Majestic Care of Connersville

In the surveyor’s words

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

• Immediate jeopardy, isolatedF693Apr 29, 2022

  Based on interview, observation, and record review the facility failed to check placement and identify potential signs of displacement for Resident B, and failed record residual gastric contents of a gastrostomy tube (g-tube) prior to administration of tube feedings and medications for 2 residents (Resident B and C) resulting in hospitalization for septic shock and [CONDITION(S)] of the abdominal wall, rectus abdominus, and rectus sheath, resulting in death (Resident B), and failed to ensure a follow-up with a gastroenterologist (GI) or replacement of a dislodged g-tube (Resident E) for 3 of 5 residents reviewed for g-tube management. This deficient practice resulted in Immediate Jeopardy. […]

• Immediate jeopardy, isolatedF689Mar 29, 2022

  Based on interview and record review, the facility failed to ensure adequate supervision was in place when a cognitively impaired resident with dementia exited the facility on 3/17/22 without supervision through an unknown point of exit. The resident was picked up by a stranger with a medical transportation company and transported back to the facility. The resident exited the facility, again, on 3/21/22 through the window of an unoccupied room and found 1.6 miles away by facility staff and transported back to the facility. This deficient practice resulted in Immediate Jeopardy. The Immediate Jeopardy began on 3/17/22 when a cognitively impaired resident with dementia exited the facility without facility knowledge. […]

• Immediate jeopardy, isolatedF689Feb 2, 2022

  Based on observation, interview, and record review the facility failed to ensure adequate supervision was provided to prevent a cognitively impaired resident who had been exhibiting exit seeking behaviors from exiting the locked memory care unit, obtaining a staff members vehicle and wrecking approximately 1.5 miles from the facility and being sent to the local emergency room for 1 of 3 residents reviewed for elopement (Resident C). The Immediate Jeopardy began on January 21, 2022, when a cognitively impaired resident with dementia exited the locked memory care unit unsupervised. […]

• Actual harm, isolatedF600Oct 29, 2025

  Based on observation, interview, and record review, the facility failed to ensure residents remained free from sexual abuse from Resident C towards Resident B and Resident G, resulting in Resident B experiencing anxiety and fear for 3 of 6 residents reviewed for sexual abuse (Resident C, Resident B and Resident G). Findings include:1a. The clinical record for Resident C was reviewed on 10/27/25 at 10:45 a.m. The diagnoses included, but were not limited to, vascular dementia, depression, anxiety, hypertension, heart failure and epilepsy. The Quarterly Minimum Data Set (MDS) assessment for Resident C, dated 8/22/25, indicated the resident was severely cognitively impaired for daily decision making. The resident was independent with ambulation. […]

• Actual harm, isolatedF610Oct 29, 2025

  Based on interview and record review, the facility failed to complete a thorough investigation and ensure protection from further allegations of sexual abuse resulting in a second allegation of abuse where the resident experienced anxiety and fear for 3 of 6 residents reviewed for sexual abuse (Resident C, Resident B, and Resident G).Findings include:1. The clinical record for Resident C was reviewed on 10/27/25 at 10:45 a.m. The diagnoses included, but were not limited to, vascular dementia, depression, anxiety, hypertension, heart failure and epilepsy. The Quarterly Minimum Data Set (MDS) assessment for Resident C, dated 8/22/25, indicated the resident was severely cognitively impaired for daily decision making. The resident was independent with ambulation. […]