HomeOhioButler CountyMAJESTIC CARE OF MIDDLETOWN LLC
D
Poor

MAJESTIC CARE OF MIDDLETOWN LLC

6898 HAMILTON MIDDLETOWN ROAD · MIDDLETOWN, OH 45044

5134245321 · For profit - Limited Liability company

200 beds132.9 residents182 staff
CMS Five-Star Ratings
Overall
Staffing
Quality
Inspections
Staffing Grades
B
Good
Total Staff
D
Poor
RN Staff
D
Poor
Overall
CMS Benchmark(≥ 3.48 HPRD)
RN Recommendation(≥ 0.75 HPRD)
Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

MAJESTIC CARE OF MIDDLETOWN LLC receives an overall staffing grade of D (Poor). With 3.5825 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.2878 HPRD, below the recommended 0.75. It is 0.31 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 15.95% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

⚠️Had 2 days with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
⚠️RN staffing (0.2878 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

Strengths (2)

Meets the CMS staffing benchmark (≥ 3.48 HPRD)
Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.5825hrs/resident/day 0.31
CMS benchmark: 3.48
RN HPRD
0.2878hrs/resident/day 0.40
Recommended: 0.75
Weekend Drop-off
15.95%
3.7515 weekday → 3.1533 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
2days this quarter
4+ days = auto 1-star
CNA HPRD
1.7241hrs/resident/day
Direct care aides
LPN HPRD
1.5705hrs/resident/day
Licensed practical nurses
Consistency
0.3019std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Butler County Average-0.36 HPRD
3.94
03.58 HPRD
vs. Ohio State Average-0.15 HPRD
3.73
03.58 HPRD
vs. National Average-0.31 HPRD
3.90
03.58 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
MAJESTIC CARE OF MIDDLETOWN LLC
MIDDLETOWN · This facility
D
3.58250.2878★★☆☆☆
OHIO LIVING MOUNT PLEASANT
MONROE
3.2 mi
B
3.93650.9777★★★★
THE LAURELS OF MIDDLETOWN
MIDDLETOWN
3.5 mi
D
3.35050.3679★★★★
OTTERBEIN LEBANON RETIREMENT COMMUNITY
LEBANON
7.6 mi
B
4.11980.6091★★★★
PARKSIDE NURSING AND REHABILITATION CENTER
FAIRFIELD
10.6 mi
B
5.51630.5714★★★☆☆
BRADFORD PLACE CARE CENTER
HAMILTON
10.8 mi
C
3.84590.4935★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

13
Inspections
61
Total Deficiencies
$108,164
Fines Assessed
Jun 5, 2025Health
6 deficiencies cited
Feb 4, 2025Health
1 deficiency cited
Jan 17, 2025Health
1 deficiency cited
Jan 6, 2025Health
4 deficiencies cited
May 29, 2024Health
3 deficiencies cited
Apr 29, 2024Health
3 deficiencies cited· Includes actual harm
Mar 18, 2024Health
8 deficiencies cited· Includes actual harm
Feb 14, 2024Health
4 deficiencies cited
Nov 16, 2023Health
4 deficiencies cited
Aug 24, 2023Health
2 deficiencies cited
Mar 29, 2023Health
15 deficiencies cited
Feb 22, 2023Health
3 deficiencies cited
Jul 11, 2019Health
7 deficiencies cited

Penalty History

Feb 14, 2024Fine
$108,164
Feb 14, 2024Payment Denial
Feb 22, 2023Payment Denial
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.