CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Majestic Care of Goshen
View the most recent health deficiencies and inspection results for Majestic Care of Goshen. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Majestic Care of Goshen. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-02-03 | 2026-02-25 | Y |
| Respond appropriately to all alleged violations. | Health | 2026-02-03 | 2026-02-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-01-07 | 2026-01-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-01-07 | 2026-01-20 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2026-01-07 | 2026-01-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-09-10 | 2025-10-01 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-01-23 | 2025-03-14 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2025-01-23 | 2025-03-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-01-23 | 2025-03-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-01-23 | 2025-03-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-01-23 | 2025-03-14 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-01-23 | 2025-03-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-01-23 | 2025-03-14 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2025-01-23 | 2025-03-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-01-23 | 2025-03-14 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2025-01-23 | 2025-03-14 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2025-01-23 | 2025-03-14 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2025-01-23 | 2025-03-14 | N |
| Provide emergency officials' contact information. | Fire Safety | 2025-01-23 | 2025-03-14 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-01-23 | 2025-03-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-01-23 | 2025-03-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-01-23 | 2025-03-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-01-23 | 2025-03-14 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2025-01-23 | 2025-03-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-23 | 2025-03-14 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2025-01-23 | 2025-03-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-01-23 | 2025-03-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-23 | 2025-02-12 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2025-01-23 | 2025-02-12 | 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 | 2025-01-23 | 2025-02-12 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2025-01-23 | 2025-02-12 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2025-01-23 | 2025-02-12 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2025-01-23 | 2025-02-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-01-23 | 2025-02-12 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2025-01-23 | 2025-02-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-23 | 2025-02-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-01-23 | 2025-02-12 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-01-23 | 2025-02-12 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-11-14 | 2024-11-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-11-14 | 2024-11-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-11-14 | 2024-11-30 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-09-12 | 2024-09-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-09-12 | 2024-09-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-12 | 2024-09-27 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2024-08-16 | 2024-09-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-16 | 2024-09-09 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-16 | 2024-09-09 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-08-16 | 2024-09-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-01 | 2024-08-13 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-03-02 | 2024-04-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-03-02 | 2024-04-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-02 | 2024-04-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-03-02 | 2024-04-28 | 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 | 2024-03-02 | 2024-04-28 | 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 | 2024-03-02 | 2024-04-28 | N |
| Use approved construction type or materials. | Fire Safety | 2024-03-02 | 2024-04-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-02 | 2024-04-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-03-02 | 2024-04-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-02 | 2024-04-16 | 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 | 2024-03-02 | 2024-03-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-02 | 2024-03-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-03-02 | 2024-03-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-03-02 | 2024-03-22 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-03-02 | 2024-03-22 | N |
| Respond appropriately to all alleged violations. | Health | 2024-03-02 | 2024-03-22 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-02 | 2024-03-22 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-02 | 2024-03-22 | 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 | 2024-03-02 | 2024-03-22 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2024-03-02 | 2024-03-22 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-03-02 | 2024-03-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-02 | 2024-03-22 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-03-02 | 2024-03-22 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-03-02 | 2024-03-22 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-03-02 | 2024-03-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-02 | 2024-03-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-02 | 2024-03-22 | N |
| Provide or obtain dental services for each resident. | Health | 2024-03-02 | 2024-03-22 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-03-02 | 2024-03-22 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-03-02 | 2024-03-22 | N |
| Post nurse staffing information every day. | Health | 2024-03-02 | 2024-03-22 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-03-02 | 2024-03-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-02 | 2024-03-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-03-02 | 2024-03-22 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-03-02 | 2024-03-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-02 | 2024-03-22 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-03-02 | 2024-03-22 | N |
| Provide activities to meet all resident's needs. | Health | 2024-03-02 | 2024-03-22 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-04 | 2024-01-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-23 | 2023-11-03 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-26 | 2023-08-11 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-07-26 | 2023-08-11 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-01 | 2023-06-15 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-01-18 | 2023-04-11 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2023-01-18 | 2023-03-25 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-01-18 | 2023-03-25 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-01-18 | 2023-03-25 | N |
| Establish methods for sharing information. | Fire Safety | 2023-01-18 | 2023-03-25 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2023-01-18 | 2023-03-25 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-01-18 | 2023-03-25 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-01-18 | 2023-03-25 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-01-18 | 2023-03-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-01-18 | 2023-03-25 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-01-18 | 2023-03-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-01-18 | 2023-03-25 | 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 | 2023-01-18 | 2023-03-25 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2023-01-18 | 2023-03-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-18 | 2023-03-25 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-01-18 | 2023-03-25 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-01-18 | 2023-03-25 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-01-18 | 2023-03-25 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-01-18 | 2023-03-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-18 | 2023-03-25 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-01-18 | 2023-03-25 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-01-18 | 2023-03-25 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-01-18 | 2023-03-25 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2023-01-18 | 2023-03-25 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-01-18 | 2023-03-25 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-01-18 | 2023-03-25 | N |
| Develop a communication plan. | Fire Safety | 2023-01-18 | 2023-03-25 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2023-01-18 | 2023-03-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-18 | 2023-03-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-18 | 2023-03-25 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-01-18 | 2023-03-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-01-18 | 2023-03-25 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-01-18 | 2023-03-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-18 | 2023-03-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-18 | 2023-02-10 | 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 | 2023-01-18 | 2023-02-10 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-01-18 | 2023-02-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-01-18 | 2023-02-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-18 | 2023-02-10 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-01-18 | 2023-02-10 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-01-18 | 2023-02-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-18 | 2023-02-10 | N |
| Provide activities to meet all resident's needs. | Health | 2023-01-18 | 2023-02-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-18 | 2023-02-10 | 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 | 2023-01-18 | 2023-02-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-18 | 2023-02-10 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-01-18 | 2023-02-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-18 | 2023-02-10 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-18 | 2023-02-10 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-01-18 | 2023-02-10 | N |