Majestic Care of South Bend
52654 N Ironwood Rd, South Bend, IN 46635 · St. Joseph County · (574) 277-8710
103 certified beds, about 68 residents a day · For profit - Individual · Medicare and Medicaid since 1983
Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 155219 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 19, 2025, inspectors cited 6 health deficiencies (the Indiana average is 7.2, the national average 9.2).
Of 53 health citations since August 2023, 3 were rated as actual harm or immediate jeopardy to residents (3 immediate jeopardy).
CMS lists 2 fines totaling $101,057 in the last three years; the largest was $84,256, and the latest is dated July 15, 2024.
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 0.62 of those hours.
68.4% of nursing staff left within the year CMS measured (Indiana average 45.9%).
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.
2008/23
110/23
201/24
202/24
407/24
308/24
1210/24
608/25
201/26
107/26
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 53 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
2J
1K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
39D
9E
2F
Potential for minimal harm
0A
0B
0C
July 1, 2026Complaint inspection · 1 citation
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on interview and record review, the facility failed to notify a resident's representative of a medication change for 1 of 3 residents reviewed for resident rights. (Resident E)
January 16, 2026Complaint inspection · 2 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 interview, and record review, the facility failed to ensure foods were served under safe and sanitary conditions related to monitoring food temperatures before serving. This deficient practice had the potential to affect 69 of 70 residents who were served meals from the facility kitchen.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident's physician and responsible party were notified of the resident's refusal to be weighed and of the resident's significant weight loss, for 1 of 3 resident's reviewed for weight loss, (Resident E).
August 19, 2025Standard inspection · 6 citations
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and record review, the facility failed to administer medications as ordered by the Physician for 9 of 9 residents reviewed for medications. (Residents 3, 8, 29, 51, 67, 69, 14, 1 and 4)
- E 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.
Inspectors wroteBased on record review and interview, the facility failed to ensure nursing staff had the competencies to administer medications timely and/or administer medications as ordered by the Physician for 8 of 8 residents (Resident's 1, 3, 4, 8, 29, 51, 67 and 69.) See F684 for additional information regarding Resident's 1, 3, 4, 8, 29, 51, 67 and 69.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, interview, and record review, the facility failed to revise care plans to reflect the current status for 1 of 22 residents whose care plans were reviewed. (Residents 29)
- D Provide activities to meet all resident's needs.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide personalized activity programs for 2 of 3 residents reviewed for activities. (Resident 29 and 10)
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview, the facility failed to serve food in a sanitary manner for 1 of 1 dining rooms observed during the lunch meal service. This had the potential to affect 70 of 70 residents in the facility.
- D Provide and implement an infection prevention and control program.
Inspectors wroteNumber of residents sampled:Number of residents cited:Based on observation, record review and interview, the facility failed to ensure aseptic technique and enhanced barrier precautions were maintained during PICC (peripherally-inserted central catheter) care for 1 of 1 residents reviewed for PICC line care. (Resident 7). In addition, the facility failed to ensure oxygen equipment was cleaned for 1 of 2 residents reviewed for respiratory care. (Resident 4)
October 4, 2024Standard inspection · 12 citations
- E Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on record review and interview, the facility failed to ensure care plan conferences were completed every quarter for 4 of 4 residents reviewed for care plans. (Residents 13, 8, 59 & 26)
- E 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 store and prepare food in a sanitary manner related to labeling and dating of opened food in the walk-in cooler and disposing of expired spices in 1 of 1 kitchens observed. This had the potential to effect 72 of 74 residents who received their meals from the kitchen.
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation and record review, the facility failed to provide a dependent resident an assistive device for 1 of 1 residents reviewed for accommodation of needs. (Resident 3)
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on interview and record review, the facility failed to ensure a SNF-ABN (Skilled Nursing Facility-Advanced Beneficiary Notice) Form was provided following the end of Medicare skilled services for 1 of 1 resident who discharged from Medicare services and remained in the facility. (Resident 45)
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on interview and record review, the facility failed to provide the resident, or the resident's representative, with a notice of transfer form for 2 of 2 residents reviewed for hospitalization. (Residents 8 and 59)
- D 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.
Inspectors wroteBased on interview and record review, the facility failed to provide the resident, or the resident's representative, with a copy of the Bed Hold Policy when sent to the hospital for 2 of 2 residents reviewed for hospitalization. (Residents 8 and 59)
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on interview and record review, the facility failed to develop a person-centered care plan regarding fluid needs for 1 of 18 residents whose care plans were reviewed. (Resident 8)
- 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 ensure resident were assisted with personal hygiene and showers for 3 of 4 records reviewed for Activities of Daily Living (ADL). (Resident 3 & 24)
- D 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.
