1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Burrowed in the serene neighborhood of Flushing, MI, Majestic Care of Flushing Assisted Living is a dedicated senior living community offering independent living, assisted living, memory care, and other diverse care services. With 36 Majestic Care Locations in throughout Indiana, Ohio, and Michigan, the community assures its residents with a service-enriched set of programs and services through its highly-equipped and compassionate team.
Discover its top-notch services including short-term rehabilitation, physical therapy, occupational therapy, speech therapy, outpatient therapy, memory care, and many more. Expore its amazing common spaces and meet new friends along the way. Engage in a robust calendar of social activities, wellness programs, and community events to boost engagement and health. With the Majestic Care of Flushing Assisted Living seniors can acquire the utmost care and support.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
|
20m per day | |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
|
1h 4m per day | |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
|
2h 0m per day | |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
|
3h 1m per day | |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
|
3m per day | |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
|
15m per day |
Majestic Care of Flushing Assisted Living is legally operated by Flushing AL Operations LLC.
Key information about the people who lead and staff this community.
In Michigan, the Department of Licensing and Regulatory Affairs (LARA) conducts unannounced inspections and investigations to ensure long-term care facilities comply with state health codes.
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Michigan state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
|
This Facility | MI Average | vs. MI Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
|
3 | 8 | This facility has 63% fewer total deficiencies than a typical Michigan assisted living residence (3 vs. MI avg 8).↓ 63% better |
|
Deficiencies per year
Average deficiencies per year since 2021.
|
0.6 | 1.6 | This facility has 63% fewer deficiencies per year than a typical Michigan assisted living residence (0.6 vs. MI avg 1.6).↓ 63% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
|
0.6 | 1.6 | This facility has 63% fewer deficiencies per inspection than a typical Michigan assisted living residence (0.6 vs. MI avg 1.6).↓ 63% better |
Inspections
|
This Facility | MI Average | vs. MI Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
|
5 | 5 | This facility has total inspections in line with the Michigan average (5 vs. MI avg 5).— At avg |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
State average N/A
Last Health inspection on Aug 2025
State average N/A
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
45 of 63 citations resulted from standard inspections; 14 of 63 resulted from complaint investigations; and 4 of 63 came from combined inspections (standard and complaint).
In line with State average
State average: N/A
In line with State average
State average: N/A
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with State average
State average ratio: 0 : 0
0% compared with State average
State average: 0 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 7 RN Staff are full-time employees. No contractors work on this role.
7
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hours
Assists with medical care and medications.
All 32 LPN Staff are full-time employees. No contractors work on this role.
32
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
Helps with daily care and mobility.
All 61 CNA Staff are full-time employees. No contractors work on this role.
61
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,073 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 61 | 0 | 61 | 19,583 | 92 | 100% | 7.1 |
| Licensed Practical Nurse | 32 | 0 | 32 | 8,234 | 92 | 100% | 8.7 |
| RN Director of Nursing | 5 | 0 | 5 | 2,225 | 77 | 84% | 9.4 |
| Registered Nurse | 7 | 0 | 7 | 2,114 | 90 | 98% | 9.5 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,004 | 90 | 98% | 7.1 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 659 | 74 | 80% | 7.2 |
| Mental Health Service Worker | 2 | 0 | 2 | 601 | 70 | 76% | 7.2 |
| Speech Language Pathologist | 0 | 2 | 2 | 567 | 78 | 85% | 7.1 |
| Dental Services Staff | 3 | 0 | 3 | 559 | 65 | 71% | 7.3 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dietitian | 1 | 0 | 1 | 487 | 63 | 68% | 7.7 |
| Physical Therapy Assistant | 0 | 3 | 3 | 473 | 77 | 84% | 5.8 |
| Qualified Social Worker | 0 | 1 | 1 | 455 | 63 | 68% | 7.2 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 452 | 63 | 68% | 7.2 |
| Physical Therapy Aide | 0 | 2 | 2 | 446 | 62 | 67% | 7.2 |
| Feeding Assistant | 0 | 1 | 1 | 360 | 24 | 26% | 15 |
| Administrator | 1 | 0 | 1 | 352 | 44 | 48% | 8 |
| Occupational Therapy Aide | 0 | 2 | 2 | 263 | 47 | 51% | 5 |
| Medical Director | 0 | 1 | 1 | 57 | 25 | 27% | 2.3 |
Includes penalties issued in 2024-2025
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)
255% higher than State average
State average: $76K
98% more fines than State average
State average: 2.0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
2
137% more payment denials than State average
State average: 0.8
Penalties are imposed by CMS for violations of federal nursing home regulations.
4 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 8, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 22, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
May 22, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 22, 2024
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
3.7
56% better than State average
State average: 8.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.7
29% better than State average
State average: 16.3
Percent of long-stay residents whose need for help with daily activities has increased
4.2%
66% better than State average
State average: 12.5%
Percent of long-stay residents whose ability to move independently worsened
4.2%
72% better than State average
State average: 15.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.5%
26% worse than State average
State average: 21.0%
Percent of long-stay residents experiencing one or more falls with major injury
2.6%
17% better than State average
State average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
1.8%
68% better than State average
State average: 5.7%
Percent of long-stay residents with a urinary tract infection
0.7%
60% better than State average
State average: 1.7%
Percent of long-stay residents who lose too much weight
5.7%
In line with State average
State average: 5.7%
Percent of long-stay residents who have depressive symptoms
6.5%
68% worse than State average
State average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
4.6%
69% better than State average
State average: 15.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.7%
In line with State average
State average: 94.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.5%
In line with State average
State average: 95.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
70.6%
14% worse than State average
State average: 82.5%
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
46% better than State average
State average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
75.2%
5% worse than State average
State average: 79.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
28% of new residents, usually for short-term rehab.
51% of new residents, often for short stays.
21% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
91
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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Majestic Care of Flushing Assisted Living from 2012–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #101 / 143Payroll — State benchmarkedThis home is ranked 101st out of 143 homes in Michigan. Shows total annual staff payroll benchmarked to the Michigan average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Michigan that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #36 / 143Payroll % — State benchmarkedThis home is ranked 36th out of 143 homes in Michigan. Shows payroll as a percentage of revenue versus the Michigan average. Well-run Michigan facilities typically land around 49–59% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Michigan that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Housing Options: Studio
Building Type: Single-story
Transportation Services
Fitness and Recreation
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (51% of admissions), and a typical private pay stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.9 miles from city center
Estimated distance in miles from Flushing's city center to Majestic Care of Flushing Assisted Living's address, calculated via Google Maps.
Add your location
The information below is reported by the Michigan Department of Licensing and Regulatory Affairs (LARA).
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| Majestic Care of Flushing Assisted Living |
NH
AL
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Flushing | - | 40 | A+ | 5 | Studio |
| Covenant Living of the Great Lakes |
NH
AL
MC
RC
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Grand Rapids (Westside Connection) | - | 102 | A+ | 35 | 1 Bed / 2 Bed |
Majestic Care of Flushing Assisted Living is legally operated by Flushing AL Operations LLC.
Majestic Care of Flushing Assisted Living has a walk score of 5. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to MI state health department records, Majestic Care of Flushing Assisted Living's license number is AH250408318.
According to MI state health department records, Majestic Care of Flushing Assisted Living's license expires on July 31, 2027.
Majestic Care of Flushing Assisted Living's occupancy is 61.8%.
Majestic Care of Flushing Assisted Living is registered as a for-profit in MI.
Majestic Care of Flushing Assisted Living has 40 beds.
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