Below 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 July 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.
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.
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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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
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 | ★★★★★ | 15 | 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 July 2026) and official state health department websites.