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CMS Nursing Home Compare · August 2026

Majestic Care of Livonia

28550 Five Mile Road, Livonia, MI 48154 · All homes in Livonia

Majestic Care of Livonia, a 142-bed for profit - corporation nursing facility in Livonia, MI, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #241 of 420 rated homes in MI on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 4 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 7344278270

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3 / 5
Average · CMS overall · nat'l 3.0
#241 of 420
In-state rank among rated MI homes
3.59
Below average · nurse hrs/day · nat'l 3.86
46
Inspection findings · 4 serious

The verdict

Majestic Care of Livonia, a 142-bed for profit - corporation nursing facility in Livonia, MI, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #241 of 420 rated homes in MI on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 4 inspection findings reached the actual-harm or immediate-jeopardy level.

3 / 5
CMS overall · national 3.0
#241 of 420
In-state rank among rated MI homes
3.59
Nurse hrs/resident-day · national 3.86
46
Inspection findings · 4 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 422 MI nursing homes split by ownership sector

This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

2/5

Staffing

3/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
235057
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
142
Residents
96
In Hospital
No
County
Wayne
Last Inspection
Feb 26, 2026

Staffing Data

How the 3.59 total nursing hours per resident-day are staffed:

RN Hours
0.31 (nat'l avg: 0.69)
LPN Hours
1.23
CNA Hours
2.05
Total Nursing Hours
3.59 (nat'l avg: 3.86)
PT Hours
0.00
Nursing Turnover
39.8%
RN Turnover
20.0%

What the CMS Record Reveals About Majestic Care of Livonia

According to CMS Nursing Home Compare, Majestic Care of Livonia ranks #241 of 420 rated nursing homes in MI on overall stars (tie-broken by health+staffing+quality, then fewer fines). Majestic Care of Livonia operates 142 certified beds in Livonia, MI with approximately 96 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars (health inspection 2★ · staffing 3★ · quality 5★).

The inspection file contains 46 deficiency records from recent surveys, of which 4 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS enforcement records show 3 penalties totaling $139K levied against this facility. Staffing is reported at 3.59 total nursing hours per resident day (national average 3.86), with RN coverage at 0.31 per resident day.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Majestic Care of Livonia falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 39.8% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (46 most recent)

D - Isolated - Minimal harm Feb 26, 2026 Tag: 0842

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 20, 2026

D - Isolated - Minimal harm Feb 26, 2026 Tag: 0804

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

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 20, 2026

D - Isolated - Minimal harm Feb 26, 2026 Tag: 0756

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

Category: Pharmacy Service Deficiencies

Corrected: Mar 20, 2026

D - Isolated - Minimal harm Feb 26, 2026 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 20, 2026

D - Isolated - Minimal harm Feb 26, 2026 Tag: 0640

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 20, 2026

D - Isolated - Minimal harm Feb 26, 2026 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Mar 20, 2026

E - Pattern - Minimal harm Feb 26, 2026 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Mar 20, 2026

D - Isolated - Minimal harm May 28, 2025 Tag: 0602

Protect each resident from the wrongful use of the resident's belongings or money.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 19, 2025

D - Isolated - Minimal harm Feb 5, 2025 Tag: 0657

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 21, 2025

D - Isolated - Minimal harm Dec 10, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 30, 2024

D - Isolated - Minimal harm Dec 10, 2024 Tag: 0806

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 30, 2024

D - Isolated - Minimal harm Dec 10, 2024 Tag: 0804

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

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 30, 2024

D - Isolated - Minimal harm Dec 10, 2024 Tag: 0761

Ensure 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.

Category: Pharmacy Service Deficiencies

Corrected: Dec 30, 2024

D - Isolated - Minimal harm Dec 10, 2024 Tag: 0699

Provide care or services that was trauma informed and/or culturally competent.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 30, 2024

D - Isolated - Minimal harm Dec 10, 2024 Tag: 0692

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

Category: Quality of Life and Care Deficiencies

Corrected: Dec 30, 2024

D - Isolated - Minimal harm Dec 10, 2024 Tag: 0688

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 30, 2024

D - Isolated - Minimal harm Dec 10, 2024 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Dec 30, 2024

D - Isolated - Minimal harm Dec 10, 2024 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Dec 30, 2024

D - Isolated - Minimal harm Dec 10, 2024 Tag: 0657

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 30, 2024

D - Isolated - Minimal harm Dec 10, 2024 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Dec 30, 2024

F - Widespread - Minimal harm Dec 10, 2024 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 30, 2024

F - Widespread - Minimal harm Dec 10, 2024 Tag: 0727

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Category: Nursing and Physician Services Deficiencies

Corrected: Dec 30, 2024

D - Isolated - Minimal harm Oct 16, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 31, 2024

D - Isolated - Minimal harm Oct 15, 2024 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 31, 2024

D - Isolated - Minimal harm Sep 26, 2024 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 27, 2024

D - Isolated - Minimal harm Sep 5, 2024 Tag: 0626

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Category: Resident Rights Deficiencies

Corrected: Sep 27, 2024

D - Isolated - Minimal harm Aug 1, 2024 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Jul 26, 2024

G - Isolated - Actual harm Jul 24, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 5, 2024

C - Widespread - No harm Jul 18, 2024 Tag: 0680

Ensure the activities program is directed by a qualified professional.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 30, 2024

E - Pattern - Minimal harm Jul 18, 2024 Tag: 0565

Honor the resident's right to organize and participate in resident/family groups in the facility.

