All citations for Majestic Care of Carmel

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Majestic Care of Carmel

Last standard health inspection on record

July 28, 2025

Showing 1 to 23 of 23 citations

  1. No harm, with potential for more than minimal harm

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of May 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 2, 2023).

  2. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of May 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 2, 2023).

  3. No harm, with potential for more than minimal harm

    Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0361, Smoke Deficiencies. Inspection of May 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 2, 2023).

  4. No harm, with potential for more than minimal harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of May 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 2, 2023).

  5. No harm, with potential for more than minimal harm

    Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0927, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 2, 2023).

  6. No harm, with potential for more than minimal harm

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0211, Egress Deficiencies. Inspection of May 19, 2023. Found during a standard inspection.

    A waiver was granted (August 18, 2023).

  7. No harm, with potential for more than minimal harm

    Install proper backup exit lighting.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0281, Egress Deficiencies. Inspection of May 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 2, 2023).

  8. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of May 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 2, 2023).

  9. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of May 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 18, 2023).

  10. No harm, with potential for more than minimal harm

    Allow residents to self-administer drugs if determined clinically appropriate.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0554, Resident Rights Deficiencies. Inspection of November 15, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 6, 2023).

  11. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of November 15, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 6, 2023).

  12. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of November 15, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 6, 2023).

  13. No harm, with potential for more than minimal harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of November 15, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 6, 2023).

  14. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0582, Resident Rights Deficiencies. Inspection of May 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 7, 2023).

  15. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of May 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 7, 2023).

  16. No harm, with potential for more than minimal harm

    Provide activities to meet all resident's needs.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of May 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 7, 2023).

  17. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of May 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 7, 2023).

  18. No harm, with potential for more than minimal harm

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of May 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 7, 2023).

  19. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of May 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 7, 2023).

  20. No harm, with potential for more than minimal harm

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of May 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 7, 2023).

  21. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of May 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 7, 2023).

  22. No harm, with potential for more than minimal harm

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0921, Environmental Deficiencies. Inspection of May 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 7, 2023).

  23. No harm, with potential for minimal harm

    Provide family notifications of emergency plan.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0035, Emergency Preparedness Deficiencies. Inspection of May 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 2, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.