Below average — CMS composite of the measures below.
The next survey window likely opens around May 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Majestic Care Of Fairfield Llc during CMS and state inspections, most recent first.
Infection control practices were not followed for three residents. A resident on contact precautions for shingles had staff enter the room without the required gown and gloves, another resident had a tied bag containing a dirty incontinence brief left on the floor instead of being disposed of properly, and a resident on EBP for a G-tube received meds without the LPN wearing a gown. Facility staff and leadership confirmed the observed practices did not match policy.
Multiple insulin pen-injectors on medication carts were observed open without open dates, including Lantus, Humalog, Toujeo SoloStar, and Novolog FlexPen, and open TB vials were also found in medication fridges without open dates. The DON verified the findings, and the facility policy required opened multi-dose vials to be dated when opened and discarded within 28 days.
Food Storage and Labeling Deficiencies: The facility failed to store and label food in accordance with policy and professional standards. In the kitchen, staff found expired milk, multiple open food items with no dates, and food stored open to air. In resident unit refrigerators, an LPN observed spills and food particles, expired sandwiches, and several unlabeled or undated items, including watermelon, a frozen pizza, pretzel bites, and salad dressing.
Failure to Treat Residents with Dignity and Respect: Two residents with significant cognitive impairment were treated disrespectfully on the MCU. One resident requesting help to the bathroom was told from the nurse's station to go to her room and use the bathroom until an LPN later assisted her. Another resident was loudly scolded by an LPN after entering a room, with staff stating she steals stuff and directing her to leave and watch TV instead of playing Bingo.
A resident with dementia with behavioral disturbance, depression, and severe cognitive impairment had ongoing agitation and physical aggression, including hitting, scratching, biting, and altercations with another resident. The resident's representative and RN reported the behaviors continued after a psych hospitalization, and the DON confirmed there was no current care plan addressing the resident's mood and behaviors or guiding staff response.
Unsafe Resident Smoking Practices: A resident with lung disease, pneumonia, and anxiety was observed smoking a lit cigarette in the resident room while talking on the phone, despite a care plan and smoking assessment stating the resident could smoke unsupervised and only in designated areas. The resident said there was no memory of lighting the cigarette, and an LPN confirmed smelling smoke and seeing haze in the room. The facility policy allowed smoking only in designated outdoor areas.
Two residents were found smoking in their rooms despite the facility’s smoking policy allowing smoking only in designated outdoor areas. One resident with multiple chronic conditions, including emphysema and CHF, was documented smoking in bed on more than one occasion, and staff reported repeated incidents in a 24-hour period. Another resident with ESRD, CHF, COPD, and asthma was also found smoking in her room and using a denture cup as an ash tray. The residents were not listed as smokers, and leadership stated decisions about policy violations were left to the Administrator.
The facility, with a census of 135 residents, failed to employ a Licensed Social Worker (LSW) as required. Instead, a Social Work Consultant (SWC) without a social work license was providing services. The Administrator mistakenly believed the SWC was licensed and only realized the error after requesting her credentials. This deficiency was identified during a complaint investigation.
The facility failed to promptly notify residents, families, and authorities about a Legionella infection and potential water contamination. A resident was diagnosed with Legionnaires disease, and the facility was informed on August 19, but did not notify the Public Health Department or implement the Water Management Plan until August 26. This delay was confirmed through staff interviews and documentation review.
A facility failed to implement a water management program to prevent Legionella and did not report a case to local authorities. A resident was diagnosed with Legionnaires disease, but the facility did not document the diagnosis or notify the family or physician. The facility was informed by the health department but delayed action until after notification, indicating a lapse in infection control procedures.
The facility failed to maintain a sanitary environment, with observations of discolored ceiling tiles and dark stains due to frequent water leaks in the memory care unit and 200 and 300 halls. LPNs confirmed these issues, noting the use of containers to catch leaking water and the presence of mold in the memory unit nurses' station.
A facility failed to convey a deceased resident's funds to their estate in a timely manner. The resident's account had a balance of $150.97, which was not sent to the estate within the required 30 days after the resident's passing. The issue was identified during a complaint investigation, and the facility's administrator confirmed the oversight.
A resident with intact cognition reported a missing check, which was later found to have been cashed by a contracted housekeeper. The facility's initial investigation did not identify the perpetrator, and the allegation was unsubstantiated. Local law enforcement later identified the housekeeper, who was suspended and eventually pleaded guilty to petty theft.
A resident reported a missing check, which was later found to have been cashed by a contracted worker at the facility. The facility's investigation did not identify the perpetrator, and the allegation was unsubstantiated. The police later identified the suspect, but the facility did not update their investigation or notify the Ohio Department of Health.
