Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Majestic Care Of Cedar Village. during CMS and state inspections, most recent first.
A nursing assistant who had completed CNA coursework but had not passed the state certification test was allowed to work as a CNA for longer than the four months permitted for uncertified aides. Human Resources confirmed the staff member continued working past the allowed period, resulting in non-compliance with staff qualification requirements and potentially affecting all residents.
Multiple observations revealed gnats and ants present on food trays and in dining areas, with trays left out from previous meals and pests confirmed by the DON, residents, and LPNs. Despite a pest control policy and cleaning schedules, pests were found on trays, food, and juice machine spouts, indicating ineffective pest management.
Staff failed to perform hand hygiene during incontinent care, handled medications with bare hands, and did not clean a shared glucometer between residents. Additionally, medication carts were found to be unsanitary, with loose pills and debris present. These deficiencies were confirmed through observation and staff interviews, affecting multiple residents and units.
A resident with multiple chronic conditions did not receive a prescribed combination tablet of folic acid, vitamin B6, and vitamin B12 as ordered, due to the medication not being available in the facility. Only the evening dose was administered, while the morning dose was missed on several dates. Staff interviews revealed that the correct medication was not supplied by the pharmacy, and there was no documented communication with the physician or pharmacy regarding the medication's unavailability or the need for refills.
The facility failed to maintain a clean kitchen area, potentially affecting 133 residents. Observations revealed a swarm of insects around exposed potatoes stored improperly. The Director of Nutritional and Food Services confirmed the issue, acknowledging improper storage practices.
A resident with multiple diagnoses, including diabetes and chronic kidney disease, developed a severe wound infection and possible osteomyelitis due to the facility's failure to complete weekly skin assessments and ensure timely wound care. The resident missed two wound clinic appointments, leading to hospitalization and a diagnosis of a right heel pressure ulcer with wet necrosis and suspected superimposed infection/osteomyelitis.
The facility failed to maintain medication error rates below 5%, resulting in an 11.5% error rate. Two residents received incorrect medications due to staff not following physician orders and facility policy.
Unqualified Nursing Assistant Worked Beyond Permitted Timeframe
Penalty
Summary
The facility failed to ensure that a nursing assistant was properly qualified to provide resident care, as required by regulations. Record review showed that a nursing assistant was hired after completing a CNA course but had not passed the state certification test. Despite this, the staff member worked as a CNA for a period exceeding the four months allowed for individuals who have not yet obtained certification. Human Resources confirmed that the nursing assistant continued to work past the permitted timeframe without having passed the state test, resulting in non-compliance with staffing qualification requirements. This issue had the potential to affect all 142 residents in the facility, as the staff member was involved in direct resident care.
Failure to Maintain Pest-Free Environment in Dining Areas
Penalty
Summary
The facility failed to maintain a pest-free environment, as evidenced by multiple observations of gnats and ants present on food trays and in dining areas. During an initial tour with the DON, dinner trays from the previous day were found in the Gardenia, Apple, and Peach unit dining areas, with gnats and ants observed on the trays and food. The DON confirmed the presence of these pests during the tour. Further observations included gnats on a resident's meal tray while eating breakfast, with both the resident and an LPN confirming that gnats are often present. Additional inspection revealed multiple gnats on all four spouts of a juice machine in the Peach unit, with confirmation from another LPN. Review of pest control work orders indicated recent treatment for gnats and ants, though light gnat activity was still noted and no ant activity was observed at that time. Cleaning schedules indicated that dining rooms are to be cleaned after each meal and trays taken to the kitchen, but trays were found left out with food and pests present. The facility's pest control policy states an intent to eradicate and contain pests, but the observations and interviews demonstrate that pests were not effectively controlled, affecting all residents in the facility.
Infection Control and Medication Administration Deficiencies
Penalty
Summary
Staff failed to follow proper infection prevention and control protocols during resident care and medication administration. During incontinent care for a resident with multiple comorbidities, including diabetes mellitus, ulcerative colitis, and morbid obesity, a CNA did not perform hand hygiene after removing soiled gloves and before donning new gloves. The CNA also failed to perform hand hygiene after removing gloves a second time and exiting the resident's room to provide a shower. These actions were observed and confirmed by an LPN, and were not in accordance with the facility's hand hygiene policy, which requires handwashing before and after direct resident contact and after glove removal. Medication administration practices were also found to be deficient. An LPN was observed removing multiple medications from pill cards with bare hands and physically touching each pill before administering them to three different residents. Additionally, the same LPN failed to clean a multi-resident blood glucometer between uses on different residents, despite being aware that the glucometer should be sanitized after each use. These practices were confirmed through staff interviews and were not consistent with infection control standards. Environmental sanitation issues were identified in the medication storage areas. The medication cart on one unit, which served 26 residents, was found to contain loose and broken tablets, as well as a significant accumulation of pill fragments and debris under the medication cards. Staff interviews confirmed that cleaning tasks were assigned but not consistently completed, and the Director of Nursing acknowledged that medication carts should be routinely cleaned and free of loose medications. Facility policies required proper storage and sanitation of medications, which was not maintained.