Inspectors wroteBased on interview, observation and record review, the facility failed to follow the Physician's orders related to flushing a G-tube (gastrointestinal tube) and changing the tubing for 2 of 2 residents who were reviewed for a G-tube. (Resident 222 & 7)
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure it was free of a medication error rate of greater than 5 percent for 2 of 4 residents (Resident 28 & 35) observed during medication pass. There were 25 opportunities observed with 2 medication errors, resulting in a medication error rate of 8 percent.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure infection control practices were carried out appropriately for the storage of respiratory equipment, catheter care, blood sugar monitoring and cleaning of a glucometer for 3 of 3 residents observed for infection control. (Resident 13, 21 & 26)
- D Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation, interview and record review, the facility failed to maintain a safe and sanitary environment related to monitoring personal refrigerator temperatures and disposing of expired food in personal refrigerators for 3 of 3 residents who used personal refrigerators. (Residents 21, 44 & 45)
August 23, 2024Complaint inspection · 3 citations
- K Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on interview and record review, the facility failed to ensure residents who required dialysis services continued to receive those services in accordance with physician orders when the facility-based dialysis center closed on 8/12/2024 for 6 of 7 residents reviewed for dialysis services. (Resident D, E, F, R, S and V) This deficient practice resulted in Resident D and Resident E missing two dialysis treatments and required transfer to an acute care hospital for treatment of critical laboratory results and emergency dialysis treatments. [...]
- E 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.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a Licensed Nurse followed standards of practice, during a medication administration, related to observation of mediation consumption for 1 of 1 residents observed during a random observation. (Resident Q)
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on interview and record review, the facility failed to ensure 3 of 3 residents reviewed for facility initiated transfers to a local hospital for dialysis treatments, received documentation including a statement of notification of the transfer, appeal rights, a copy of the bed hold policy and the Ombudsman's information. (Resident E, D and F)
July 15, 2024Complaint inspection · 4 citations
- J Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Inspectors wroteBased on record review and interview, the facility failed to immediately initiate Cardiopulmonary Resuscitation (CPR) in accordance with the resident's advanced directives for 1 of 3 residents reviewed for facility discharge. (Resident D) This deficient practice resulted in CPR not being provided immediately when staff found the unresponsive resident and the resident died. The Immediate Jeopardy began, on 6/22/24 at 5:25 P.M., when staff identified Resident D was unresponsive and failed to immediately initiate CPR. The Administrator and the Interim Director of Nursing (DON) were notified of the Immediate Jeopardy (IJ) on 7/12/24 at 12:46 P.M. The Immediate Jeopardy was removed, on 7/13/24, but noncompliance remained at the lower scope and severity level of isolated, no actual harm with potential for more than minimal harm that is not Immediate Jeopardy.
- 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 observation, interview and record review, the facility failed to ensure there were a sufficient number of licensed nurses (RN/LPN) to provide care and services to 1 of 2 nursing units (Skilled/Rehabilitation Unit.) This directly affected 5 of 10 residents reviewed for care needs. (Resident D, B, H, L, and K) See F678 for additional information regarding Resident D. See F755 for additional information regarding Residents B, L, K and D
- E Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation and interview, the facility failed to ensure 1 of 3 shower rooms were cleansed after use. This had the potential to affect all 55 residents residing on the South unit
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on record review and interview, the facility failed to ensure residents received medications and treatments in accordance with physician orders and per facility policy for 4 of 6 residents reviewed for nursing services, (Residents B, L, K & D). Findings Include: 1. A record review was completed for Resident B on 7/11/24 at 12:28 P.M. The diagnoses included, but were not limited to, cellulitis of right lower limb, type 2 diabetes, chronic obstructive pulmonary disease, atrial fibrillation, heart failure, stage 2 pressure ulcer. An admission Minimum Data Set (MDS) assessment, dated 5/22/24, indicated Resident B was cognitively intact, was admitted with one stage 2 pressure area and one stage 4 pressure area.and received 7 days of insulin injections in the previous 7 days of the assessment period. The current Physician's Orders included: [...]
February 20, 2024Complaint inspection · 2 citations
- 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 report an allegation of resident to resident abuse to local law enforcement within 24 hours as directed by the facility's policy, when 2 residents were allegedly involved in a physical altercation, resulting in forehead bruising to both residents, (Resident B and Resident C).
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on interview and record review, the facility failed thoroughly investigate an allegation of resident to resident abuse when 2 residents were allegedly involved in a physical altercation resulting in forehead bruising to both residents, (Resident B and Resident C).
