Majestic Care of Avon
445 S County Road 525 E, Avon, IN 46123 · Hendricks County · (317) 745-2522
117 certified beds, about 84 residents a day · For profit - Corporation · Medicare and Medicaid since 1989
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 155338 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 22, 2025, inspectors cited 8 health deficiencies (the Indiana average is 7.2, the national average 9.2).
None of its 32 health citations since June 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.32 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.39 of those hours.
40.5% of nursing staff left within the year CMS measured (Indiana average 45.9%).
CMS links it to Majestic Care, an affiliated group of 26 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
1206/23
202/24
103/24
708/24
206/25
808/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 32 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
12D
15E
3F
Potential for minimal harm
0A
2B
0C
August 22, 2025Standard inspection · 8 citations
- F Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure sufficient staffing for the second quarter of 2025, sufficient staffing to prevent falls and to provide routine activities of daily living (ADLs), and sufficient staffing to address ongoing resident grievance concerns. This deficient practice had the potential to affect 80 of 80 residents who resided in the facility.
- F Keep all essential equipment working safely.
Inspectors wroteBased on observations and interviews, the facility failed to ensure all kitchen equipment was in proper working order. This deficient practice had the potential to affect 80 of 80 residents who ate meals in the facility.
- E Honor the resident's right to organize and participate in resident/family groups in the facility.
Inspectors wroteBased on observation, interview, and record review, the facility failed to appropriately follow up to grievances made by individual residents and as a group during resident council for 12 of 12 months of resident council minutes reviewed and for 2 of 2 meetings with residents observed.
- E Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents with dementia in the secured memory care unit received necessary assistance with activities of daily living (ADLs) for 11 of 20 residents who resided on the dementia unit (Residents 27, 14, 13, 76, 20, 9, 32, 59, 19, 51, and 64).
- E 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.
Inspectors wroteBased on observation and interview, the facility failed to date pharmaceuticals, remove expired eye drops from the medication cart, and stored anti-itch topical cream with eye drops and oral tablets together for 3 of 3 medication carts observed.
- E Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents in the Memory Care unit had sufficient and accessible fluids made available throughout the day for 5 of 5 days observed on the Memory Care unit. This deficient practice had the potential to affect 20 of 20 residents residing on the Memory Care unit (Residents 32, 27, 59, 10, 19, 70, 28, 64, 74, 20, and 39).
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on record review and interview, the facility failed to ensure a resident (Resident 89) received timely notification that his Medicare coverage was ending for 1 of 3 residents reviewed for Notice of Medicare Noncoverage (NOMNC).
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation and interview, the facility failed to prevent the potential for accidents related to staff leaving personal items with unknown smoking substances in a resident's room who wore oxygen for 1 of 5 residents reviewed for the potential for accidents (Resident 35).
June 25, 2025Complaint inspection · 2 citations
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observations and interview, the facility failed to serve food at an acceptable temperature to residents residing on the 600 hall. This deficiencyhad the potential to affect residents 14 of 14 residents who had their trays delivered to their rooms.
- D Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Inspectors wroteBased on observations, record review, and interview, the facility failed to serve a resident her diet as ordered for 1 of 3 residents reviewed for diets (Resident B).
August 8, 2024Standard inspection · 7 citations
- E Honor the resident's right to organize and participate in resident/family groups in the facility.
Inspectors wroteBased on interview and record review, the facility failed to ensure Resident Council Grievance concerns related to call light wait and response times was addressed in a timely and effective manner to prevent ongoing concerns for 5 of 82 residents who attended the Resident Council Meeting and complained on behalf of all 82 residents who resided in the facility.
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the facility's non-smoking policy was followed and allowed unassessed residents who smoked to smoke on the facility grounds and keep smoking materials in their rooms for 6 of 6 residents reviewed for smoking (Resident 6, 22, 26, 67, 77, and 79).
- E 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.
Inspectors wroteBased on observation, interview, and record review, the facility failed to label and date medications when opened and remove expired medications from use for 3 of 5 medication carts and 1 of 2 refrigerators observed for medication storage.
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure resident assessments were completed for 1 of 1 resident who self-administers medications (Resident 15).
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview the facility failed to accurately code falls on the MDS (Minimum Data Set) for 1 of 2 Residents reviewed for MDS accuracy (Resident 53).
- D Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on interview and record review, the facility failed to ensure sufficient licensed nurse coverage was available on the weekends for 1 of 4 quarters of staffing reviewed which had the potential to effect 82 of 82 residents who resided in the facility.
