Majestic Care of Mccordsville

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF727May 24, 2024

  Based on interview and record review, the facility failed to have a Registered Nurse (RN) on duty for 8 consecutive hours per day for 6 days during the months of April and May of 2024 with the potential to affect 32 of 32 residents residing at the facility. Findings include: The Director of Nursing (DON) provided the daily schedules for April 2024 until May 24, 2024. The following dates were noted without RN coverage for 8 consecutive hours: 4/13/24, 4/14/24, 4/27/24, 4/28/24, 5/11/24, & 5/12/24. An interview conducted with the DON, on 5/23/24 at 9:52 a.m., indicated there were no RN hours that consisted of 8 consecutive hours for the days listed.

• No harm, potential for more than minimal, widespreadF886Feb 25, 2021

  Based on interview and record review, the facility failed to ensure staff testing for COVID-19 was conducted and documented, based on the county positivity rate that indicated the need for testing twice a week. This had the potential to affect all 19 residents that reside in the facility. Findings include: Covid-19 testing was reviewed for all staff on 2/25/21 at 1:00 p.m. Review of LPN 2's COVID -19 testing documentation indicated she did not have a COVID -19 test prior to her first day of orientation, on 11/5/20, and failed to be tested twice a week as the county positivity rates increased. LPN 2 had documentation of testing on 11/17/20, 11/18/20 and 11/25/20. […]

• No harm, potential for more than minimal, patternF761May 24, 2024

  Based on observation, interview, and record review, the facility failed to properly store a medicated cream for 1 of 1 residents reviewed for medications at the bedside (Resident D) and failed to ensure the medication carts did not contain expired insulin for four residents for 2 of 2 medication carts observed. (Residents 1, 2, 4 and 8) Findings include: 1. The clinical review for Resident D was completed on [DATE] at 11:15 a.m. The medical diagnosis included a history of stroke. An Annual MDS Assessment, dated [DATE], indicated Resident D was cognitively intact. An observation on [DATE] at 12:14 p.m. indicated a container of medicated cream with a pharmacy label for Resident D was being stored on an open front white shelf above the television stand in Resident D's room. […]

• No harm, potential for more than minimal, patternF842Aug 29, 2022

  Based on interview and record review, the facility failed to ensure documentation reflected a change of condition with appropriate notifications, vital signs and care orders were only documented for residents when they were physically present in the facility and transmission-based precautions (TBP), including physician orders, utilized for residents were documented, for 4 of 4 residents reviewed for accuracy of documentation. (Residents B, D, E and F) Findings include: 1. The clinical record of Resident B was reviewed on 8-26-22 at 11:15 a.m. His diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, isolatedF689Aug 19, 2025

  Based on interview and record review, the facility failed to ensure two staff members were utilized to transfer a resident from the shower chair for 1 of 4 residents reviewed for accidents. (Resident B)Findings include:The clinical record for Resident B was reviewed on 8/18/25 at 12:17 p.m. Her diagnoses included, but were not limited to, history of left total knee replacement, dementia, mood disorder, and depression. A care plan, created 12/28/23 and revised 2/10/25, indicated she required two-person assistance for transfers due to weakness and combative behaviors, as she would pinch or hit staff in various places such as their arms, stomach, and breast. […]