Majestic Care of Livonia
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 56 Google reviews

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What this means for your family
While some families report positive experiences with the current leadership and rehab team, the facility has a concerning pattern of reports regarding hygiene and neglect. If you consider this facility, we strongly recommend unannounced visits at different times of the day and specifically checking the cleanliness of the resident's room and their personal hygiene status.
Google Reviews
Google Reviews
56 reviews on Google“Majestic Care of Livonia receives highly polarized reviews, with some families praising the staff's attentiveness and recent facility improvements, while others report severe neglect, poor hygiene, and unprofessional behavior. Recurring complaints highlight significant issues with communication, staff responsiveness, and the basic care of vulnerable residents. Prospective families should be aware of the stark contrast between positive experiences and reports of systemic neglect.”
Quality Themes
Tap a score for detailsStrengths
- Engaged and visible leadership
- Supportive rehab therapy team
- Inviting and renovated facility areas
- Accommodating staff for specific disability needs
Concerns
- Neglect and poor hygiene (urine odors, flies, unkempt rooms) (mentioned by 7 reviewers)
- Unprofessional, rude, or dismissive staff behavior (mentioned by 8 reviewers)
- Poor communication and inability to reach staff/administration (mentioned by 5 reviewers)
- Medication management errors and missing personal belongings (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 57 analyzed
How They Respond to Reviews
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 family input to improve the daily experience for residents?
- 2Could you walk me through your current protocols for maintaining room cleanliness and hygiene, and how often are these areas inspected by management?
- 3Given the recent focus on staff communication, what is the best way for family members to reach a point person if they have urgent questions about their loved one's care?
- 4How does your nursing team coordinate with the rehab therapy staff to ensure consistent care and medication management throughout the day?
- 5What specific steps are taken to ensure that residents' personal belongings are tracked and kept secure in their rooms?
- 6Could you describe the daily activity schedule and how your staff ensures that residents are engaged and supported throughout the day?
Personalized based on this facility's data
Key Review Excerpts
“It's rare to see an Executive Director out of their office directly providing patient care so you can understand how impressed I was this afternoon to see Majestic's Executive Director, Luke going table to table engaging with residents and offering his assistance.”
“My mother has dementia and incontinence problems. She was changing her own depends and piling them on the floor because she wasn't getting help. We would walk into flies everywhere and crawling on her!”
“The staff is very accommodating to her special disability needs. Bill and Donna are the best. Her skin is beautiful, hair is always braided and she has adjusted to her new surroundings.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
10
measures
7
measures
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
Residents needing more daily help over time
Residents on antipsychotic medication
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has significant quality concerns with 109 deficiencies across 18 surveys, including 28 complaint-triggered violations where families reported problems. The most recurring issues involve daily care assistance, pressure ulcer prevention, and medication management. While most individual violations are reportedly corrected, concerning patterns persist across surveys, including recent complaints in 2024 about resident care, safety hazards, and abuse protection.
Feb 26, 2026Routine10
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Feb 26, 2026Complaint2
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
May 28, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Feb 5, 2025Complaint1
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Dec 10, 2024Routine20
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
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.
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies
Have restrictions on the use of highly flammable decorations.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
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.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Dec 10, 2024Complaint6
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Federal Penalties
Fine
Jul 18, 2024
$13,105
Fine
Apr 4, 2024
$32,262
Fine
Oct 4, 2023
$93,639
Payment Denial
Oct 4, 2023
12-day denial
Ownership & Operations
Who Operates This Facility
Majestic Care of Livonia
for profit
Chain Affiliation
Majestic Care
35 facilities nationwide
Chain avg rating: 2.6/5 · Rank 24 of 34
Ownership & Management
Owners
Majestic Michigan Operations I LLC
Owner · Organization
Dem Family Trust I
Owner (parent company) · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
56 reviews from families & visitors
Official Website
Visit majesticcare.com
Medicare data downloads
Original nursing home datasets
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