Infection Control Practices Not Followed
Penalty
Summary
The facility failed to ensure staff followed infection control policies and procedures for residents on contact precautions, Enhanced Barrier Precautions (EBP), and proper waste disposal. Resident #77 was admitted with shingles, autoimmune hepatitis, end stage renal disease, anemia, hypertension, and chronic pain syndrome, and had a BIMS score of 15 with no cognitive impairment. The resident was ordered contact precautions and valacyclovir for shingles. During observation, CNA #96 entered the dialysis center wearing gloves, then entered Resident #77’s room and assisted the resident to bed after retrieving gloves from the doorway; CNA #96 did not don a gown as required by the signage. CNA #97 also entered the room without donning a gown and gloves as required. The Infection Preventionist/LPN confirmed the resident was on contact precautions and that staff should always don gloves and gown before entering the room of any resident in contact precautions. Resident #85 was admitted with emphysema, heart failure, chronic kidney disease, atherosclerotic heart disease, atrial fibrillation, hypertension, unspecified dementia with behavioral disturbance, and anxiety disorder, and had moderately impaired cognition. During observation, a tied plastic bag containing gloves and an incontinence brief was found on the floor inside the resident’s room near the door. CNA #85 confirmed the bag containing the dirty incontinence brief was not disposed of properly, and the DON stated the proper procedure was to dispose of the plastic bag in the biohazard room immediately. Resident #61 had Alzheimer’s disease with late onset, dementia, and GERD, with moderate cognition and partial to moderate assistance needed for all ADLs. During medication administration, the resident was on EBP for a G-tube, and LPN #25 applied hand sanitizer, donned gloves, and administered medications through the G-tube without donning a gown. The LPN stated that because wound care was not being performed, only gloves were needed. The facility policy required staff performing high contact care to wear a gown and gloves, and required PPE use according to facility policy.
Medication Storage and Labeling Deficiencies
Penalty
Summary
Drugs and biologicals were not stored and labeled in accordance with accepted professional principles. During observation with the DON, multiple residents’ insulin pen-injectors on the 400-1, 300, and 900-hall medication carts were found open without an open date, including insulin glargine (Lantus), insulin lispro, Toujeo SoloStar, Humalog, and Novolog FlexPen. The DON verified these findings at the time of observation. The affected residents included residents with diagnoses such as end stage renal disease, type 1 or type 2 diabetes, vascular dementia, peripheral vascular disease, morbid obesity, major depressive disorder, asthma, chronic ischemic heart disease, chronic respiratory failure, and hyperkalemia, with MDS assessments showing BIMS scores ranging from 12 to 15. The medication storage issue also involved open multi-dose vials in medication refrigerators. In the 200-hall and 900-hall medication rooms, open vials of tuberculin (TB) were observed without an open date, and the DON verified both findings. The facility policy titled Medication Administration, dated 10/30/2018, stated that multi-dose vials that have been opened should be dated when opened and discarded within 28 days.
Food Storage and Labeling Deficiencies
Penalty
Summary
The facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety. During observation of the kitchen with the Assistant Food Service Manager, the walk-in refrigerator contained two gallons of milk with an expiration date of 06/21/26. The walk-in freezer contained an open bag of pancakes with no open date, a bag of frozen carrots open to air, a bag of pepperoni open to air, and a bag of frozen hamburger patties open to air. There was also an open bag of dinner rolls that was undated and not secured properly, along with four bags of cereal that had been open with no date on the outside of any of the bags. The Assistant Food Service Manager verified these findings. Additional observations in resident unit refrigerators showed food storage issues in multiple areas. One unit refrigerator had spills and food particles throughout the unit and needed cleaning, as verified by an LPN. Another unit refrigerator contained three sandwiches past their expiration date, an open container of coated pretzel bites with an open date of 06/20/26 and no name, and an open bottle of salad dressing with no name and an open date of 11/01 with the year undecipherable. In the Memory Care Unit refrigerator, a Ziploc bag of watermelon had no name and no date, and the freezer compartment contained a frozen pizza with no name and no date. Facility policy required leftover food to be dated, labeled, covered, and stored or frozen, and food brought in by families or visitors to be labeled with a use-by date.
