9 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
19 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Fairfield, OH
2-star overall rating with 2-star inspections with 9 recent health deficiencies with 19 fire-safety deficiencies in the latest cycle
5200 Camelot Drive, Fairfield, OH
(513) 829-8100
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
200
Certified beds
Average residents
161
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Majestic Care
Operator or chain grouping
Approved since
1978-11-20
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
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.44
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.21
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
1.54
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
3.19
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.65
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
2.87
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.33
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.41
CMS adjusted RN staffing hours
Adjusted total hours
2.97
CMS adjusted total nurse staffing hours
Case-mix index
1.47
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
46%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
9,784
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
22.56
Composite VBP score used to determine payment impact.
Payment multiplier
0.9829
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.77
Baseline 21.82% · Performance 19.29% · Measure score 4.77 · Achievement 4.61 · Improvement 4.77
Healthcare-associated infections
3.61
Baseline 8.87% · Performance 7.27% · Measure score 3.61 · Achievement 1.87 · Improvement 3.61
Total nurse turnover
0.64
Baseline 58.33% · Performance 61.07% · Measure score 0.64 · Achievement 0.64 · Improvement 0
Adjusted total nurse staffing
0
Baseline 3.21 hours · Performance 3.07 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.21% |
10.72%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 80 · Observed rate 16.25% · Lower 95% interval 8.12% |
| Discharge to community | 42.4% |
50.57%
8.2 pts worse
|
No Different than the National Rate · Eligible stays 88 · Observed rate 31.82% · Lower 95% interval 32.08% |
| Medicare spending per beneficiary | 1.11 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 51 · Denominator 51 |
| Falls with major injury | 1.96% |
0.77%
1.2 pts worse
|
Numerator 1 · Denominator 51 |
| Discharge self-care score | 51.61% |
53.69%
2.1 pts worse
|
Numerator 16 · Denominator 31 |
| Discharge mobility score | 58.06% |
50.94%
7.1 pts better
|
Numerator 18 · Denominator 31 |
| Pressure ulcers or injuries, new or worsened | 1.96% |
2.29%
0.3 pts better
|
Numerator 1 · Denominator 51 · Adjusted rate 1.68% |
| Healthcare-associated infections requiring hospitalization | 7.27% |
7.12%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 57 · Observed rate 8.77% · Lower 95% interval 4.27% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 130 |
| Staff flu vaccination coverage | 34.31% |
42%
7.7 pts worse
|
Numerator 35 · Denominator 102 |
| Discharge function score | 45.16% |
56.45%
11.3 pts worse
|
Numerator 14 · Denominator 31 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 25 · Denominator 25 |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 52.9% |
92.4%
39.5 pts worse
|
93.4%
40.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 63.7% · Q2 55.9% · Q3 55.6% · Q4 36.8% · 4Q avg 52.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 64.5% |
94.5%
30 pts worse
|
95.5%
31 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 64.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.0% |
3.3%
2.3 pts better
|
3.3%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 0.8% · Q3 0.0% · Q4 0.7% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 29.4% |
26.1%
3.3 pts worse
|
11.4%
18 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 28.4% · Q3 27.8% · Q4 54.0% · 4Q avg 29.4% |
| Percentage of long-stay residents who lose too much weight | 11.4% |
6.2%
5.2 pts worse
|
5.4%
6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 10.2% · Q3 14.7% · Q4 10.7% · 4Q avg 11.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 26.1% |
25.4%
0.7 pts worse
|
19.6%
6.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.4% · Q2 30.3% · Q3 26.6% · Q4 26.4% · 4Q avg 26.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.6% |
11.5%
2.9 pts better
|
16.7%
8.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 10.1% · Q3 8.4% · Q4 9.2% · 4Q avg 8.6% · 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 | 10.9% |
7.7%
3.2 pts worse
|
16.3%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.8% · Q2 17.4% · Q3 7.2% · Q4 3.6% · 4Q avg 10.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.2% |
6.2%
About the same
|
14.9%
8.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 5.8% · Q3 6.6% · Q4 4.3% · 4Q avg 6.2% · 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 | 27.0% |
21.7%
5.3 pts worse
|
19.8%
7.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.6% · Q2 28.5% · Q3 25.6% · Q4 27.5% · 4Q avg 27.0% |
| Percentage of long-stay residents with pressure ulcers | 4.9% |
3.7%
1.2 pts worse
|
5.1%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 7.1% · Q3 5.3% · Q4 4.6% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 24.1% |
78.1%
54 pts worse
|
81.7%
57.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 42.9% · Q2 26.2% · Q3 17.5% · Q4 12.4% · 4Q avg 24.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.8% |
12.5%
2.3 pts worse
|
12.0%
2.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.8% · Observed 18.4% · Expected 13.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.1% |
1.2%
0.9 pts worse
|
1.6%
0.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 1.9% · Q3 0.0% · Q4 0.0% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 20.0% |
75.6%
55.6 pts worse
|
79.7%
59.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 20.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.1% |
25.1%
5 pts worse
|
23.9%
6.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 30.1% · Observed 39.5% · Expected 31.3% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (2 deficiencies)
19 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Resident Assessment and Care Planning (3 deficiencies)
5 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
5 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fire safety
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-04-04
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-11-20
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-11-20
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-11-20
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-11-20
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2023-11-20
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-11-20
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-11-20
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-11-20
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-11-20
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 2023-11-20
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 2023-11-20
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-11-20
Fire Safety
Construct fire resistant interior walls.
Corrected 2023-11-20
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-11-20
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-11-20
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-11-20
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-11-20
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2023-11-09
Fire Safety
Have an alternate power supply for its alarm system.
Corrected 2020-03-06
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2020-03-06
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2020-03-06
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2020-03-06
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2020-03-06
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-02-08
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2019-02-08
Fire Safety
Ensure operating rooms are properly protected and written records are maintained and available for inspection.
Corrected 2019-02-08
Fire Safety
Provide primary/alternate means for communication.
Corrected 2019-02-08
Fire Safety
Conduct testing and exercise requirements.
Corrected 2019-02-08
Inspection history
Health
Hire a qualified full-time social worker in a facility with more than 120 beds.
Corrected 2025-04-04
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2024-10-16
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-16
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-10-16
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2024-07-25
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-07-25
Health
Respond appropriately to all alleged violations.
Corrected 2024-07-25
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-04
Health
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Corrected 2024-02-23
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-02-23
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2023-11-19
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-11-19
Health
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Corrected 2023-11-19
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected 2023-11-20
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-11-20
Health
Provide and implement an infection prevention and control program.
Corrected 2023-11-20
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-11-20
Health
Provide and implement an infection prevention and control program.
Corrected 2023-11-20
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 2023-11-20
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-20
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-11-20
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-11-20
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-11-20
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-10-25
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-06-28
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2020-03-06
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2020-03-06
Health
Assess the resident when there is a significant change in condition
Corrected 2020-03-06
Health
Ensure each resident receives an accurate assessment.
Corrected 2020-03-06
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2020-03-06
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2020-03-06
Health
Provide and implement an infection prevention and control program.
Corrected 2020-03-06
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-02-08
Health
Provide activities to meet all resident's needs.
Corrected 2019-02-08
Penalties and ownership
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
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