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Nursing HomeMedicaid Investigative

Majestic Care of Avon

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

445 S County Road 525 E, Avon, IN 46123117 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.7/5

based on 68 Google reviews

5
4
3
2
1
Majestic Care of Avon Nursing Home in Avon, IN — Street View
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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (10 vs median 6)
  • High staff turnover (52%)
  • High RN turnover (69%)

Below average in IN · Below recommended RN staffing · Above average staffing · Below chain average · No penalties on record

Source: Medicare data

What this means for your family

While recent reviews suggest an improvement in staff engagement and facility atmosphere, the history of serious concerns regarding night-shift response times and hygiene remains a red flag. We strongly recommend scheduling an unannounced visit during evening hours to observe staffing levels and response times firsthand before making a decision.

Google Reviews

Google Reviews

68 reviews on Google
Majestic Care of Avon receives highly polarized feedback, with some families praising the compassionate staff and effective rehabilitation services, while others report severe neglect and poor communication. Critical concerns frequently involve slow response times to call lights, particularly at night, and inconsistent quality of care. Families considering this facility should be aware of the stark contrast between positive experiences and reports of staffing shortages and hygiene issues.

Quality Themes

Tap a score for details
Food5.0Staff4.0Clean4.0Activities6.0Meds2.0Memory6.0Comms3.0Value2.0

Strengths

  • Knowledgeable and effective rehabilitation therapy
  • Friendly and welcoming front-line staff
  • Clean and well-maintained facility lobby
  • Responsive admissions and administrative team

Concerns

  • Slow response times to call lights, especially during night shifts (mentioned by 4 reviewers)
  • Inconsistent hygiene and basic resident care (e.g., soiled clothing, lack of bathing) (mentioned by 3 reviewers)
  • Poor communication with family members regarding resident status (mentioned by 3 reviewers)
  • High staff turnover and perceived lack of compassion (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'19(4)'21(7)'23(11)'25(10)'26(7)

Distribution · 70 analyzed

5
39
4
9
3
2
2
2
1
18

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed your team is very active in responding to online feedback; how do you use that same level of communication to keep families updated on their loved one's daily status?
  • 2Given the recent challenges with staffing levels, what specific protocols do you have in place to ensure that call lights are answered promptly, particularly during the night shift?
  • 3Could you walk me through your process for ensuring consistent daily hygiene and personal care for residents, and how do you monitor that these standards are met for every individual?
  • 4Since your rehabilitation therapy is highly regarded, how do you integrate those therapy goals into the resident's overall daily routine and care plan?
  • 5With the current staffing turnover, how do you ensure that residents consistently receive care from staff who are familiar with their specific medical needs and personal preferences?
  • 6What is your facility's protocol for managing and documenting medication administration to ensure accuracy and safety for residents?

Personalized based on this facility's data


Key Review Excerpts

It takes them at least 45 minutes to answer a call light at night. I'm a heart patient. I told a CNA I was having chest pains. It took the nurse 2.5 hours to finally come to my room and all she did was give me a Tums antacid pill then left.

Rehab patient · 2022☆☆☆☆

My sister has been at Majestic for about 3 years now, and I am pleased with her care at this point. I've seen some improvements there in 3 years, and it seems to be moving in the right direction.

Memory care family member · 2023★★★★

The night shift is a nightmare. Check out other facilities if this is what you need for your loved ones.

Long-term resident's family · 2024☆☆☆☆
Source: 68 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.50hrs
67%
Registered nurses for medical care
Total Nursing
3.75hrs
91%
All nurses + aides combined
Staff Turnover
46%
Lower is better (< 30% = good)
RN Turnover
79%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

6

measures

Worse Than Avg

9

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility65.2%
Worse than Avg
Here
65.2%
US
12.1%
IN
24.8%
Hendricks
35.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility39.4%
Worse than Avg
Here
39.4%
US
19.5%
IN
23.5%
Hendricks
17.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility3.7%
Better than Avg
Here
3.7%
US
14.4%
IN
11.4%
Hendricks
7.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility6.2%
Better than Avg
Here
6.2%
US
15.3%
IN
13.0%
Hendricks
9.9%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility90.7%
Worse than Avg
Here
90.7%
US
93.4%
IN
93.6%
Hendricks
98.2%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility24.9%
Worse than Avg
Here
24.9%
US
19.4%
IN
23.8%
Hendricks
21.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility68.9%
Worse than Avg
Here
68.9%
US
81.8%
IN
81.5%
Hendricks
92.2%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility65.2%
Worse than Avg
Here
65.2%
US
79.7%
IN
79.0%
Hendricks
80.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
IN
1.3%
Hendricks
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

10deficiencies
Above state avg (7.6)
5 complaint-triggered

This facility has experienced significant problems with families filing complaints that triggered investigations, resulting in 6 complaint-driven deficiencies across multiple years. The most recurring issues involve resident rights violations, dining and nutrition problems, and medication management failures. Concerning patterns include repeated deficiencies in nursing staffing levels, accident prevention, and resident safety that persist across multiple surveys, though the facility has provided correction dates for all violations.

Aug 22, 2025Routine
13
0725Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0908Potential for harm · WidespreadCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0565Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0807Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

0222Potential for harm · PatternCorrected

Egress Deficiencies

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.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0291Potential for harm · IsolatedCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

Jun 25, 2025Complaint
2
0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0808Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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.

Aug 8, 2024Routine
12
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0565Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0761Potential for harm · PatternCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0725Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0744Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Mar 13, 2024Complaint
1
0744Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Feb 6, 2024Complaint
2
0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Jun 30, 2023Routine
15
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0565Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

0574Potential for harm · PatternCorrected

Resident Rights Deficiencies

The resident has the right to receive notices in a format and a language he or she understands.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0802Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

0925Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0641Minimal · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0732Minimal · PatternCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Majestic Care of Avon

Organization Type

for profit

Chain Affiliation

Chain Name

Majestic Care

Chain Size

35 facilities nationwide

Chain avg rating: 2.6/5 · Rank 17 of 34

Ownership & Management

Owners

Pulaski Memorial Hospital

Owner · Organization

100%

Key personnel

Marx, JosiahContracted Managing EmployeeMalott, GreggOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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