Failure to Treat Residents with Dignity and Respect
Penalty
Summary
Facility failed to treat residents with dignity and respect. Resident #39 was admitted with diagnoses including vascular dementia with psychotic mood disturbance, chronic obstructive pulmonary disease, and osteoarthritis, and the MDS showed the resident was cognitively impaired and required moderate assistance with toileting and bathing. During observation of the Memory Care Unit, Resident #39 was knocking on the nurse's station office door requesting help to the bathroom, but staff voices from inside the nurse's station told the resident to go to her room and use the bathroom. The resident repeated that she needed assistance and began walking away still requesting help until an LPN came from down the hallway and assisted her. The RN/Unit Manager then stated the resident usually knows to go to her room and go to the bathroom. The Administrator later stated staff should have gotten up and addressed the resident's needs. Resident #106 was admitted with diagnoses including vascular dementia, asthma, schizophrenia, heart disease, and dysphagia, and the most recent MDS showed severe cognitive impairment with a legal guardian making healthcare decisions. Observations on the Memory Care Unit showed the resident ambulatory and wandering, sometimes coloring or writing and interacting with others. During one observation, the resident entered a room through an open red door and then came back out, at which point an LPN yelled across the room, "no, no you can't be in that room," walked toward the resident, and continued speaking in a full voice that the resident steals stuff when she is in the room by herself. The resident said she just wanted to play Bingo, and the LPN responded that she could not play by herself and needed to go down the hall and watch TV with everyone else. The Administrator and DON stated that scolding a cognitively impaired resident was not appropriate and that staff on the MCU should know the proper way to redirect a resident.
Missing Behavior Care Plan for Resident with Aggression
Penalty
Summary
Facility failed to establish a mood and behavior care plan for a resident who demonstrated varying moods and behaviors. Resident #110 was admitted with diagnoses including dementia with behavioral disturbance, irritable bowel syndrome, spinal stenosis, and depression. The resident's MDS assessment showed severe cognitive impairment, dependence for all activities of daily living, and hospice services. The resident was sent to the hospital and admitted to a psychiatric unit on 05/01/26, then returned to the facility on 05/18/26. The resident's representative stated the resident had a history of behavioral issues, including physical aggression, and that the resident continued to have behaviors after returning from the hospital. The representative reported the resident could become aggressive when staff or family attempted to provide care or feed her, and that the resident had been found in another resident's room where an altercation occurred and both residents had physical injuries. RN #107 stated the resident hit, scratched, and bit to express displeasure, and that it took three staff to provide showers. The DON confirmed the resident did not have a current care plan addressing mood and behaviors and acknowledged there should be a care plan instructing staff how to deal with the resident's mood and behavior.
Unsafe Resident Smoking Practices
Penalty
Summary
The facility failed to ensure safe resident smoking practices by allowing a resident to smoke in a room instead of only in designated smoking areas. The resident had an admission diagnosis history that included lung disease, pneumonia, and anxiety, and the MDS identified the resident as cognitively intact. The smoking plan of care stated the resident could smoke unsupervised, and the most recent smoking assessment indicated the resident smoked safely, remained alert and aware while smoking, did not endanger self or others, turned oxygen off before lighting a cigarette, and smoked only in designated areas. During observation, surveyors found the resident sitting on the side of the bed in the resident room talking on the phone with a lit cigarette. The resident was asked to extinguish the cigarette, and a nurse was called to the room. The resident stated there was no remembrance of lighting a cigarette and said it must have been done out of habit. An LPN who responded verified smelling smoke and seeing haze in the room. The facility smoking policy stated smoking was only permitted in designated resident smoking areas outside, and if a resident was found smoking in a non-designated area, a care conference would be held and discharge may be initiated due to the safety risk.
Unsafe Resident Smoking Practices
Penalty
Summary
The facility failed to ensure residents followed safe smoking practices and permitted smoking in non-designated areas, including residents’ rooms. The smoking policy stated smoking was only allowed in designated outdoor areas and that smoking-related privileges, restrictions, and concerns were to be noted in the care plan. The facility identified 17 residents as smokers, but Residents #111 and #112 were not listed as smokers even though both were observed smoking in their rooms on multiple occasions. Resident #111 had diagnoses including emphysema, chronic angina, chronic kidney disease, anemia, hyperlipidemia, obstructive sleep apnea, fatty liver, major depressive disorder, edema, anxiety disorder, and congestive heart failure. His MDS described him as cognitively intact and did not indicate oxygen use, although the safe smoking review marked him as having short-term memory issues and assessed him as able to smoke safely. Staff documented that he was found smoking in his room in bed, was told smoking had to occur only in a designated area and under supervision, and later was again found smoking in his room while lying in bed. Staff also reported that he had been escorted to the smoking area at one point, and an LPN stated there were three separate times in a 24-hour period that he was found smoking in his room. Resident #112 had diagnoses including end stage renal disease, CHF, DM, COPD, asthma, depression, and GERD. Her care plan initially addressed ADL assistance, then was revised to identify her as a smoker with behavior of smoking in her room and a goal of complying with the smoking policy. Despite this, staff documented that she was found smoking in her room and later used a denture cup filled with water as an ash tray in her room. During interviews, the ADON and Administrator stated the residents were not listed as smokers because they did not smoke, and the Administrator said decisions about residents not following the smoking policy were left to him.
