Facility profile · CCN 155219
Majestic Care Of South Bend
53 federal citations on record , including 3 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $116,322.
Record summary
Federal record · Q1 202653
Total citations
52
Last 3 years
3
Actual harm+
4
Federal penalties
$116,322
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
53 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 16, 2026 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint |
| Jan 16, 2026 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Aug 19, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Aug 19, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard |
| Aug 19, 2025 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Standard |
| Aug 19, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard |
| Aug 19, 2025 | F679 | Provide activities to meet all resident's needs. | D | Standard |
| Aug 19, 2025 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Oct 4, 2024 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard |
| Oct 4, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Oct 4, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Oct 4, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Oct 4, 2024 | F693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard |
| Oct 4, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Oct 4, 2024 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard |
| Oct 4, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Oct 4, 2024 | F625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard |
| Oct 4, 2024 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard |
| Oct 4, 2024 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| Oct 4, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Aug 23, 2024 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Complaint |
| Aug 23, 2024 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | K | Complaint |
| Aug 23, 2024 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint |
| Jul 15, 2024 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint |
| Jul 15, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Jul 15, 2024 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint |
| Jul 15, 2024 | F678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Complaint |
| Feb 20, 2024 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Feb 20, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Jan 11, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Jan 11, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Oct 12, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Aug 28, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Aug 28, 2023 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard |
| Aug 28, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Aug 28, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Aug 28, 2023 | F791 | Provide or obtain dental services for each resident. | D | Standard |
| Aug 28, 2023 | F761 | 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. | E | Standard |
| Aug 28, 2023 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Aug 28, 2023 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Aug 28, 2023 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Aug 28, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Aug 28, 2023 | F699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard |
| Aug 28, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Aug 28, 2023 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Aug 28, 2023 | F685 | Assist a resident in gaining access to vision and hearing services. | D | Standard |
| Aug 28, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Aug 28, 2023 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Aug 28, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Aug 28, 2023 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard |
| Aug 28, 2023 | F569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Standard |
| Aug 28, 2023 | F567 | Honor the resident's right to manage his or her financial affairs. | D | Standard |
| Mar 13, 2023 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Complaint |
Federal enforcement history
Federal regulators have imposed 4 enforcement actions against this facility, including 3 civil money penalties totaling $116,322 and 1 payment-denial actions spanning 34 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jul 15, 2024 | Fine | $16,801 | — |
| Jul 15, 2024 | Fine | $84,256 | — |
| Jul 15, 2024 | Payment Denial | — | Aug 9, 2024 · 34 days |
| Aug 28, 2023 | Fine | $15,265 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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