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Nursing HomeMedicaid Investigative

Majestic Care of Goshen

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

2400 College Ave, Goshen, IN 46528186 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 147 Google reviews

5
4
3
2
1
Majestic Care of Goshen Nursing Home in Goshen, 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 (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (15 vs median 6)
  • High staff turnover (61%)
  • High RN turnover (56%)

Bottom 25% in IN · Below recommended RN staffing · Worst in MAJESTIC CARE chain · $16,036 in fines

Source: Medicare data

What this means for your family

This facility offers a modern environment and strong therapy services, making it a potential option for short-term rehab. However, the recurring reports of severe understaffing and slow response times to call lights are critical red flags; we strongly recommend visiting during off-hours and asking specifically about nurse-to-patient ratios on nights and weekends.

Google Reviews

Google Reviews

147 reviews on Google
Majestic Care of Goshen receives highly polarized feedback, with many reviewers praising the facility's physical appearance and therapy services, while others report severe neglect and staffing shortages. Families frequently express concern over slow response times to call lights, poor hygiene, and inconsistent communication regarding medical care. While some residents report a positive, family-like atmosphere, others describe a facility that struggles to provide basic, safe care for vulnerable patients.

Quality Themes

Tap a score for details
Food6.0Staff4.0Clean3.0Activities8.0Meds2.0Memory7.0Comms2.0ValueN/A

Strengths

  • Effective rehabilitation and therapy services
  • Modern, clean, and well-maintained facility
  • Friendly and compassionate individual staff members
  • Engaging activities and memory care unit updates

Concerns

  • Chronic understaffing and slow response to call lights (mentioned by 12 reviewers)
  • Poor hygiene, sanitation, and persistent odors (mentioned by 6 reviewers)
  • Inconsistent or negligent medical care and medication management (mentioned by 7 reviewers)
  • Difficult communication with management and lack of responsiveness to family inquiries (mentioned by 5 reviewers)

Rating Trends

Tap a year to see what changed

2342.72022(18)4.02023(24)3.32024(22)4.32025(39)4.22026(15)

Distribution · 118 analyzed

5
77
4
6
3
1
2
0
1
34

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed that you are very active in responding to online feedback; how do you use that family input to improve daily operations and communication?
  • 2With the current staffing levels, what is your facility's specific protocol for ensuring that call lights are answered promptly, especially during evening and night shifts?
  • 3Can you walk me through your current process for medication management and how you ensure accuracy and consistency for residents with complex health needs?
  • 4Given the recent focus on facility maintenance, what is your daily schedule for housekeeping and sanitation to ensure the living environment remains fresh and hygienic?
  • 5I see that the rehabilitation and therapy services are highly regarded; how are these programs integrated into the daily routine for residents who need ongoing support?
  • 6What steps is management taking to improve the consistency of communication with families regarding changes in a resident's health or care plan?

Personalized based on this facility's data


Key Review Excerpts

The care in this place has been the most absolutely worst possible care ever!!! Do not, I repeat do NOT put your loved ones here. The cleanliness is the worst I have ever seen, VERY UNSANITARY!!! Call lights never get answered, NEVER!!!

Family member · 2024☆☆☆☆

The staff in therapy really gave me the tools I need to be able to exercise and build strength from my wheelchair.

Rehab patient · 2025★★★★★

The call buttons have been down for over 2 weeks and no plans to fix it before the middle of November. They actually gave my Mom a whistle!!!!

Family member · 2024☆☆☆☆
Source: 147 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.51hrs
68%
Registered nurses for medical care
Total Nursing
3.11hrs
76%
All nurses + aides combined
Staff Turnover
55%
Lower is better (< 30% = good)
RN Turnover
50%
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
4/ 5
Better Than Avg

7

measures

Worse Than Avg

9

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility35.9%
Worse than Avg
Here
35.9%
US
12.1%
IN
24.8%
Elkhart
14.9%

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

💉

Residents vaccinated for the flu

↑ Higher is better
This Facility85.0%
Worse than Avg
Here
85.0%
US
95.5%
IN
95.4%
Elkhart
99.3%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility1.1%
Better than Avg
Here
1.1%
US
15.3%
IN
13.0%
Elkhart
11.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility0.3%
Better than Avg
Here
0.3%
US
14.4%
IN
11.4%
Elkhart
11.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility28.0%
Worse than Avg
Here
28.0%
US
19.4%
IN
23.8%
Elkhart
27.3%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility22.5%
Mixed vs Avgs
Here
22.5%
US
19.5%
IN
23.5%
Elkhart
15.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility62.0%
Worse than Avg
Here
62.0%
US
79.8%
IN
79.0%
Elkhart
78.0%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility78.8%
Worse than Avg
Here
78.8%
US
81.8%
IN
81.5%
Elkhart
80.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.5%
Better than Avg
Here
0.5%
US
1.6%
IN
1.3%
Elkhart
0.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

17deficiencies
3penalties
Well above state avg (7.6)
27 complaint-triggered
$16,036 in fines

This facility has significant ongoing problems with 147 deficiencies across 14 surveys, including 32 complaint-triggered violations where families reported concerns. The most persistent issues involve basic resident care (assistance with daily living, treatment quality, incontinence care), safety systems (fire protection, emergency preparedness, electrical systems), and medication management. Problems with care quality appear throughout multiple recent surveys, suggesting systemic issues that continue despite corrections, with families frequently filing complaints about inadequate care.

Feb 3, 2026Complaint
2
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.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Jan 7, 2026Complaint
3
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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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.

Sep 10, 2025Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Jan 23, 2025Routine
31
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.

0007Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Address patient/client population and determine types of services needed.

0015Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0018Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish procedures for tracking staff and patients during an emergency.

0030Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

List the names and contact information of those in the facility.

0031Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Provide emergency officials' contact information.

0037Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

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

0346Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0354Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

0355Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0500Potential for harm · WidespreadCorrected

Services Deficiencies

Meet other general requirements that are deficient.

0511Potential for harm · WidespreadCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0711Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

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

0923Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0585Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0646Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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.

0745Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide medically-related social services to help each resident achieve the highest possible quality of life.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0761Potential for harm · IsolatedCorrected

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.

0770Potential for harm · IsolatedCorrected

Administration Deficiencies

Provide timely, quality laboratory services/tests to meet the needs of residents.

Jan 23, 2025Complaint
1
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Nov 14, 2024Complaint
3
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.

Federal Penalties

Fine

Mar 2, 2024

$8,018

Fine

Mar 2, 2024

$8,018

Payment Denial

Mar 2, 2024

14-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Majestic Care of Goshen

Organization Type

for profit

Chain Affiliation

Chain Name

Majestic Care

Chain Size

35 facilities nationwide

Chain avg rating: 2.6/5 · Rank 30 of 34 (Worst)

Ownership & Management

Owners

Undisclosed

Ownership Data Not Available · Organization

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 5 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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