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MAJESTIC CARE OF SOUTH BEND

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MAJESTIC CARE OF SOUTH BEND is a for profit - individual facility in SOUTH BEND, IN with 103 certified beds and a 2-star overall CMS rating. The facility has 50 deficiency records on file. Total penalties: $116K.

52654 N IRONWOOD RD, SOUTH BEND, IN 46635

Phone: 5742778710

Overall Rating

2/5

Health Inspection

1/5

Staffing

1/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
155219
Ownership
For profit - Individual
Provider Type
Medicare and Medicaid
Beds
103
Residents
66
In Hospital
No
County
St. Joseph
Last Inspection
Aug 19, 2025

Staffing Data

RN Hours
0.58 (nat'l avg: 0.68)
LPN Hours
0.58
CNA Hours
2.46
Total Nursing Hours
3.61 (nat'l avg: 3.89)
PT Hours
0.05
Nursing Turnover
75.0%
RN Turnover
80.0%

What the CMS Record Reveals About MAJESTIC CARE OF SOUTH BEND

MAJESTIC CARE OF SOUTH BEND operates 103 certified beds in SOUTH BEND, IN with approximately 66 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (1★), and quality measures (5★). 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.

The inspection file contains 50 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 3 penalties totaling $116K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.61 total nursing hours per resident day (national average 3.89), with RN coverage at 0.58 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Individual" ownership and operating as a "Medicare and Medicaid" provider, MAJESTIC CARE OF SOUTH BEND falls into a category where comparative context matters. 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. Reported nursing turnover at this facility is 75.0%, above the level where continuity of care typically begins to suffer. 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 details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

D — Isolated - Minimal harm Oct 4, 2024 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: Nov 7, 2024

D — Isolated - Minimal harm Oct 4, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Nov 7, 2024

E — Pattern - Minimal harm Oct 4, 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: Nov 7, 2024

D — Isolated - Minimal harm Oct 4, 2024 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Nov 7, 2024

D — Isolated - Minimal harm Oct 4, 2024 Tag: 0693

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 7, 2024

D — Isolated - Minimal harm Oct 4, 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: Nov 7, 2024

E — Pattern - Minimal harm Oct 4, 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: Nov 7, 2024

D — Isolated - Minimal harm Oct 4, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 7, 2024

D — Isolated - Minimal harm Oct 4, 2024 Tag: 0625

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Category: Resident Rights Deficiencies

Corrected: Nov 7, 2024

D — Isolated - Minimal harm Oct 4, 2024 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Nov 7, 2024

D — Isolated - Minimal harm Oct 4, 2024 Tag: 0582

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

Category: Resident Rights Deficiencies

Corrected: Nov 7, 2024

D — Isolated - Minimal harm Oct 4, 2024 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Nov 7, 2024

E — Pattern - Minimal harm Aug 23, 2024 Tag: 0726

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

Category: Nursing and Physician Services Deficiencies

Corrected: Sep 12, 2024

K — Pattern - Jeopardy Aug 23, 2024 Tag: 0698

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 12, 2024

D — Isolated - Minimal harm Aug 23, 2024 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Sep 12, 2024

E — Pattern - Minimal harm Jul 15, 2024 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: Aug 8, 2024

D — Isolated - Minimal harm Jul 15, 2024 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Aug 8, 2024

F — Widespread - Minimal harm Jul 15, 2024 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Sep 12, 2024

J — Isolated - Jeopardy Jul 15, 2024 Tag: 0678

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 8, 2024

D — Isolated - Minimal harm Feb 20, 2024 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 7, 2024

D — Isolated - Minimal harm Feb 20, 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: Mar 7, 2024

D — Isolated - Minimal harm Jan 11, 2024 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Jan 26, 2024

D — Isolated - Minimal harm Jan 11, 2024 Tag: 0580

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

Category: Resident Rights Deficiencies

Corrected: Jan 26, 2024

J — Isolated - Jeopardy Oct 12, 2023 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: Oct 4, 2023

D — Isolated - Minimal harm Aug 28, 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: Sep 30, 2023

E — Pattern - Minimal harm Aug 28, 2023 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: Sep 30, 2023

D — Isolated - Minimal harm Aug 28, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 30, 2023

E — Pattern - Minimal harm Aug 28, 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: Sep 30, 2023

D — Isolated - Minimal harm Aug 28, 2023 Tag: 0791

Provide or obtain dental services for each resident.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 30, 2023

