All citations for Majestic Care of Goshen

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 Goshen

Last standard health inspection on record

January 23, 2025

Showing 1 to 25 of 57 citations

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

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of January 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 10, 2023).

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

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of January 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 25, 2023).

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

    Conduct risk assessment and an All-Hazards approach.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of January 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 25, 2023).

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

    Develop Emergency Preparedness policies and procedures.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of January 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 25, 2023).

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

    Establish procedures for tracking staff and patients during an emergency.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0018, Emergency Preparedness Deficiencies. Inspection of January 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 25, 2023).

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

    Establish policies and procedures for sheltering.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0022, Emergency Preparedness Deficiencies. Inspection of January 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 25, 2023).

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

    Establish policies and procedures for volunteers.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0024, Emergency Preparedness Deficiencies. Inspection of January 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 25, 2023).

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

    Establish roles under a Waiver declared by secretary.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of January 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 25, 2023).

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

    Develop a communication plan.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0029, Emergency Preparedness Deficiencies. Inspection of January 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 25, 2023).

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

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of January 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 25, 2023).

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

    Implement emergency and standby power systems.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of January 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 25, 2023).

  12. 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 January 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 25, 2023).

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

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 25, 2023).

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of January 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 10, 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.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of January 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 10, 2023).

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

    Provide care and assistance to perform activities of daily living for any resident who is unable.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of January 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 10, 2023).

  17. 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 January 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 25, 2023).

  18. 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.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of January 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 25, 2023).

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

    Have corridors or aisles that are unobstructed and are at least 8 feet in width.

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

    Fire safety citation K-0232, Egress Deficiencies. Inspection of January 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 25, 2023).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of January 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 25, 2023).

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

    Install an approved automatic sprinkler system.

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

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of January 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 25, 2023).

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

    Properly install and monitor supervisory attachments on automatic sprinkler systems.

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

    Fire safety citation K-0352, Smoke Deficiencies. Inspection of January 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 25, 2023).

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

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

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of January 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 25, 2023).

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

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

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

    Fire safety citation K-0521, Services Deficiencies. Inspection of January 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 25, 2023).

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

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

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

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of January 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.