MAJESTIC CARE OF GOSHEN
2400 COLLEGE AVE, GOSHEN, IN 46528 · CCN 155689
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★☆ 4
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 186
- Avg residents/day
- 113.3
- Phone
- 5745330351
Inspection history vs Indiana & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Indiana avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-01-23 | 15 | 7.6 | 9.5 | +7.4 worse |
| 2 | 2024-03-02 | 40 | 7.9 | 9.8 | +32.1 worse |
| 3 | 2023-01-18 | 28 | 8.8 | 9.3 | +19.2 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 7 |
| Resident assessment and care planning | 1 |
| Resident rights | 2 |
| Nutrition and dietary | 1 |
| Pharmacy service | 2 |
| Administration | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.28 | 61.3% |
| RN staffing (reported) | 0.66 | 55.6% |
| Total nurse staffing (adjusted) | 2.73 | — |
Fines & penalties
- Total fines
- $16,036
- Number of fines
- 2
- Number of penalties
- 3
- Payment denials
- 1
Chain
- Chain
- MAJESTIC CARE
- Facilities in chain
- 34
- Chain avg overall
- 2.60 / 5
Inspection citations (83)2 actual harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2026-01-07 · Health · corrected 2026-01-20
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2026-01-07 · Health · corrected 2026-01-20
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2026-01-07 · Health · corrected 2026-01-20
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-09-10 · Health · corrected 2025-10-01
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-01-23 · Health · corrected 2025-02-12
Potential for more than minimal harm
- DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2025-01-23 · Health · corrected 2025-02-12
Potential for more than minimal harm
- DF0646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.2025-01-23 · Health · corrected 2025-02-12
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-01-23 · Health · corrected 2025-02-12
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-01-23 · Health · corrected 2025-02-12
Potential for more than minimal harm
- DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2025-01-23 · Health · corrected 2025-02-12
Potential for more than minimal harm
- DF0758Implement 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.2025-01-23 · Health · corrected 2025-02-12
Potential for more than minimal harm
- DF0761Ensure 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.2025-01-23 · Health · corrected 2025-02-12
Potential for more than minimal harm
- DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2025-01-23 · Health · corrected 2025-02-12
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-01-23 · Health · corrected 2025-02-12
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-01-23 · Health · corrected 2025-02-12
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-11-14 · Health · corrected 2024-11-30
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-11-14 · Health · corrected 2024-11-30
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-11-14 · Health · corrected 2024-11-30
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-09-12 · Health · corrected 2024-09-27
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-09-12 · Health · corrected 2024-09-27
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-09-12 · Health · corrected 2024-09-27
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-08-16 · Health · corrected 2024-09-09
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-08-16 · Health · corrected 2024-09-09
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-08-16 · Health · corrected 2024-09-09
Potential for more than minimal harm
- DF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2024-08-16 · Health · corrected 2024-09-09
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-08-01 · Health · corrected 2024-08-13
Potential for more than minimal harm
- EF0584Honor 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.2024-03-02 · Health · corrected 2024-03-22
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-03-02 · Health · corrected 2024-03-22
Actual harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-03-02 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-03-02 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2024-03-02 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-03-02 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0625Notify 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.2024-03-02 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-03-02 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-03-02 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-03-02 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-03-02 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2024-03-02 · Health · corrected 2024-03-22
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-03-02 · Health · corrected 2024-04-16
Actual harm
- DF0685Assist a resident in gaining access to vision and hearing services.2024-03-02 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-03-02 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-03-02 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2024-03-02 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-03-02 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-03-02 · Health · corrected 2024-03-22
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2024-03-02 · Health · corrected 2024-03-22
Potential for minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-03-02 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0758Implement 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.2024-03-02 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0791Provide or obtain dental services for each resident.2024-03-02 · Health · corrected 2024-03-22
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-03-02 · Health · corrected 2024-03-22
Potential for more than minimal harm
- EF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2024-03-02 · Health · corrected 2024-03-22
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-03-02 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-03-02 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-03-02 · Health · corrected 2024-03-22
Potential for more than minimal harm
- EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-03-02 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-01-04 · Health · corrected 2024-01-12
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-10-23 · Health · corrected 2023-11-03
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-07-26 · Health · corrected 2023-08-11
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-07-26 · Health · corrected 2023-08-11
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-06-01 · Health · corrected 2023-06-15
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-05-01 · Health · corrected 2023-06-04
Potential for more than minimal harm
- EF0602Protect each resident from the wrongful use of the resident's belongings or money.2023-05-01 · Health · corrected 2023-06-04
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-05-01 · Health · corrected 2023-06-04
Potential for more than minimal harm
- DF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2023-05-01 · Health · corrected 2023-06-04
Potential for more than minimal harm
- DF0693Ensure 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.2023-05-01 · Health · corrected 2023-06-04
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2023-05-01 · Health · corrected 2023-06-04
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2023-05-01 · Health · corrected 2023-06-04
Potential for more than minimal harm
- DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2023-01-18 · Health · corrected 2023-02-10
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-01-18 · Health · corrected 2023-02-10
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-01-18 · Health · corrected 2023-02-10
Potential for more than minimal harm
- DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2023-01-18 · Health · corrected 2023-02-10
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-01-18 · Health · corrected 2023-02-10
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-01-18 · Health · corrected 2023-02-10
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-01-18 · Health · corrected 2023-02-10
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2023-01-18 · Health · corrected 2023-02-10
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-01-18 · Health · corrected 2023-02-10
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-01-18 · Health · corrected 2023-02-10
Potential for more than minimal harm
- DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2023-01-18 · Health · corrected 2023-02-10
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-01-18 · Health · corrected 2023-02-10
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-01-18 · Health · corrected 2023-02-10
Potential for more than minimal harm
- DF0758Implement 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.2023-01-18 · Health · corrected 2023-02-10
Potential for more than minimal harm
- DF0761Ensure 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.2023-01-18 · Health · corrected 2023-02-10
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-01-18 · Health · corrected 2023-02-10
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| ADAMS COUNTY MEMORIAL HOSPITAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2013-02-19 |
| SMITH, SCOTT | Individual | CORPORATE OFFICER | — | 2020-01-01 |
| SPRUNGER, KYLE | Individual | CORPORATE OFFICER | — | 2018-01-01 |
| WHEELER, DANE | Individual | CORPORATE OFFICER | — | 2009-09-14 |
| SPRUNGER, KYLE | Individual | W-2 MANAGING EMPLOYEE | — | 2017-08-01 |
Other facilities in GOSHEN
| Name | Overall | Beds |
|---|---|---|
| WATERFORD CROSSING | ★★★★★ | 87 |
| RESTORACY OF GOSHEN, THE | ★★★☆☆ | 48 |
| GREENCROFT HEALTHCARE | ★★☆☆☆ | 231 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.