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A middle-range Medicare rating. Review each component and visit in person before deciding.
based on 57 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
Majestic Care of Livonia has a middle-range Medicare overall rating. Strengths include engaged and visible leadership. Some reviewers note concerns about neglect and poor hygiene (urine odors, flies, unkempt rooms) (mentioned by 7 reviewers). Review the health-inspection, staffing, and quality-measure components separately, then visit in person.
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
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Concerns
Rating Trends
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Distribution · 57 analyzed
This facility actively engages with reviewer feedback.
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.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
5
measures
2
measures
1
measures
Residents vaccinated for the flu
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Residents needing more daily help over time
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
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.
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.
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
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.
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.
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.
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
Majestic Care of Livonia
for profit
Majestic Care
35 facilities nationwide
Chain avg rating: 2.6/5 · Rank 24 of 34
Owners
Majestic Michigan Operations I LLC
Owner · Organization
Dem Family Trust I
Owner (parent company) · Organization
Key personnel
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Google Reviews
57 reviews from families & visitors
Official Website
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