Majestic Care of Carmel

Name: Majestic Care of Carmel
Address: 12999 N PENNSYLVANIA ST, Carmel, IN, 46032, US
Telephone: 3178482448

12999 N Pennsylvania St, Carmel, IN 46032 · Hamilton County · 94 certified beds · avg 56 residents/day · certified since Jan 20, 1997

Part of chain: MAJESTIC CARE (22 facilities, chain avg rating 2.5★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.90

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (24)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jul 28, 2025	D · Potential for harm, one-off	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Jul 28, 2025	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Jul 28, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jul 28, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Jul 28, 2025	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Jul 30, 2024	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jul 30, 2024	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Jul 30, 2024	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Jul 30, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jul 30, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jul 30, 2024	D · Potential for harm, one-off	The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program.
Nov 15, 2023	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. · from a complaint
Nov 15, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Nov 15, 2023	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint
Nov 15, 2023	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
May 19, 2023	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
May 19, 2023	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
May 19, 2023	D · Potential for harm, one-off	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
May 19, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
May 19, 2023	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
May 19, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
May 19, 2023	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
May 19, 2023	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
May 19, 2023	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 5).

Year	Citations	Worst severity that year
2023	13	D
2024	6	E
2025	5	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Indiana avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	2.90	3.42	3.95	bottom 21% in Indiana; bottom 11% in the U.S.
Registered Nurse hours	0.46	0.62	0.69	bottom 30% in Indiana; bottom 32% in the U.S.
Weekend total nurse staffing	2.52	3.01	3.50	bottom 19% in Indiana; bottom 10% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.39	0.47	0.48	bottom 46% in Indiana; top 50% in the U.S.
Total nursing staff turnover (%)	50.0	45.9	45.8	bottom 37% in Indiana; bottom 38% in the U.S.
RN turnover (%)	50.0	40.4	42.9	bottom 35% in Indiana; bottom 39% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.36, RN 0.53, weekend 2.92. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Pulaski Memorial Hospital	Organization	5% or Greater Direct Ownership Interest	100%	07/01/2021
Barry, Thomas	Individual	Corporate Officer	NOT APPLICABLE	07/01/2021
Malott, Gregg	Individual	Corporate Officer	NOT APPLICABLE	07/01/2021
Smith, Todd	Individual	Contracted Managing Employee	NOT APPLICABLE	07/01/2021

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you assess and manage residents' pain, especially for those who have trouble communicating?"
"How do you keep residents' medical records accurate, complete, and secure?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Wellbrooke of Carmel	0.7 mi	Carmel, IN	★★★☆☆	2/5
Barrington of Carmel, the	1.2 mi	Carmel, IN	★★★★★	5/5
Restoracy of Carmel	1.7 mi	Carmel, IN	★★★★☆	3/5
Carmel Health & Living Community	2.0 mi	Carmel, IN	★★☆☆☆	2/5
Retreat at the Stratford, the	2.6 mi	Carmel, IN	★★★★☆	4/5
Copper Trace Health & Living Community	2.9 mi	Westfield, IN	★★★☆☆	3/5
Bridgewater Healthcare Center	3.0 mi	Carmel, IN	★★★★★	4/5
McGivney Health Care Center	4.0 mi	Carmel, IN	★★☆☆☆	3/5
Brickyard Healthcare - Willow Springs Care Center	5.0 mi	Indianapolis, IN	★★☆☆☆	2/5
Spring Mill Meadows	5.0 mi	Indianapolis, IN	★★★☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Carmel →

Facility data as of CMS processing date 2026-08-01. CCN 155618.

The Care File

Visit checklist — Majestic Care of Carmel

12999 N Pennsylvania St, Carmel, IN 46032 · 3178482448

Health inspection rating 3/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 155618 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)