Majestic Care of New Haven

In the surveyor’s words

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

• Immediate jeopardy, isolatedF684Apr 27, 2022

  Based on interview and record review, the facility failed to send a resident to the hospital when their condition worsened and as resident/family requested, which resulted in a rapid deterioration of condition and resident death for 1 of 3 residents reviewed (Resident B). The Immediate Jeopardy began on [DATE] when Resident B complained of abdominal pain which worsened over 2 days. The facility failed to assess and monitor the progression of abdominal pain and failed to send the resident to the hospital, as requested, when her condition deteriorated. The Administrator, Director of Nursing (DON), and Regional Consultant Nurse were notified of the Immediate Jeopardy on [DATE] at 5:00 P.M. […]

• Actual harm, isolatedF742Apr 4, 2023

  Based on observation, interview and record review, the facility failed to develop and implement an effective behavioral management plan for 1 of 1 residents reviewed. This resulted in a resident to resident altercation (Resident Q, and Resident S) and 3 residents fearing for their safety (Resident U, Resident T, and Resident V). Findings include: On 4/4/23 at 12:04 P.M., Resident Q was observed in the hallway in his wheelchair. He was yelling loudly, wanted to go outside and smoke immediately. At the time, the facility was under a severe weather threat. Going outside was not safe. He continued to yell and [NAME] insults at staff who tried to explain the danger and he could go out after the storm. He yelled angrily he'd been out in storms before and he was going outside to smoke. […]

• No harm, potential for more than minimal, widespreadF865Jul 18, 2022

  Based on interview and record review the facility failed to ensure complete records of Quality Assurance efforts for 3 of 4 quartely reviews required. Findings include: In an interview On 7/18/22 at 9:32 AM, the interim Executive Director (ED), indicated the facility QA committee attempted to meet monthly. The ED indicated he had only been in the building since the beginning of June. The ED indicated there were several ED's prior to him in the last 12 months. The ED indicated he did not have any previous records of quality assurance reviews due to multiple changes in structure. The ED indicated he obtained his quality assurance information from multiple sources including all deptartment managers, incident reports, grievances, casper reports, star ratings and resident council minutes. […]

• No harm, potential for more than minimal, widespreadF812May 21, 2021

  Based on observation, interview, and record review, the facility failed to ensure kitchen sanitation was maintained for 98 of 98 residents who ate their meals from the facility kitchen. Findings include: On 5/16/21 at 4:06 p.m., the kitchen was toured with Cook 7. The following was observed in the walk in freezer, visible from the entry door: bits of paper, crumbs, kernels of frozen corn scattered about the floor and underneath the shelves. The following was observed on the floor, visible through the slats on the bottom shelf of the freezer: an unwrapped frozen hamburger, a frozen biscuit, individual servings containers of ice cream, an ice cream sandwich and a package of potato soup. On 5/16/21 at 4:10 p.m., the walk in cooler was observed with Cook 7. […]

• No harm, potential for more than minimal, patternF803Jan 9, 2026

  Based on observation, record review and interview the facility failed to ensure, dinning staff were following menu tickets for 4 of 4 residents reviewed. (Resident 46, Resident 49, Resident 63 and Resident 67)Findings include:During a dining observation on 01/04/2026 at 11:45 AM, it was observed Resident 63 and Resident 67 were not served broccoli salad on their lunch trays. A review of the residents' food tickets confirmed both individuals were scheduled to receive the broccoli salad as part of their meal.During a dining observation on 01/05/2026 at 12:02 PM, Resident 67 indicated he did not receive any garlic bread. […]