January 11, 2024Complaint inspection · 2 citations
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident's representative was notified timely, when there was an acute change in the resident's condition. (Resident F)
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review and interview, the facility failed to ensure 1 of 3 residents reviewed received appropriate interventions when there had been an acute change of condition. (Resident F)
October 12, 2023Complaint inspection · 1 citation
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview and record review the facility failed to supervise a resident, with severe cognitive deficits and wandering behaviors, from exiting the facility resulting in the elopement of Resident J. The immediate jeopardy began on 10/3/23 when the facility failed to ensure supervision was provided to Resident J, who was deemed high risk for an elopement, had a diagnosis of Alzheimer's disease and displayed exit seeking behaviors. As a result, the resident was able to exit the facility unattended. The Interim Administrator, Director of Nursing Services, and Regional Nurses were notified of the immediate jeopardy, at 12:21 P.M. on 10/11/23. The immediate jeopardy was removed, and the deficient practice corrected, on 10/4/23, prior to the start of the survey and was therefore Past Noncompliance
August 28, 2023Standard inspection · 20 citations
- 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, record review and interview, the facility failed to ensure medications were labeled and dated in 1 of 2 medication storage rooms and 1 of 2 medications carts.
- E 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 food items and drinks were covered when transporting 15 trays to residents who resided on the North hallway who received a meal tray on 8/21/23.
- E Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the north shower room had shower drains without debris covering them, this had the potential to effect 20 of 20 residents who used the shower room.
- D Honor the resident's right to manage his or her financial affairs.
Inspectors wroteBased on observation, record review and interviews, the facility failed to ensure 28 residents with resident trust accounts had access to more than $50.00 of their funds on a daily basis and had reasonable access after hours and on weekends.
- D Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Inspectors wroteBased on record review and interview, the facility failed to ensure there was documentation 1 of 28 residents with a resident trust account exceeding the Medicaid allowable limit was notified of the regulation. (Resident 71)
- 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 1 of 4 residents interviewed were free of verbal abuse. (Resident E)
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on record review and interview, the facility failed to ensure that notification of the Ombudsman was made in a timely manner of resident's discharge from the facility for 1 of 1 resident reviewed for notification of discharge. (Resident 86)
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure care plans were developed for 1 of 28 residents reviewed. (Resident 11)
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on interview, observation and record review, the facility failed to ensure the care plan was revised and residents were invited to care plan meetings for 1 of 29 residents whose care plans were reviewed. (Resident 26 ).
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observations, record reviews, and interviews, the facility failed to provide shaving for 2 of 3 residents reviewed (Residents 7 and 41) and nail care for 1 of 3 residents reviewed (Resident 41) who were unable to perform these tasks.
- D Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on observation, interview, and record review the facility failed to arrange an ophthalmology follow up appointment for 1 of 1 resident reviewed for vision and hearing. (Resident 11)
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a resident with significant weight loss received fortified pudding as ordered for 1 out of 4 reviewed for nutrition. (Resident 13)
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure oxygen and respiratory equipment use was ordered and care planned for 2 of 28 residents reviewed for respiratory needs. (Resident 28 and 41)
- D Provide care or services that was trauma informed and/or culturally competent.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure a plan was in place to provide trauma-informed care for 1 of 1 residents reviewed for Post Traumatic Stress Disorder. (Resident 44)
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on interview and record review, the facility failed to ensure medication was available for administration in 2 of 3 residents reviewed who received anxiolytic (anti-anxiety) medication. (Resident C and G)
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a pharmacy recommendation for a PRN medication was re-evaluated and signed by a physician for 1 out of 5 residents reviewed for unnecessary medication. (Resident 11)
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on observation, record review and interviews, the facility failed to ensure insulin was administered at the correct time for 1 of 2 residents reviewed for insulin administration. (Resident 2)
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure it was free of a medication error rate of greater than 5% for 3 of 9 residents observed during medication pass. Five medication errors were observed during 39 opportunities. This resulted in a medication error rate of 12.82 percent. (Resident 141, 140, and 83 )
- D Provide or obtain dental services for each resident.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure 1 of 3 residents reviewed for dental services had a dental examination completed (Resident 28) and 2 of 3 residents reviewed for dental needs had dental recommendations completed timely for outside referrals. (Resident 72 and 11)
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure 1 of 3 nursing staff passing medications followed manufacturer's recommendations for the cleaning of a glucometer.
Fire safety inspections
46 fire safety citations on file: 24 on August 19, 2025, 10 on October 4, 2024, 12 on August 28, 2023.
