Nursing HomeMedicaid Investigative

Majestic Care of Middletown LLC

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

6898 Hamilton Middletown Road, Middletown, OH 45044|200 beds|Licensed & Active

2/5

Medicare

Inspection

Quality

Staffing

Google rating

3.2/5

based on 11 Google reviews

(513) 424-5321 Directions Website

Street View

Watch Majestic Care of Middletown LLC

Get an email when new inspections, ratings, or penalties are published for this facility.

We’ll only email you about this — no spam, unsubscribe anytime.

5/ 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)
High staff turnover (57%)
High RN turnover (82%)

Bottom 25% in OH · Critically understaffed (RN) · Below chain average · $108,164 in fines

Source: Medicare data

What this means for your family

While the facility has received praise for its dementia care and activity programs, the recent report of severe neglect is deeply concerning. When touring, we strongly recommend asking for a detailed explanation of their call-light response protocols and how they ensure residents have consistent access to meals and assistance.

Google Reviews

11 reviews on Google

“Majestic Care of Middletown receives conflicting feedback, with several reviewers praising the attentive nursing and aide staff in assisted living and memory care units. However, a recent, highly critical review highlights severe concerns regarding staffing levels, neglect of basic patient needs, and poor communication during end-of-life care. Families should weigh the reported improvements in activities and specialized unit training against these serious allegations of inadequate oversight.”

Quality Themes

Tap a score for details

Strengths

Attentive and gentle nursing and aide staff
Engaging and improved activity programming
Specialized training in ventilator and dementia units

Concerns

Understaffing leading to neglect of basic patient needs

Rating Trends

Tap a year to see what changed

Distribution · 12 analyzed

How They Respond to Reviews

82%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

1I noticed the facility has specialized training for ventilator and dementia care; can you tell me more about how that expertise is applied to daily resident care?
2It's great to see that management is so active in responding to feedback; how does the team use resident and family input to make improvements around the facility?
3We are interested in the social side of things—could you describe some of the recent improvements made to the activity programming and what a typical afternoon looks like?
4With the specialized units you offer, how do you ensure that medical needs, especially for those requiring more intensive monitoring, are met promptly during the night?
5How does the nursing team manage resident care and basic daily needs during the busier shifts to ensure no one misses out on essential attention?
6In the event of a sudden change in a resident's health or a medical emergency, what is the specific protocol for notifying the family and coordinating with doctors?

Personalized based on this facility's data

Key Review Excerpts

“Caring and attentive staff in dementia unit. We knew her needs were being met. Even if she wasn't cooperative they were understanding and gentle seeking her cooperation.”

Memory care family member · 2024★★★★☆

“My mother has been a resident for 4 years in assisted living then memory care. We have found the staff to be very attentive to my mothers needs. And recently a great improvement with the activities provided to the residents.”

Long-term resident's family · 2021★★★★★

“This place isnt fit to take your dog let alone a human being. My father just died there a week ago. His care was one of the worst places I have ever been in. Under staffed.”

Long-term resident's family · 2025★☆☆☆☆

Source: 11 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.38hrs

50%

Registered nurses for medical care

Total Nursing

3.64hrs

89%

All nurses + aides combined

Staff Turnover

56%

Lower is better (< 30% = good)

RN Turnover

71%

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

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

Medicare Rating

5/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility34.8%

Worse than Avg

Here

34.8%

19.5%

25.4%

Butler

24.9%

🚶

Residents whose walking got worse

↓ Lower is better

This Facility1.3%

Better than Avg

Here

1.3%

15.3%

6.9%

Butler

15.1%

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility3.0%

Better than Avg

Here

3.0%

14.4%

5.8%

Butler

14.1%

😔

Residents with depression symptoms

↓ Lower is better

This Facility22.5%

Mixed vs Avgs

Here

22.5%

12.1%

28.2%

Butler

17.5%

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

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility10.7%

Mixed vs Avgs

Here

10.7%

15.5%

9.4%

Butler

15.6%

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility24.3%

Worse than Avg

Here

24.3%

19.4%

21.6%

Butler

23.5%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility65.6%

Worse than Avg

Here

65.6%

81.8%

78.4%

Butler

80.9%

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility71.7%

Worse than Avg

Here

71.7%

79.8%

75.6%

Butler

77.6%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility2.0%

Worse than Avg

Here

2.0%

1.6%

1.2%

Butler

1.8%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies

2penalties

Near state avg (10.1)

31 complaint-triggered

$108,164 in fines

This facility has significant quality concerns with families filing 32 complaints triggering investigations since 2019. The most recurring problems involve medication management, resident notification of incidents, and infection control, with these issues appearing repeatedly across multiple years. While the facility corrects deficiencies when cited, the pattern of recurring violations in critical care areas suggests ongoing operational challenges that families should carefully consider when evaluating this facility.

Jun 5, 2025Routine23 findings

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.

0004Potential for harm · WidespreadCorrected