- D Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure two cognitively impaired residents who wished to have a relationship and resided on the secured memory care unit had assessments for appropriateness, ongoing supervision, and person-centered goals and interventions for 2 of 3 residents reviewed for dementia services (Residents 53 and 55).
March 13, 2024Complaint inspection · 1 citation
- E Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Inspectors wroteBased on observations, interviews and record review, the facility failed to ensure the secured memory care unit provided person-centered care, supervision, and engaging activities to prevent resident-to-resident altercations and/or accidents. These deficient practices had the potential to affect 30 of 30 residents who resided in the secured memory care unit (Residents L, B, EE, GG, X, M, N, W, FF, and HH).
February 6, 2024Complaint inspection · 2 citations
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a non-verbal, cognitively impaired resident was free from abuse for 1 of 3 residents reviewed for abuse (Resident B).
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview and record review, the facility failed to ensure staff immediately reported to the Administrator witnessed abuse by another staff member to a resident for 1 of 3 residents reviewed for abuse (Resident B).
June 30, 2023Standard inspection · 12 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the kitchen foods were dated, all refrigeration units had working thermometers, the kitchen was clean, and staff facial hair was covered for 3 of 3 kitchen observations, and the facility failed to ensure staff used appropriate hand hygiene with making, delivering, and assisting to fed residents for 4 of 4 random observations (Residents 4, 59, 71, and 95).
- E Honor the resident's right to organize and participate in resident/family groups in the facility.
Inspectors wroteBased on interview and record review, the facility failed to ensure the Resident Council received responses and follow-up for their requests and grievances related for 6 of 6 months of resident council notes reviewed. This deficient practice had the potential to effect 92 of 92 residents who resided in the facility.
- E The resident has the right to receive notices in a format and a language he or she understands.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure information for the Indiana Long-Term Care Ombudsman Program was easily available and accessible for Residents and/or their representatives to review for 5 of 6 days of the survey. This deficient practice had the potential 92 of 92 residents who resided in the facility.
- E 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.
Inspectors wroteA. Based on observation, interview, and record review, the facility failed to ensure randomly tested memory care (MC) resident rooms had water temperatures able to reach 100 degrees Fahrenheit (F) for 11 of 11 resident rooms tested for water temperature (Resident 8, 51, 52, 59, 67, 71, 75, 76, 77, 85 and 95). B. Based on observation, interview, and record review, the facility failed to ensure the resident rooms in the 800 hall and in MC were clean and a home-like environment for 22 of 22 residents' rooms observed on the 800 hallway and MC unit (Resident 4, 8, 9, 16, 21, 26, 43, 45, 46, 47, 52, 54, 57, 67, 76, 77, 81, 85, 95, 100, 113, and 252).
- E Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide oxygen therapy and respiratory care according to physician orders and residents' plans of care for 4 of 4 residents reviewed for oxygen therapy (Residents 6, 48, 251, and 252).
- E Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the kitchen had enough staff to provide meals in a timely manner for 92 of 92 resident who received food from the kitchen.
- E Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the memory care (MC) did not have crawling insects in resident rooms and the kitchen for 2 or 2 observations (Resident 57).
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a resident with timely toileting assistance resulting in discomfort for the resident for 1 of 1 random observation (Resident 78).
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteA. Based on observation, interview, and record review, the facility failed to ensure a resident who had a history of falls with fractures, had fall interventions in place to prevent the potential for additional falls for 1 of 8 residents reviewed for accidents (Resident 7). B. Based on observation, interview, and record review, the facility failed to ensure a memory care (MC) resident's room was free of medications for 2 of 2 random observations (Resident 16) and failed to ensure a resident with medications in her room was accessed for safety to self-administrate medications (Resident 252) for 1 of 8 residents reviewed for accidents.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident received care for constipation for 1 of 1 resident reviewed for bowel continence (Resident 14).
- B Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, interview, and record review, the facility failed to accurately code the use of oxygen on the quarterly Minimum Data Set (MDS) assessment for 1 of 1 resident reviewed for oxygen therapy (Resident 48).
- B Post nurse staffing information every day.
Inspectors wroteBased on observation, interview, and record review, the facility failed to update the daily staff posting for 1 of 6 days of observation. This deficiency had the potential to effect all residents in the building.
Fire safety inspections
13 fire safety citations on file: 5 on August 22, 2025, 5 on August 8, 2024, 3 on June 30, 2023.
