CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Majestic Care of South Bend
View the most recent health deficiencies and inspection results for Majestic Care of South Bend. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Majestic Care of South Bend. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2026-01-16 | 2026-01-30 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-01-16 | 2026-01-30 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-08-19 | 2025-10-03 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2025-08-19 | 2025-10-03 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2025-08-19 | 2025-10-03 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-08-19 | 2025-10-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-08-19 | 2025-10-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-08-19 | 2025-10-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-08-19 | 2025-10-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-08-19 | 2025-10-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-08-19 | 2025-10-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-08-19 | 2025-10-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-08-19 | 2025-10-03 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2025-08-19 | 2025-10-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-08-19 | 2025-10-03 | N |
| Implement emergency and standby power systems. | Fire Safety | 2025-08-19 | 2025-10-03 | N |
| Use approved construction type or materials. | Fire Safety | 2025-08-19 | 2025-10-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-08-19 | 2025-10-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-08-19 | 2025-10-03 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2025-08-19 | 2025-10-03 | N |
| Install proper backup exit lighting. | Fire Safety | 2025-08-19 | 2025-10-03 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-08-19 | 2025-10-03 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2025-08-19 | 2025-10-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-08-19 | 2025-10-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-08-19 | 2025-10-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-08-19 | 2025-10-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-08-19 | 2025-09-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-19 | 2025-09-29 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2025-08-19 | 2025-09-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-08-19 | 2025-09-29 | N |
| Provide activities to meet all resident's needs. | Health | 2025-08-19 | 2025-09-29 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-08-19 | 2025-09-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-10-04 | 2024-11-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-04 | 2024-11-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-10-04 | 2024-11-07 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-10-04 | 2024-11-07 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-10-04 | 2024-11-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-10-04 | 2024-11-07 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-10-04 | 2024-11-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-10-04 | 2024-11-07 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-10-04 | 2024-11-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-10-04 | 2024-11-07 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-10-04 | 2024-11-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-10-04 | 2024-11-07 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-10-04 | 2024-11-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-10-04 | 2024-11-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-04 | 2024-11-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-04 | 2024-11-07 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-10-04 | 2024-11-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-10-04 | 2024-11-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-10-04 | 2024-11-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-10-04 | 2024-11-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-04 | 2024-11-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-10-04 | 2024-11-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-08-23 | 2024-09-12 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-08-23 | 2024-09-12 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-08-23 | 2024-09-12 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-07-15 | 2024-09-12 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2024-07-15 | 2024-08-08 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-15 | 2024-08-08 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-07-15 | 2024-08-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-20 | 2024-03-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-02-20 | 2024-03-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-11 | 2024-01-26 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-11 | 2024-01-26 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-08-28 | 2023-11-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-28 | 2023-11-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-28 | 2023-11-10 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-08-28 | 2023-10-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-28 | 2023-10-26 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-08-28 | 2023-10-26 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-08-28 | 2023-10-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-08-28 | 2023-10-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-08-28 | 2023-10-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-28 | 2023-10-26 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-08-28 | 2023-10-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-12 | 2023-10-04 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-28 | 2023-09-30 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-08-28 | 2023-09-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-28 | 2023-09-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-28 | 2023-09-30 | N |
| Provide or obtain dental services for each resident. | Health | 2023-08-28 | 2023-09-30 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-08-28 | 2023-09-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-28 | 2023-09-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-08-28 | 2023-09-30 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-08-28 | 2023-09-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-28 | 2023-09-30 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-08-28 | 2023-09-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-28 | 2023-09-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-28 | 2023-09-30 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-08-28 | 2023-09-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-28 | 2023-09-30 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-08-28 | 2023-09-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-28 | 2023-09-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-08-28 | 2023-09-30 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-08-28 | 2023-09-30 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-08-28 | 2023-09-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-28 | Not Fixed | N |