Majestic Care of New Lexington

In the surveyor’s words

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

• Immediate jeopardy, patternF880Mar 14, 2022

  Based on the unprecedented global pandemic that resulted in the Presidential declaration of a State of National Emergency dated 03/13/20, review of guidelines from the Centers for Disease Control (CDC), review of the facility's [CONDITION(S)]-CoV-2 (Covid-19) timeline supported by information on the facility's long term care (LTC) Respiratory Surveillance Line List and the facility's Covid-19 Positive Resident Testing Line List, observations, record reviews, review of the facility's COVID-19 policies and procedures, review of the facility's policy on personal protective Equipment (PPE) use, review of cleaning product information, family interview, and staff interview, the facility failed to implement effective and recommended infection control practices, including the appropriate use,… […]

• Immediate jeopardy, isolatedF888Mar 14, 2022

  Based on review of QSO Memo 22-09-ALL Attachment A for Long Term Care (LTC) Facilities issued 01/14/22, review of the facility's Covid-19 Staff Vaccination records, Covid-19 timeline/ LTC Respiratory Surveillance Line List, staff interview, and policy review, the facility failed to ensure 100% of their staff had received at least one dose of the Covid-19 vaccine or had a pending request for, or had been granted a qualifying exemption, or were identified as having had a temporary delay as recommended by the Centers for Disease Control (CDC). The facility had 87 of their 91 employees that had received at least one dose of the Covid-19 vaccine or had a pending or granted medical/ non-medical exemption for a vaccination rate of 95.6%. […]

• Actual harm, isolatedF686Jan 7, 2026

  Based on closed record review, interview, and policy review, the facility failed to provide care and services to prevent pressure ulcers from developing or worsening. This affected two residents (#39 and #65) of six residents reviewed for skin breakdown. The facility census was 63.Actual Harm occurred on 09/08/25 when Resident #65, who was assessed to be high risk for skin breakdown developed two unstageable pressure ulcers (full-thickness skin and tissue loss in which the extent of tissue damage within the ulcer cannot be confirmed because the wound bed is obscured by slough or eschar) to her right and left heels. On 09/10/25 Resident #65 developed a Stage II (partial-thickness loss of skin with exposed dermis, presenting as a shallow open ulcer) pressure ulcer to her coccyx. […]

• Actual harm, isolatedF689Feb 26, 2024

  Based on observation, record review and interviews, the facility failed to provide adequate supervision to prevent residents from falling. This affected two residents (#62, #82) of three residents reviewed for accidents. The facility census was 59. Actual Harm occurred on 02/02/24 when Resident #62 was being prepared for a transfer from her wheelchair to her bed by one staff member who then left her alone unsupervised. Resident #62 fell from her wheelchair and sustained a fracture to her right wrist. Actual Harm occurred on 02/10/24 when Resident #82, who required a dependent assist from staff for transfers, fell in the bathroom when left unsupervised and sustained a right hip fracture resulting in hospitalization . Findings included: 1. […]

• Actual harm, isolatedF692Feb 26, 2024

  Based on observation, record review and interviews, the facility failed to provide adequate hydration to a resident, who depended on staff for assistance with drinking fluids, to meet the resident's hydration needs. This affected one resident (#62) of one resident reviewed for dehydration. The facility census was 59. Actual Harm occurred to Resident #62 on [DATE] when the facility failed to provide the resident with adequate fluid intake and the resident was admitted to the hospital for treatment of acute kidney injury and dehydration. […]