Every fire safety citation13 citations
- E 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.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Ensure proper usage of power strips and extension cords.
- D Install emergency lighting that can last at least 1 1/2 hours.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Properly select, install, inspect, or maintain portable fire extinguishes.
- F Have simulated fire drills held at unexpected times.
- E To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Have proper medical gas storage and administration areas.
- F Have simulated fire drills held at unexpected times.
- E Provide properly protected cooking facilities.
- E Have proper medical gas storage and administration areas.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Indiana | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.32 | 3.69 | 3.86 |
| Registered nurses | 0.39 | 0.67 | 0.69 |
| All nursing staff on weekends | 2.97 | 3.25 | 3.42 |
| Nurse aides | 2.24 | ||
| Licensed practical nurses | 0.69 | ||
| Nursing staff turnover (share who left in a year) | 40.5% | 45.9% | 45.8% |
| Registered nurse turnover | 66.7% | 40.3% | 42.9% |
| Administrators who left | 3 |
CMS expects 4.43 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.46 on weekdays and 2.97 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.50 in April to June 2025 to 3.32 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.32 | 0.39 | 3.46 | 2.97 | 0.0% | 0 of 90 | 84 |
| Oct to Dec 2025 | 3.75 | 0.50 | 3.96 | 3.22 | 0.0% | 0 of 92 | 82 |
| Jul to Sep 2025 | 3.80 | 0.54 | 3.99 | 3.31 | 0.0% | 0 of 92 | 79 |
| Apr to Jun 2025 | 3.50 | 0.46 | 3.68 | 3.07 | 0.0% | 0 of 91 | 81 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Indiana, Jan to Mar 2026 | 3.63 | 0.62 | 3.80 | 3.19 | 3.4% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Indiana | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 3.4 | 11.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.6 | 1.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 7.6 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.0 | 11.9 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.9 | 3.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 12.4 | 13.6 | 15.4 |
Owners and operators
Legal business name: PULASKI MEMORIAL HOSPITAL. CMS links this home to Majestic Care, a group of 26 nursing homes averaging 2.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Pulaski Memorial Hospital | 5% or greater direct ownership interest | Organization | 100% | 12/31/2020 |
| Marx, Josiah | Contracted managing employee | Individual | 08/27/2021 | |
| Malott, Gregg | Corporate officer | Individual | 01/01/2021 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 9 problems in this area, most recently on August 22, 2025: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 7 problems in this area, most recently on August 22, 2025: "Honor the resident's right to organize and participate in resident/family groups in the facility."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 5 problems in this area, most recently on August 22, 2025: "Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 3 problems in this area, most recently on August 22, 2025: "Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.97 hours per resident per day, below the Indiana average of 3.25.
- How long has the current administrator been here?CMS counts 3 administrators who left in the period it measured.
Other nursing homes nearby
- Avon Health & Rehabilitation Center Avon, 1.2 mi · 5 of 5 stars · 14 citations
- Countryside Meadows Avon, 2.8 mi · 3 of 5 stars · 36 citations
- Danville Regional Rehabilitation Danville, 3.6 mi · 5 of 5 stars · 16 citations
- Plainfield Health Care Center Plainfield, 4.6 mi · 2 of 5 stars · 58 citations
- Brooke Knoll Village Avon, 4.8 mi · 2 of 5 stars · 29 citations
- Wellbrooke of Avon Indianapolis, 5.4 mi · 5 of 5 stars · 17 citations
- Brownsburg Meadows Brownsburg, 5.8 mi · 3 of 5 stars · 24 citations
- Cumberland Trace Health & Living Community Plainfield, 5.8 mi · 3 of 5 stars · 19 citations
Indiana contacts for a concern about a nursing home
These are the official offices in Indiana. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Indiana Department of Health, Division of Long-Term Care, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Indiana Long-Term Care Ombudsman Program, 800-622-4484. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Indiana Department of Health, Nursing Home Report Cards, where Indiana publishes its own records on licensed homes.
Common questions
- What is Majestic Care of Avon's Medicare star rating?
- CMS rates Majestic Care of Avon 2 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Majestic Care of Avon get at its last inspection?
- 8 health deficiencies at the standard inspection on August 22, 2025. The Indiana average is 7.2.
- Has Majestic Care of Avon been fined?
- CMS lists no fines in the last three years.
- Does Majestic Care of Avon accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Majestic Care of Avon?
- CMS lists 3 owners and managers, and links the home to Majestic Care. Legal business name: PULASKI MEMORIAL HOSPITAL.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.