Facility Lacks Licensed Social Worker for Resident Services
Penalty
Summary
The facility failed to employ a Licensed Social Worker (LSW) to provide services to its residents, despite having a census of 135 residents, which exceeds the threshold of 120 beds requiring a full-time social worker. Observations revealed that a Social Work Consultant (SWC) was providing services, but there was no information posted regarding her license to practice as a social worker. Interviews with the Administrator and the SWC confirmed that the SWC had a bachelor's degree but was not a licensed social worker. The Administrator admitted to mistakenly believing the SWC was licensed and only discovered the lack of licensure upon requesting her credentials. This deficiency was identified during the investigation of Complaint Numbers OH00163464 and OH00163460.
Delayed Notification of Legionella Infection and Water Contamination
Penalty
Summary
The facility failed to promptly notify residents, families, and appropriate authorities about a Legionella infection and potential water contamination. This deficiency was identified through a review of medical records, facility signage, a letter from the Administrator, and staff interviews. A resident, who was cognitively intact and dependent on staff for various needs, was diagnosed with Legionnaires disease after being discharged to the hospital. The facility was informed of the diagnosis on August 19, 2024, but did not take immediate action to notify the Public Health Department or implement the Water Management Plan. The facility posted an emergency water plan on August 26, 2024, instructing the use of bottled water, and sent a notification letter to residents' families on August 27, 2024. Interviews with the Infection Control Prevention Nurse and the Director of Nursing confirmed the delay in notification and action. The Assistant Director of Nursing verified that residents and families were not informed until August 26, 2024, despite the facility being aware of the diagnosis on August 19, 2024. This deficiency was investigated under Complaint Number OH00157404.
Failure to Implement Water Management Program for Legionella Prevention
Penalty
Summary
The facility failed to implement a water management program to prevent Legionella in the water system and did not report a case of Legionella to the local authorities. This deficiency affected one resident who was diagnosed with Legionnaires disease and had the potential to affect all 149 residents residing at the facility. The resident was admitted to the hospital with a positive urine test for Legionella and returned to the facility after treatment. Despite being notified of the diagnosis, the facility did not document the new diagnosis in the resident's medical chart or notify the family or physician. The facility was informed of the resident's Legionella diagnosis by the local health department via email, but the facility did not take immediate action to implement the water management plan. The Assistant Director of Nursing (ADON) confirmed that the facility was not aware of the diagnosis until the health department's notification, and the Director of Nursing (DON) stated that there was no reason to notify the resident or family since treatment was completed at the hospital. The Infection Control Prevention (ICP) Nurse acknowledged that the facility failed to notify the Public Health Department or implement the Water Management Plan immediately after being informed of the diagnosis. The facility's infection control log and map of infections listed the resident with a new diagnosis of Legionella, but the facility did not act until after the local health department's notification. The facility's water management program was not effectively implemented, as evidenced by incomplete documentation in the Environmental Assessment of Water Systems report and water temperature audits. The facility's contract with a Water Management Consultant Company was signed after the notification, indicating a delay in addressing the issue.
Removal Plan
- Notify the physician, the local health department, and the Ohio Department of Health.
- Notify all residents, family members, responsible parties, and staff and document in the resident's chart.
- Notify the owner of the building.
- Activate the facility's emergency water policy.
- Post signage on all water outlets.
- Post signage at all points of entry into the facility.
- Utilize bag iced and bottles of water.
- Contact the lab and document the result of the discussion.
- Initiate a line listing of pneumonia, and review findings with the medical director.
- Begin heightened environmental and clinical monitoring.
- Review the facility Legionella Risk Assessment and correct any shortcomings.
- Review the facility water management plan.
- Begin discussion with industrial water management to complete remediation.
- Review concerns with other water pathogens.
- Social Services is to complete a wellness relative to the resident's psycho-social wellbeing.
- Formalize revisions to the Water Management program and notify residents of the changes.
- Post remediation sampling. If no Legionella is produced, then the testing can be reduced to quarterly.
- If the environmental sampling produces positive Legionella results, isolates should be typed and saved.
- Continue heightened physical environment and clinical monitoring.
