 2 | 529 | 61 | 66% | 8.4 |
| Mental Health Service Worker | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Administrator | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 456 | 57 | 62% | 8 |
| Physical Therapy Assistant | 0 | 1 | 1 | 336 | 53 | 58% | 6.3 |
| Qualified Social Worker | 0 | 3 | 3 | 312 | 58 | 63% | 5.2 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 286 | 58 | 63% | 4.8 |
| Feeding Assistant | 0 | 2 | 2 | 262 | 39 | 42% | 6.1 |
| Medical Director | 0 | 3 | 3 | 102 | 20 | 22% | 4.8 |
| Therapeutic Recreation Specialist | 0 | 1 | 1 | 74 | 43 | 47% | 1.7 |
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
14% of new residents, usually for short-term rehab.
31% of new residents, often for short stays.
56% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Historical financial and operational data for Majestic Care Middletown Assisted Living based on CMS SNF Cost Reports.
Most residents stay for extended periods and receive ongoing daily care.
2.9 miles from city center
Estimated distance in miles from Middletown's city center to Majestic Care Middletown Assisted Living's address, calculated via Google Maps.
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Majestic Care Middletown Assisted Living is located in MIDDLETOWN, Ohio.
Here are the financial assistance programs available to residents in Ohio.
The information below is reported by the Ohio Department of Health, Bureau of Survey and Certification.
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NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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The team at Majestic Care Middletown Assisted Living can be reached at [email protected].
Majestic Care Middletown Assisted Living has 100 beds.
Majestic Care Middletown Assisted Living has had 5 recently reported deficiencies.
Yes — there are 3 photos of Majestic Care Middletown Assisted Living in the photo gallery on this page.
Majestic Care Middletown Assisted Living is located at 6898 HAMILTON-MIDDLETOWN ROAD.
(513) 424-5321 will put you in contact with the team at Majestic Care Middletown Assisted Living.
Majestic Care Middletown Assisted Living is in Butler County.
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