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 26 to 50 of 66 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

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

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of July 1, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 17, 2026).

  11. 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 23, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 14, 2025).

  12. 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 January 23, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 14, 2025).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 23, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 14, 2025).

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

    Use approved construction type or materials.

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

    Fire safety citation K-0161, Construction Deficiencies. Inspection of March 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 28, 2024).

  15. 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 March 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 28, 2024).

  16. 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 March 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 28, 2024).

  17. 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 March 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 28, 2024).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of March 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 28, 2024).

  19. 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).

  20. 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).

  21. 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).

  22. 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).

  23. 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).

  24. 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).

  25. 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).

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.