E — Pattern - Minimal harm Aug 28, 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: Sep 30, 2023

D — Isolated - Minimal harm Aug 28, 2023 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Sep 30, 2023

D — Isolated - Minimal harm Aug 28, 2023 Tag: 0757

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

Category: Pharmacy Service Deficiencies

Corrected: Sep 30, 2023

D — Isolated - Minimal harm Aug 28, 2023 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: Sep 30, 2023

D — Isolated - Minimal harm Aug 28, 2023 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Sep 30, 2023

D — Isolated - Minimal harm Aug 28, 2023 Tag: 0699

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 30, 2023

D — Isolated - Minimal harm Aug 28, 2023 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 30, 2023

D — Isolated - Minimal harm Aug 28, 2023 Tag: 0692

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 30, 2023

D — Isolated - Minimal harm Aug 28, 2023 Tag: 0685

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 30, 2023

D — Isolated - Minimal harm Aug 28, 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: Sep 30, 2023

D — Isolated - Minimal harm Aug 28, 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: Sep 30, 2023

D — Isolated - Minimal harm Aug 28, 2023 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 30, 2023

D — Isolated - Minimal harm Aug 28, 2023 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Sep 30, 2023

D — Isolated - Minimal harm Aug 28, 2023 Tag: 0569

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

Category: Resident Rights Deficiencies

Corrected: Sep 30, 2023

D — Isolated - Minimal harm Aug 28, 2023 Tag: 0567

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

Category: Resident Rights Deficiencies

Corrected: Sep 30, 2023

E — Pattern - Minimal harm Mar 13, 2023 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: Mar 24, 2023

D — Isolated - Minimal harm Aug 5, 2022 Tag: 0883

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

Category: Infection Control Deficiencies

Corrected: Aug 26, 2022

E — Pattern - Minimal harm Aug 5, 2022 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Aug 26, 2022

E — Pattern - Minimal harm Aug 5, 2022 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: Aug 26, 2022

E — Pattern - Minimal harm Aug 5, 2022 Tag: 0838

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Category: Administration Deficiencies

Corrected: Aug 26, 2022

D — Isolated - Minimal harm Aug 5, 2022 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: Aug 26, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 5.3% Yes
Percentage of long-stay residents who lose too much weight Long Stay 10.8% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.4% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 13.8% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.8% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.6% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 95.7% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 9.3% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 6.8% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 23.1% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 81.9% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 12.5% No
Percentage of long-stay residents with pressure ulcers Long Stay 8.4% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 24.1% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 13.7% Yes

Penalty History 3 penalties totaling $116K

Date Type Amount
Jul 15, 2024 Fine $17K
Jul 15, 2024 Fine $84K
Jul 15, 2024 Payment Denial -
Aug 28, 2023 Fine $15K

Frequently Asked Questions

What is the overall CMS rating for MAJESTIC CARE OF SOUTH BEND?
MAJESTIC CARE OF SOUTH BEND has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (1★), staffing levels (1★), and quality measures (5★).
What are the staffing levels at MAJESTIC CARE OF SOUTH BEND?
MAJESTIC CARE OF SOUTH BEND reports 3.61 total nursing hours per resident day (national average: 3.89). RN hours are 0.58 per resident day (national average: 0.68). Nursing staff turnover is 75.0%.
How many beds does MAJESTIC CARE OF SOUTH BEND have?
MAJESTIC CARE OF SOUTH BEND has 103 certified beds with approximately 66 residents. The facility is located at 52654 N IRONWOOD RD, SOUTH BEND, IN 46635.
Does MAJESTIC CARE OF SOUTH BEND have any deficiencies on record?
Yes, MAJESTIC CARE OF SOUTH BEND has 50 deficiencies on record from recent inspections. Of these, 3 are classified as causing actual harm or jeopardy.
Has MAJESTIC CARE OF SOUTH BEND received any fines or penalties?
Yes, MAJESTIC CARE OF SOUTH BEND has received 3 penalties totaling $116K.
Who owns MAJESTIC CARE OF SOUTH BEND?
MAJESTIC CARE OF SOUTH BEND is classified as "For profit - Individual" ownership. The facility type is "Medicare and Medicaid".
When was MAJESTIC CARE OF SOUTH BEND last inspected?
The most recent health inspection for MAJESTIC CARE OF SOUTH BEND was on Aug 19, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for MAJESTIC CARE OF SOUTH BEND?
MAJESTIC CARE OF SOUTH BEND 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. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial