Mason, OH

Majestic Care Of Cedar Village.

3-star overall rating with 2-star inspections with $73,281 in total fines with 13 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle

5467 Cedar Village Drive, Mason, OH

(513) 754-3100

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

162

Certified beds

Average residents

145

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Majestic Care

Operator or chain grouping

Approved since

1997-04-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

34 facilities

Chain averages 3 overall / 2 health / 2 staffing / 5 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.43

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.99

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

1.99

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.42

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.42

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.02

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.26

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.43

CMS adjusted RN staffing hours

Adjusted total hours

3.41

CMS adjusted total nurse staffing hours

Case-mix index

1.37

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover · state 47% · national 45%

Total nurse turnover

51%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,146

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

27.68

Composite VBP score used to determine payment impact.

Payment multiplier

0.9847

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.85

Baseline 19.92% · Performance 20.11% · Measure score 2.85 · Achievement 2.85 · Improvement 0

Healthcare-associated infections

4.56

Baseline 6.72% · Performance 6.47% · Measure score 4.56 · Achievement 4.56 · Improvement 0.95

Total nurse turnover

3.66

Performance 48.72% · Measure score 3.66 · Achievement 3.66 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

Baseline 3.25 hours · Performance 3.17 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.59%	10.72% 1.1 pts better	No Different than the National Rate · Eligible stays 104 · Observed rate 7.69% · Lower 95% interval 6.57%
Discharge to community	57.73%	50.57% 7.2 pts better	No Different than the National Rate · Eligible stays 95 · Observed rate 51.58% · Lower 95% interval 47.04%
Medicare spending per beneficiary	1.28	1.02 0.3 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 60 · Denominator 60
Falls with major injury	1.67%	0.77% 0.9 pts worse	Numerator 1 · Denominator 60
Discharge self-care score	41.46%	53.69% 12.2 pts worse	Numerator 17 · Denominator 41
Discharge mobility score	41.46%	50.94% 9.5 pts worse	Numerator 17 · Denominator 41
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 60 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	6.47%	7.12% 0.7 pts better	No Different than the National Rate · Eligible stays 53 · Observed rate 3.77% · Lower 95% interval 3.28%
Staff COVID-19 vaccination coverage	3.55%	8.2% 4.6 pts worse	Numerator 5 · Denominator 141
Staff flu vaccination coverage	24%	42% 18 pts worse	Numerator 54 · Denominator 225
Discharge function score	43.9%	56.45% 12.6 pts worse	Numerator 18 · Denominator 41
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 30 · Denominator 30
Resident COVID-19 vaccinations up to date	15.38%	25.2% 9.8 pts worse	Numerator 4 · Denominator 26

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.3	1.8 0.5 pts worse	1.9 0.4 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 1.8 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.2	1.8 0.6 pts better	1.8 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.0 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.4%	92.4% 6 pts better	93.4% 5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 97.5% · Q2 99.2% · Q3 100.0% · Q4 96.7% · 4Q avg 98.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.5%	94.5% 4 pts better	95.5% 3 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.5%
Percentage of long-stay residents experiencing one or more falls with major injury	4.4%	3.3% 1.1 pts worse	3.3% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 3.9% · Q3 3.8% · Q4 4.9% · 4Q avg 4.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	43.8%	26.1% 17.7 pts worse	11.4% 32.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 40.5% · Q2 40.8% · Q3 44.2% · Q4 50.5% · 4Q avg 43.8%
Percentage of long-stay residents who lose too much weight	6.0%	6.2% 0.2 pts better	5.4% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 7.7% · Q3 5.8% · Q4 8.4% · 4Q avg 6.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	27.0%	25.4% 1.6 pts worse	19.6% 7.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.0% · Q2 26.0% · Q3 27.9% · Q4 28.1% · 4Q avg 27.0%
Percentage of long-stay residents who received an antipsychotic medication	10.2%	11.5% 1.3 pts better	16.7% 6.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.9% · Q2 11.0% · Q3 8.2% · Q4 7.9% · 4Q avg 10.2% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	8.8%	7.7% 1.1 pts worse	16.3% 7.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 14.9% · Q3 4.9% · Q4 8.0% · 4Q avg 8.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	3.1%	6.2% 3.1 pts better	14.9% 11.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 7.1% · Q3 1.0% · Q4 2.2% · 4Q avg 3.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.2% 0.2 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	0.5% 0.5 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	26.2%	21.7% 4.5 pts worse	19.8% 6.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.4% · Q2 30.0% · Q3 21.4% · Q4 29.2% · 4Q avg 26.2%
Percentage of long-stay residents with pressure ulcers	4.3%	3.7% 0.6 pts worse	5.1% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 7.7% · Q3 3.4% · Q4 2.3% · 4Q avg 4.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	90.2%	78.1% 12.1 pts better	81.7% 8.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 85.0% · Q2 92.6% · Q3 92.6% · Q4 90.6% · 4Q avg 90.2%
Percentage of short-stay residents who had an outpatient emergency department visit	6.0%	12.5% 6.5 pts better	12.0% 6 pts better	Short Stay · 20240701-20250630 · Adjusted 6.0% · Observed 6.1% · Expected 11.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.5%	1.2% 0.3 pts worse	1.6% 0.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 3.4% · Q3 1.4% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	98.0%	75.6% 22.4 pts better	79.7% 18.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 98.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	18.3%	25.1% 6.8 pts better	23.9% 5.6 pts better	Short Stay · 20240701-20250630 · Adjusted 18.3% · Observed 16.3% · Expected 21.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-04-03 · Fire 2024-04-03

13 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

10 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2021-06-14 · Fire 2021-06-14

12 health deficiencies

Top issue: Pharmacy Service (4 deficiencies)

5 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2020-01-30 · Fire 2020-01-30

6 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-04-03

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-05-16

F · Potential for more than minimal harm 2024-04-03

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2024-06-06

F · Potential for more than minimal harm 2024-04-03

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-05-16

F · Potential for more than minimal harm 2024-04-03

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-06-06

F · Potential for more than minimal harm 2024-04-03

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-06-06

F · Potential for more than minimal harm 2024-04-03

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2024-05-16

E · Potential for more than minimal harm 2024-04-03

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2024-05-16

E · Potential for more than minimal harm 2024-04-03

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-05-16

E · Potential for more than minimal harm 2024-04-03

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2024-05-16

E · Potential for more than minimal harm 2024-04-03

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-06-06

F · Potential for more than minimal harm 2021-06-14

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2021-07-09

F · Potential for more than minimal harm 2021-06-14

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2021-07-09

F · Potential for more than minimal harm 2021-06-14

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2021-07-09

E · Potential for more than minimal harm 2021-06-14

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2021-07-09

E · Potential for more than minimal harm 2021-06-14

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2021-07-09

F · Potential for more than minimal harm 2020-01-30

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2020-02-20

F · Potential for more than minimal harm 2020-01-30

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2020-02-20

F · Potential for more than minimal harm 2020-01-30

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2020-02-20

F · Potential for more than minimal harm 2020-01-30

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Corrected 2020-02-20

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-09-04

F728 · Nursing and Physician Services Deficiencies

Health

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

Corrected 2025-10-01

F · Potential for more than minimal harm 2025-09-04

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2025-10-01

E · Potential for more than minimal harm 2025-09-04

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-10-01

D · Potential for more than minimal harm 2025-09-04

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-10-01

E · Potential for more than minimal harm 2024-08-15

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-08-28

G · Actual harm 2024-04-17

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-05-16

D · Potential for more than minimal harm 2024-04-17

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-05-16

F · Potential for more than minimal harm 2024-04-03

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-05-16

E · Potential for more than minimal harm 2024-04-03

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-05-16

D · Potential for more than minimal harm 2024-04-03

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2024-05-16

D · Potential for more than minimal harm 2024-04-03

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2024-05-16

D · Potential for more than minimal harm 2024-04-03

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-05-16

D · Potential for more than minimal harm 2024-04-03

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-05-16

D · Potential for more than minimal harm 2024-04-03

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-05-16

D · Potential for more than minimal harm 2024-04-03

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2024-05-16

C · Minimal harm 2024-04-03

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2024-05-08

D · Potential for more than minimal harm 2023-10-11

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-09-09

G · Actual harm 2023-05-17

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-06-02

D · Potential for more than minimal harm 2023-05-17

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-06-02

D · Potential for more than minimal harm 2023-05-17

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-06-02

D · Potential for more than minimal harm 2023-05-17

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-06-02

F · Potential for more than minimal harm 2021-06-14

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2021-07-09

E · Potential for more than minimal harm 2021-06-14

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2021-07-09

E · Potential for more than minimal harm 2021-06-14

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2021-07-09

E · Potential for more than minimal harm 2021-06-14

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2021-07-09

E · Potential for more than minimal harm 2021-06-14

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2021-07-09

D · Potential for more than minimal harm 2021-06-14

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2021-07-09

D · Potential for more than minimal harm 2021-06-14

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2021-07-09

D · Potential for more than minimal harm 2021-06-14

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2021-07-09

D · Potential for more than minimal harm 2021-06-14

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2021-07-09

D · Potential for more than minimal harm 2020-01-30

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2020-02-20

Penalties and ownership

What sits behind the stars

$62,205 2024-04-03

Fine

Fine · fine $62,205

Fine

$0 2024-04-03

Payment Denial

Payment Denial · denial start 2024-05-15 · 22 days

22 day denial

$11,076 2023-05-17

Fine

Fine · fine $11,076

Fine

Ownership

Majestic Care Of Cedar Village Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2022-04-11

Marx, David

5% Or Greater Indirect Ownership Interest · Individual

100% 30 facilities 2022-04-11

Cedar Village Health Property LLC

Operational/Managerial Control · Organization

0% 1 facilities 2022-04-01

Chamberlain, Margaret