Deficiency Index

Majestic Care of Columbus LLC

Columbus, Ohio · CCN 365754

49 surveys since 2010. The first finding at harm level was recorded in 2014.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
268
Surveys
49
Harm or worse
12
Immediate jeopardy
6
The record, 2010–2025
’10’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy6

Findings at the most serious level CMS records.

Beyond CMS’s monthly file41/49

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
120
Ownership
For profit - Limited Liability company
Chain
MAJESTIC CARE
County
Franklin
Medicare-certified since
1989

CMS ratings

Overall
5
Health inspection
4
Staffing
4
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 118 for-profit facilities of 100–127 beds in Ohio.

Last survey on record

Dec 9, 2025

335 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.343.51
Registered-nurse hours per resident day0.80—
Annual nurse turnover51.4%51.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$111,283 across 2 penalties
Payment denials
1

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG13.3%H—I—
No harm, potential for more than minimalD2273.3%E516.7%F13.3%
No harm, potential for minimalA—B—C13.3%
CMS’s current file: 30 of the 268 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F5502×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • F6772×

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

  • F6842×

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

  • F8422×

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

  • F8802×

    Provide and implement an infection prevention and control program.

In the surveyor’s words

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

  • Immediate jeopardy, patternF880Jan 30, 2023

    Based on the unprecedented global pandemic that resulted in the Presidential declaration of a State of National Emergency dated 03/13/20, Nursing Home Guidance from the Centers for Disease Control (CDC), medical record review, observations, interview with facility staff, and review of facility policy, the facility failed to appropriately implement the use of Personal Protective Equipment (PPE) and isolation procedures to prevent the spread of the SARS-CoV-2 virus (COVID-19) among facility residents. This resulted in Immediate Jeopardy when the facility staff failed to utilize PPE properly when coming into contact with COVID-19 positive residents. […]

  • Immediate jeopardy, isolatedF689Feb 22, 2024

    Based on observation, medical record review, staff interview, review of the facility smoking policy, and review of the facility therapeutic leave policy, the facility failed to develop and implement safe smoking policies and practices and comprehensive, individualized and effective smoking interventions to prevent accidents and/or resident injuries when smoking. This resulted in Immediate Jeopardy and actual harm on [DATE] when Resident #69, who had previously been identified to exhibit unsafe smoking practices was assessed to have third degree burns to his bilateral nares after being found smoking with oxygen in place. […]

  • Immediate jeopardy, isolatedF600Jan 30, 2023

    Based on review of medical records, review of facility Self-Reported Incidents (SRI), observation of cellular phone pictures, interviews with facility staff, and review of the facility policy titled Abuse and Neglect Clinical Protocol, the facility failed to ensure residents were free from physical, verbal, and mental/emotional abuse by two facility staff members while in two resident rooms not for any apparent care or needed services. This resulted in Immediate Jeopardy and the potential for serious physical and/or psychosocial harm for two cognitively impaired residents (#95 and #98) when State tested Nursing Aide (STNA) #112 and STNA #113 engaged in acts meant to humiliate and dehumanize the residents by recording inappropriate videos and pictures on a cellular phone of explicit… […]

  • Immediate jeopardy, isolatedF689Jun 27, 2022

    Based on observation, review of the medical record review, fall investigation, fall policy, hospital records and staff interviews, the facility failed to ensure Resident #98 who was at risk for falls, had care planned interventions in place, was assessed properly post fall, received timely medical treatment from falls with injury, and failed to investigate the root cause of the falls to implement appropriate falls interventions. This resulted in Immediate Jeopardy on 05/22/22 at 1:36 A.M., when Resident #98 reported to staff he had an unwitnessed fallen on 05/21/22 at 11:00 P.M., after having a [CONDITION(S)]. The resident had requested to go to the hospital, however, was not sent due to the on-call nurse at the facility did not answer the phone. […]

  • Actual harm, isolatedF689Jan 14, 2025

    Based on medical record review, hospital record review, review of the facility's incident/accident investigation, staff interview, and policy review the facility failed to develop and implement a comprehensive, individualized and effective fall management program to prevent a fall with injury for Resident #1. Actual harm occurred on 12/01/24 at approximately 12:55 P.M. when Resident #1, who had a diagnosis of dementia, fall risk with history of falls, increased lethargy and confusion sustained an avoidable unwitnessed fall out of bed resulting in head trauma/head hematoma which required hospital treatment. Prior to this fall, the resident sustained an unwitnessed fall out of bed on 12/01/24 at 1:30 A.M. […]

Read 31 findings in full →The most serious and the most recent: 31 of 268 on record.

Every survey on record

FindingsAt actual harm or above

  • Dec 9, 2025Standard and complaint4 findings
  • Jun 12, 2025Standard5 findings
  • Jan 14, 2025Standard10 findings · 1 harm
  • Oct 1, 2024Complaint1 finding
  • Aug 5, 2024Standard and complaint7 findings
  • Mar 27, 2024Complaint3 findings
  • Feb 22, 2024Standard and complaint5 findings · 1 harm
  • Sep 21, 2023Standard9 findings
Show the 41 earlier surveys
  • Jul 26, 2023Complaint6 findings
  • Mar 2, 2023Complaint3 findings
  • Jan 30, 2023Complaint19 findings · 3 harm
  • Dec 20, 2022Complaint5 findings
  • Sep 16, 2022Complaint2 findings
  • Jun 27, 2022Complaint1 finding · 1 harm
  • May 17, 2022Complaint1 finding
  • Mar 2, 2022Complaint5 findings
  • Feb 9, 2022Complaint4 findings
  • Dec 28, 2021Complaint1 finding
  • Dec 16, 2021Complaint1 finding
  • Nov 16, 2021Standard and complaint23 findings · 1 harm
  • Oct 8, 2021Complaint3 findings
  • Aug 23, 2021Complaint1 finding · 1 harm
  • Jun 2, 2021Complaint1 finding
  • Apr 12, 2021Complaint2 findings
  • Dec 21, 2020Infection control1 finding
  • Nov 25, 2020Complaint4 findings · 1 harm
  • Oct 1, 2020Complaint3 findings
  • Jun 17, 2020Complaint2 findings
  • Jan 16, 2020Standard13 findings
  • Dec 3, 2019Complaint4 findings
  • Nov 20, 2019Complaint2 findings
  • Oct 9, 2019Complaint4 findings
  • Aug 29, 2019Complaint3 findings
  • Jan 16, 2019Standard19 findings
  • Apr 5, 2018Standard10 findings
  • Jul 26, 2017Complaint5 findings
  • Feb 9, 2017Standard6 findings
  • May 31, 2016Complaint2 findings
  • Mar 1, 2016Complaint1 finding
  • Feb 5, 2016Complaint3 findings · 2 harm
  • Nov 10, 2015Standard16 findings
  • Aug 21, 2014Standard17 findings
  • Jul 21, 2014Complaint2 findings
  • Mar 22, 2014Complaint3 findings
  • Jan 6, 2014—11 findings · 1 harm
  • May 23, 2013—7 findings
  • Nov 18, 2011—1 finding
  • Jan 26, 2011—1 finding
  • Dec 2, 2010—6 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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