Facility Fails to Maintain Sanitary Environment Due to Ceiling Leaks
Penalty
Summary
The facility failed to maintain a sanitary and comfortable environment for residents, staff, and the public, particularly affecting the memory care unit and the 200 and 300 halls. Observations on two consecutive days revealed multiple instances of discolored ceiling tiles and dark discoloration near sprinkler systems, sensors, and light fixtures. These issues were verified by several LPNs during interviews, who confirmed the presence of discolored and stained ceiling tiles in various locations, including the 300 hallway, outside specific rooms, and the memory unit dining area. Further interviews with LPNs revealed that the dark stains on ceiling tiles were a common occurrence due to frequent water leaks from the ceiling. In some areas, such as the 200 hall nurses' station and the memory unit nurses' station, containers and buckets were placed on the floor to catch leaking water. Additionally, there was a report of a hole in the ceiling and mold presence in the memory unit nurses' station, attributed to the frequent leaks. This deficiency was investigated under Complaint Number OH00156369.
Failure to Convey Resident Funds Post-Discharge
Penalty
Summary
The facility failed to ensure the timely conveyance of resident funds following the discharge of a resident. Specifically, the issue involved a resident who had passed away in the facility. The resident had an account balance of $150.97, and a subsequent deposit of $1160.00 was made by the Social Security Administration (SSA), bringing the total to $1310.97. However, the SSA later rescinded its payment, leaving the account with a negative balance. The facility did not provide evidence that the remaining balance of $150.97 was sent to the resident's estate within the required 30 days after the resident's passing. The deficiency was identified during a complaint investigation, affecting one of three residents reviewed for funds post-discharge. The facility's administrator confirmed the oversight, acknowledging that the payment should have been sent to the resident's estate. The failure to convey the funds in a timely manner represents non-compliance with the regulatory requirements for handling resident funds after discharge or death.
Failure to Protect Resident from Misappropriation of Property
Penalty
Summary
The facility failed to protect a resident from the misappropriation of her belongings, specifically a check from her checkbook. The resident, who had intact cognition and required assistance for daily activities, reported the missing check to the facility along with her family. The facility initiated a Self-Reported Incident (SRI) and conducted interviews with staff and residents, but did not identify a perpetrator at the time. The facility concluded the investigation without substantiating the allegation of misappropriation. Local law enforcement conducted a separate investigation and discovered that a contracted housekeeper at the facility, identified as SP #500, had deposited the resident's check into her own account. The police attempted to contact SP #500 but were initially unsuccessful. The facility was informed of SP #500's involvement after the police investigation, which led to her suspension from work. The facility's initial investigation did not include SP #500 as she was not identified during their inquiry. The facility's policy on abuse prevention, which includes misappropriation of resident property, was not effectively implemented in this case. The Director of Nursing and the Administrator were unaware of SP #500's involvement until after the facility's investigation had closed. The facility did not take further actions to ensure residents were free from misappropriation beyond re-educating staff and offering lockboxes to residents. The police report and court records confirmed that SP #500 pleaded guilty to petty theft, which was amended from a felony charge.
Failure to Investigate Misappropriation of Resident Funds
Penalty
Summary
The facility failed to conduct an accurate and thorough investigation into the misappropriation of a resident's funds. A resident, who had intact cognition and required assistance for activities of daily living, reported a missing check from her checkbook. The facility initiated a self-reported incident (SRI) and interviewed staff and residents, but did not identify a perpetrator. The facility concluded the investigation without substantiating the allegation, despite the police identifying a suspect who was a contracted housekeeper at the facility. The police investigation revealed that the resident's check was cashed by a facility-contracted worker, who was later charged with petty theft. The facility's investigation did not include this individual, as her identity was unknown at the time. The Director of Nursing confirmed that the contracted worker was not interviewed during the facility's investigation, and the facility did not update their investigation or notify the Ohio Department of Health once the suspect's identity was known. The facility's policy on abuse prevention outlined procedures for timely and thorough investigations, but these were not followed in this case. The facility did not conduct any audits or involve the Quality Assurance and Performance Improvement (QAPI) committee to ensure ongoing compliance. The failure to update the investigation and notify relevant authorities resulted in a deficiency related to the misappropriation of resident funds.
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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 Fairfield
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Parkside Nursing And Rehabilitation Center | 1.5 mi | ★★★★★ | 0 | 0 |
| Ayden Healthcare Of Fairfield | 2.6 mi | ★★★★★ | 40 | 0 |
| Carecore At The Meadows | 2.9 mi | ★★★★★ | 0 | 0 |
| Veranda Gardens Nursing & Rehabilitation Center | 3.1 mi | ★★★★★ | 6 | 0 |
| Hamilton Respiratory And Nursing Center | 3.2 mi | ★★★★★ | 14 | 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 October 2026) and official state health department websites.