Category: Resident Rights Deficiencies

Corrected: Jun 26, 2024

E - Pattern - Minimal harm Jul 18, 2024 Tag: 0561

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Category: Resident Rights Deficiencies

Corrected: Jul 30, 2024

J - Isolated - Jeopardy Apr 4, 2024 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Apr 5, 2024

D - Isolated - Minimal harm Feb 22, 2024 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Feb 23, 2024

D - Isolated - Minimal harm Nov 28, 2023 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Dec 4, 2023

G - Isolated - Actual harm Oct 31, 2023 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 13, 2023

D - Isolated - Minimal harm Oct 4, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 13, 2023

D - Isolated - Minimal harm Oct 4, 2023 Tag: 0761

Ensure 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.

Category: Pharmacy Service Deficiencies

Corrected: Oct 13, 2023

D - Isolated - Minimal harm Oct 4, 2023 Tag: 0758

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category: Pharmacy Service Deficiencies

Corrected: Oct 13, 2023

D - Isolated - Minimal harm Oct 4, 2023 Tag: 0657

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 13, 2023

D - Isolated - Minimal harm Oct 4, 2023 Tag: 0626

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Category: Resident Rights Deficiencies

Corrected: Oct 13, 2023

E - Pattern - Minimal harm Oct 4, 2023 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 13, 2023

F - Widespread - Minimal harm Oct 4, 2023 Tag: 0814

Dispose of garbage and refuse properly.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 13, 2023

F - Widespread - Minimal harm Oct 4, 2023 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 13, 2023

F - Widespread - Minimal harm Oct 4, 2023 Tag: 0584

Honor 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.

Category: Resident Rights Deficiencies

Corrected: Oct 13, 2023

H - Pattern - Actual harm Oct 4, 2023 Tag: 0600

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 13, 2023

D - Isolated - Minimal harm Aug 23, 2023 Tag: 0584

Honor 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.

Category: Resident Rights Deficiencies

Corrected: Aug 24, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 2.3% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.7% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.3% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.4% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 1.8% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 4.9% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 5.4% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.5% Yes
Percentage of long-stay residents who lose too much weight Long Stay 4.7% No
Percentage of long-stay residents who have depressive symptoms Long Stay 2.5% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 61.1% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 8.1% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 57.6% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 29.5% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 18.6% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 13.5% No

Penalty History 3 penalties totaling $139K

Date Type Amount
Jul 18, 2024 Fine $13K
Apr 4, 2024 Fine $32K
Oct 4, 2023 Fine $94K
Oct 4, 2023 Payment Denial -

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Majestic Care of Livonia, both outside MI so the neighborhoods are not the same-state geography list below.

What the CMS records show for Majestic Care of Livonia

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The MI registry aggregates state averages and the highest-rated homes in this cohort. View MI registry
  • Peer homes near 142 beds show how CMS stars vary at a similar scale in MI. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Majestic Care of Livonia?
Majestic Care of Livonia has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (2★), staffing levels (3★), and quality measures (5★).
Where does Majestic Care of Livonia rank among nursing homes in MI?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Majestic Care of Livonia ranks 241st among 420 rated nursing homes in MI (#241 of 420). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Majestic Care of Livonia?
Majestic Care of Livonia reports 3.59 total nursing hours per resident day (national average: 3.86). RN hours are 0.31 per resident day (national average: 0.69). Nursing staff turnover is 39.8%.
How many beds does Majestic Care of Livonia have?
Majestic Care of Livonia has 142 certified beds with approximately 96 residents. The facility is located at 28550 Five Mile Road, Livonia, MI 48154.
Does Majestic Care of Livonia have any deficiencies on record?
Yes, Majestic Care of Livonia has 46 deficiencies on record from recent inspections. Of these, 4 are classified as causing actual harm or jeopardy.
Has Majestic Care of Livonia received any fines or penalties?
Yes, Majestic Care of Livonia has received 3 penalties totaling $139K.
Who owns Majestic Care of Livonia?
Majestic Care of Livonia is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Majestic Care of Livonia last inspected?
The most recent health inspection for Majestic Care of Livonia was on Feb 26, 2026. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Majestic Care of Livonia?
Majestic Care of Livonia is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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