Every fire safety citation46 citations
- F Implement emergency and standby power systems.
- F Provide properly protected cooking facilities.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Install corridor and hallway doors that block smoke.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Have simulated fire drills held at unexpected times.
- F Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure that testing and maintenance of electrical equipment is performed.
- F Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
- E Use approved construction type or materials.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 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 Install proper backup exit lighting.
- E Have properly located and lighted "Exit" signs.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Have properly installed electrical wiring and gas equipment.
- E To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Ensure proper usage of power strips and extension cords.
- D Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- C Create arrangements with other facilities to receive patients.
- C Conduct testing and exercise requirements.
- F Address subsistence needs for staff and patients.
- F Provide primary/alternate means for communication.
- F Conduct testing and exercise requirements.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E Provide properly protected cooking facilities.
- E Have properly installed electrical wiring and gas equipment.
- D Ensure proper usage of power strips and extension cords.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Properly select, install, inspect, or maintain portable fire extinguishes.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Have properly located and lighted "Exit" signs.
- E Provide properly protected cooking facilities.
- E Install corridor and hallway doors that block smoke.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E Have restrictions on the use of portable space heaters.
- E Ensure proper usage of power strips and extension cords.
- E Have proper medical gas storage and administration areas.
- C Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- C Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| July 15, 2024 | Fine | $16,801 |
| July 15, 2024 | Fine | $84,256 |
| July 15, 2024 | Payment Denial | 34 days from August 9, 2024 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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 | 0.62 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.04 | 3.25 | 3.42 |
| Nurse aides | 2.04 | ||
| Licensed practical nurses | 0.65 | ||
| Nursing staff turnover (share who left in a year) | 68.4% | 45.9% | 45.8% |
| Registered nurse turnover | 66.7% | 40.3% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.85 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 3.43 on weekdays and 3.04 on weekends, 11% 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 3.08 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 | 0.62 | 3.43 | 3.04 | 0.0% | 0 of 90 | 68 |
| Oct to Dec 2025 | 3.43 | 0.62 | 3.61 | 2.97 | 0.0% | 0 of 92 | 76 |
| Jul to Sep 2025 | 3.61 | 0.58 | 3.82 | 3.08 | 0.0% | 0 of 92 | 66 |
| Apr to Jun 2025 | 3.08 | 0.44 | 3.24 | 2.69 | 2.4% | 1 of 91 | 60 |
| 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.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Indiana
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Indiana, all employers | |||
| CNAs (nursing assistants) | $18.43 | $17.80 to $21.36 | 33,640 |
| LPNs and LVNs | $31.60 | $29.35 to $35.30 | 14,480 |
| Registered nurses | $40.14 | $37.86 to $48.28 | 68,980 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 3.9 | 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 | 0.0 | 1.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.6 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 9.8 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 1.4 | 11.9 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.1 | 3.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 13.8 | 13.6 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.8 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 1.4 | 1.8 |
Owners and operators
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
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 14 problems in this area, most recently on August 19, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 11 problems in this area, most recently on July 1, 2026: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 7 problems in this area, most recently on October 4, 2024: "Ensure medication error rates are not 5 percent or greater."
- When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on August 19, 2025: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.04 hours per resident per day, below the Indiana average of 3.25.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Holy Cross Rehabilitation and Wellness South Bend, 1.3 mi · 2 of 5 stars · 26 citations
- Wellbrooke of South Bend South Bend, 2.1 mi · 4 of 5 stars · 17 citations
- Brickyard Healthcare - Fountainview Care Center Mishawaka, 2.5 mi · 2 of 5 stars · 45 citations
- Healthwin Health & Rehabilitation South Bend, 2.5 mi · 2 of 5 stars · 34 citations
- Holy Cross Village at Notre Dame Inc Notre Dame, 2.7 mi · 3 of 5 stars · 14 citations
- West Woods of Niles Niles, 2.7 mi · 1 of 5 stars · 43 citations
- Belltower Health & Rehabilitation Center Granger, 2.9 mi · 4 of 5 stars · 22 citations
- Creekside Village Mishawaka, 2.9 mi · 4 of 5 stars · 22 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 South Bend's Medicare star rating?
- CMS rates Majestic Care of South Bend 1 out of 5 stars overall, with 1 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Majestic Care of South Bend get at its last inspection?
- 6 health deficiencies at the standard inspection on August 19, 2025. The Indiana average is 7.2.
- Has Majestic Care of South Bend been fined?
- Yes. CMS lists 2 fines totaling $101,057 in the last three years.
- Does Majestic Care of South Bend 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 South Bend?
- CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.
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.