Failure to Provide and Administer Prescribed Medication Due to Lack of Availability and Communication
Penalty
Summary
The facility failed to ensure that a resident received medication as ordered by the physician, specifically a combination tablet of folic acid, vitamin B6, and vitamin B12, prescribed to be administered twice daily. Medical record review showed that the resident, who had multiple diagnoses including irritable bowel syndrome, hypothyroidism, chronic kidney disease, and chronic congestive heart failure, did not receive the morning dose of the prescribed medication on numerous dates in July and August. The Medication Administration Record (MAR) indicated that only the evening dose was consistently administered, while the morning dose was missed on several occasions. Interviews with staff revealed that the prescribed medication was not available in the facility, and the over-the-counter alternative did not match the required formulation, so it was not administered. The LPN could not recall if the physician or pharmacy was notified about the unavailability of the medication. The pharmacist confirmed that the pharmacy did not supply the required medication, and the DON verified that there was no documentation of communication with the physician or pharmacy regarding the missing medication or need for refills. The DON also could not confirm what medication, if any, was being administered in place of the prescribed formula.
Sanitation Deficiency in Kitchen Area
Penalty
Summary
The facility failed to maintain a clean and sanitary kitchen area, which had the potential to affect 133 residents who received meals from the kitchen. During an observation, a large swarm of small flying insects was found around two boxes of exposed potatoes stored openly under a window and near the ice machine. The Director of Nutritional and Food Services confirmed the presence of the insects and acknowledged that the potatoes should not have been stored in that manner. This deficiency was investigated under Complaint Number OH00156079.
Failure to Provide Necessary Pressure Ulcer Care
Penalty
Summary
The facility failed to ensure that Resident #20 received the necessary treatment and services to promote healing and prevent infections for a pressure ulcer. Resident #20, who had multiple pertinent diagnoses including type two diabetes mellitus with diabetic neuropathy and chronic kidney disease, was admitted to the facility with a right large heel pressure ulcer. Despite having a care plan in place that included regular skin assessments and wound care, the facility did not complete weekly skin assessments from 03/13/24 to 04/08/24. This lapse in care led to the resident developing a wound infection and possible osteomyelitis, resulting in hospitalization on 04/09/24. The resident's wound measurements were not documented during this period, and the resident missed two wound clinic appointments due to feeling unwell, which further exacerbated the situation. The facility's Director of Nursing confirmed the lack of wound assessments during this critical period. The resident's condition deteriorated, leading to a hospital diagnosis of a right heel pressure ulcer with wet necrosis and suspected superimposed infection/osteomyelitis. Hospital records revealed the presence of Methicillin Resistant Staphylococcus Aureus, Escherichia coli, and Candida Albicans in the wound culture, and the resident was receiving intravenous antibiotics. The facility's skin management policy required weekly skin assessments, which were not adhered to in this case, resulting in actual harm to the resident.
Medication Administration Errors Leading to 11.5% Error Rate
Penalty
Summary
The facility failed to ensure medication error rates were less than 5%, resulting in an 11.5% error rate. This was observed during medication administration for two residents. Resident #30, who has diagnoses including hypertensive heart disease and gastrointestinal hemorrhage, was prescribed Calcium Carbonate with Vitamin D but was only given Calcium 600 mg by RN #10. The nurse confirmed the error during an interview. Resident #75, with diagnoses such as acute kidney failure and type two diabetes mellitus, was supposed to receive Polysaccharide Iron Complex and Senna-S but was instead given Colace and other medications by LPN #15. The nurse admitted to not administering the correct medications as per the physician's orders. The facility's policy on medication administration was not followed, contributing to these errors.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Mason
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Mcv Health Care Facilities, Inc | 0.6 mi | ★★★★★ | 2 | 0 |
| Chesterwood Atc | 2.4 mi | ★★★★★ | 0 | 0 |
| Mason Health Care Center | 2.8 mi | ★★★★★ | 0 | 0 |
| Heritagespring Healthcare Center Of West Chester | 3.2 mi | ★★★★★ | 3 | 1 |
| Lodge Nursing & Rehab Center | 3.2 mi | ★★★★★ | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release June 2026) and official state health department websites.