Nursing home
Majestic Care of Middletown
6898 Hamilton Middletown Road, Middletown, OH 45044 · Map
For profit - Limited Liability company · Part of Majestic Care (34 facilities) · 200 certified beds
Majestic Care of Middletown is a Medicare-certified nursing home in Middletown, Ohio. CMS rates it 2 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.58 hours per resident per day, below the Ohio average of 3.72. Its most recent inspection on Jun 5, 2025 cited 6 deficiencies.
- 1 fine totaling $108,164In CMS records: 2 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Majestic Care of Middletown compares
This facility vs. the Ohio and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Ohio avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.58 | 3.72 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.29 | 0.63 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.72 | 2.14 | 2.34 | below avg |
| Nursing staff turnover | 56.9% | 49.8% | 46.4% | above avg |
| Deficiencies cited, last inspection | 6.0 | 10.2 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $108,164, 2 total penalties, 1 Medicare payment denial.
What inspectors found at Majestic Care of Middletown
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jun 5, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jun 5, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Jun 5, 2025 · Full report (PDF) - Potential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Jun 5, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Jun 5, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · Jun 5, 2025 · Full report (PDF) - Potential for harm
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Feb 4, 2025 · Full report (PDF) - Potential for harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Jan 17, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jan 6, 2025 · Full report (PDF) - Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Jan 6, 2025 · Full report (PDF) - Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Jan 6, 2025 · Full report (PDF) - Potential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Jan 6, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 6898 Hamilton Middletown Road
Middletown, OH 45044 - CMS certification #
- 365209
- Ownership
- For profit - Limited Liability company
- Certified beds
- 200
- Avg residents/day
- 132.9
- Provider type
- Medicare and Medicaid
- First certified
- 1968-10-11
- Chain
- Majestic Care (34 facilities)
- Setting
- Urban
Part of Majestic Care
Majestic Care operates 34 nursing facilities across the United States. View all Majestic Care facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Majestic Care of Middletown using Google Maps.
Other public records
- Website says Respite stays, nurse 24 hours a day, works with hospice
Full public records, with dates and sources
Care and services
From the community’s website
What Majestic Care of Middletown says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Respite Care
(page, checked Oct 15, 2026) - Nurse on site: 24 hours a day.
We design individual care plans for each resident to address their needs and our compassionate caregivers provide 24-hour nursing care.
(page, checked Oct 15, 2026) - Offers hospice care on site or works with hospice providers.
This beneficial service if offered for any service line; Memory Care, Long-Term Care and/or Hospice.
(page, checked Oct 15, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Atrium Medical Center, Franklin. 5.8 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Hawthorn Glen Nursing Center, Middletown. 2.7 miles away, straight line.
- Nearest home health agency office
- Physicians Choice Inc, Hamilton. 3.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 0.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 45044 as metropolitan (metropolitan high commuting).
- Dialysis within 15 miles
- Davita Butler County Home Training Dialysis, Liberty Township, 1.1 miles away, straight line (CMS rating 3 of 5 stars)
Davita Butler County Dialysis, Middletown, 3.9 miles away, straight line (CMS rating 3 of 5 stars)
Davita Atrium Dialysis, Middletown, 4.0 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 23 Medicare hospices tell CMS they serve ZIP code 45044.
Hospice Care Of Middletown Inc, office in Middletown, 4.1 miles away, straight line (CMS family survey rating 5 of 5 stars)
Otterbein Hospice LLC, office in Lebanon, 7.6 miles away, straight line
Suncrest Hospice, office in West Chester, 8.6 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Comprehensive Geriatric Care, LLC, Monroe. 3.2 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively moderate, wildfire very low, tornado relatively high, heat wave relatively low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Majestic Care of Middletown a good nursing home?
CMS gives Majestic Care of Middletown an overall rating of 2 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Majestic Care of Middletown staffed?
Majestic Care of Middletown reports 3.58 total nurse hours per resident per day, compared with the Ohio average of 3.72.
Has Majestic Care of Middletown had inspection problems?
Its most recent CMS inspection cited 6 deficiencies.
How many beds does Majestic Care of Middletown have?
Majestic Care of Middletown is certified for 200 beds.