Majestic Care of Clyde

In the surveyor’s words

From the most serious findings on record at Majestic Care of Clyde, in the surveyor’s own words.

• Actual harm, isolatedF686Jul 10, 2026

  Based on observation, review of the medical record, interview, and policy review, the facility failed to properly assess a pressure ulcer wound when specifically omitting accurate measurements, staging, and characterization of the wound. Additionally, the facility failed to implement physician-ordered treatments and failed to report changes in wound status. This lack of intervention resulted in actual harm on 07/01/26, as evidenced by the deterioration of the resident's stage three pressure ulcer when the resident's wound developed undermining on 07/01/26 and continued to deteriorate and increase in depth. This affected one (#21) of three (#21, #8, #33) residents reviewed for pressure ulcers. The facility identified four (#21, #8, #33, #11) residents with pressure ulcers. […]

• No harm, potential for more than minimal, widespreadF812Jan 8, 2026

  Based on observation, interview, and record review, the facility failed to ensure proper sanitation practices were maintained in the kitchen and failed to ensure canned food items were stored in accordance with facility policy and acceptable food safety standards. This deficient practice had the potential to affect all residents, as all residents were identified as receiving meals prepared by the facility kitchen. The facility census was 64. Findings Include: Observation of the kitchen on 12/30/25 at 6:57 A.M. revealed the facility kitchen floor was coated with unidentified brown and white substances and contained miscellaneous unidentified food and non-food debris. […]

• No harm, potential for more than minimal, widespreadF727Jun 26, 2024

  Based on staff interviews, review of the staffing schedule, and review of Benefits Improvement and Protection Act (BIPA) documentation, the facility failed to ensure required Registered Nurse (RN) coverage. This had the potential to affect all 48 residents. Findings include: Review of the staff schedules dated 05/05/24, 05/18/24, 05/19/24, and 05/25/24, revealed there was not a RN working in the facility. Review of the BIPA staffing forms dated 05/05/24, 05/18/24, 05/19/24, and 05/25/24, revealed there was not a RN working in the facility. Interview on 06/26/24 at 7:45 A.M. with the Director of Nursing (DON) verified there was no RN working on 05/05/24, 05/18/24, 05/19/24, and 05/25/24. The DON reported there is typically no RN coverage every other weekend. […]

• No harm, potential for more than minimal, widespreadF576Jun 2, 2022

  Based on resident and staff interview, the facility failed to ensure mail was delivered to residents on Saturdays. This affected five (Residents #22, #31, #34, #39 and #48) and had the potential to affect all 55 residents residing in the facility. Findings include: During the resident council meeting on 06/01/22 at 3:30 P.M., Resident #22, #31, #34, #39 and #48 stated they were not receiving mail on Saturdays. During interview on 06/01/22 at 4:48 P.M., Activities Director #377 stated activity department staff were in charge of passing out mail on the days they worked. The activity staff worked every other Saturday. Resident mail was not always delivered on Saturdays and sometimes there was mail to be passed out on Monday mornings.

• No harm, potential for more than minimal, widespreadF727Jun 2, 2022

  Based on record review and interview, the facility failed to have Registered Nurse (RN) coverage of eight hours per day, seven days per week. This affected all residents in the facility. The facility census was 55. Findings include: Review of the staff schedule from 05/01/22 through 05/31/22 revealed there was no RN coverage on 05/16/22, 05/21/22, 05/27/22, 05/29/22, 05/30/22. The RN coverage was less than eight hours per day on 05/08/22, 05/13/22, 05/15/22, and 05/22/22. During interview on 06/02/22 at 7:54 A.M., the Director of Nursing confirmed there was inadequate RN coverage on the above dates.