Majestic Care of Avon — nursing home in Avon, IN

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 117 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 84.9 CMS, MDS-derived
CMS Certification Number: 155338
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Aug 7, 1989
Ownership type: For profit - Corporation
Operator (legal business name): Pulaski Memorial Hospital
CMS chain: Majestic Care 29 facilities
Phone: (317) 745-2522
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

9

latest Aug 22, 2025

Citations

45

32 health · 13 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D13	E23	F7
Minimal	A·	B2	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 155338
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 117
First approved: Aug 7, 1989
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Indiana.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Aug 22, 2025	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Aug 22, 2025	Health	Health Standard	8	Potential harm	—	Open →
Jun 25, 2025	Health	Health Complaint	2	Potential harm	—	Open →
Aug 8, 2024	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Aug 8, 2024	Health	Health Standard	7	Potential harm	—	Open →
Mar 13, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Feb 6, 2024	Health	Health Complaint	2	Potential harm	—	Open →
Jun 30, 2023	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Jun 30, 2023	Health	Health Standard	12	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D13	E23	F7
Minimal	A·	B2	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Aug 22, 2025	K-0222	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. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 17, 2025
Aug 22, 2025	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 17, 2025
Aug 22, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 17, 2025
Aug 22, 2025	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 17, 2025
Aug 22, 2025	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 17, 2025
Aug 22, 2025	F-0565	Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Oct 1, 2025
Aug 22, 2025	F-0582	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Oct 1, 2025
Aug 22, 2025	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Oct 1, 2025
Aug 22, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 1, 2025
Aug 22, 2025	F-0725	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision	F · Potential harm Widespread	Corrected Oct 1, 2025
Aug 22, 2025	F-0761	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. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Oct 1, 2025
Aug 22, 2025	F-0807	Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Oct 1, 2025
Aug 22, 2025	F-0908	Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 1, 2025
Jun 25, 2025	F-0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Jul 17, 2025	Complaint
Jun 25, 2025	F-0808	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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Jul 17, 2025	Complaint
Aug 8, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 10, 2024
Aug 8, 2024	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 10, 2024
Aug 8, 2024	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 10, 2024
Aug 8, 2024	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 10, 2024
Aug 8, 2024	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 10, 2024
Aug 8, 2024	F-0554	Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 4, 2024
Aug 8, 2024	F-0565	Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Sep 4, 2024
Aug 8, 2024	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 4, 2024
Aug 8, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Sep 4, 2024
Aug 8, 2024	F-0725	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision	D · Potential harm Isolated	Corrected Sep 4, 2024
Aug 8, 2024	F-0744	Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 4, 2024
Aug 8, 2024	F-0761	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. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Sep 4, 2024
Mar 13, 2024	F-0744	Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Apr 12, 2024	Complaint
Feb 6, 2024	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 1, 2024	Complaint
Feb 6, 2024	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 1, 2024	Complaint
Jun 30, 2023	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 17, 2023
Jun 30, 2023	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 4, 2023
Jun 30, 2023	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 4, 2023
Jun 30, 2023	F-0565	Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Aug 4, 2023
Jun 30, 2023	F-0574	The resident has the right to receive notices in a format and a language he or she understands. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Aug 4, 2023
Jun 30, 2023	F-0584	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Aug 4, 2023
Jun 30, 2023	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 4, 2023
Jun 30, 2023	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 4, 2023
Jun 30, 2023	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 4, 2023
Jun 30, 2023	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Aug 4, 2023
Jun 30, 2023	F-0802	Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Aug 4, 2023
Jun 30, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Aug 4, 2023
Jun 30, 2023	F-0925	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 4, 2023
Jun 30, 2023	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	B · Minimal Pattern	Corrected Aug 4, 2023
Jun 30, 2023	F-0732	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision	B · Minimal Pattern	Corrected Aug 4, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.2

Health inspectionsstate 2.8

Staffingstate 2.6

Quality measuresstate 4.3

Long-stay QM

Short-stay QMNot rated

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.48

State avg 3.73US avg 3.90

Registered nurse (RN)0.55

State avg 0.68US avg 0.69

Licensed practical nurse0.70

State avg 0.78US avg 0.86

Nurse aide2.24

State avg 2.28US avg 2.35

Weekend total nurse3.03

State avg 3.26US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.12 (case-mix index 1.56).

Staff turnover

Total nursing staff turnover41.7%

State avg 45.9%US avg 45.3%

Registered nurse turnover69.2%

State avg 40.5%US avg 42.5%

Administrators who left1

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Aug 22, 2025
Cycle 1 health score: 72
Total weighted score: 71

Operating entity

Pulaski Memorial Hospital

CMS legal business name of the certified provider. Operates 30 facilities.

VerifiedLinked by exact legal name

CMS chain

Majestic Care

29 facilities in 3 states. CMS chain ID 331.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.6

Ownership disclosures

Disclosures

3

Organizations

1

Individuals

2

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Pulaski Memorial Hospital	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Dec 31, 2020

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Pulaski Memorial Hospital	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Dec 31, 2020
Gregg Malott	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2021
Josiah Marx	Individual	Managing employee	CONTRACTED MANAGING EMPLOYEE	not provided	Aug 27, 2021

Other facilities operated by Pulaski Memorial Hospital

All 29 →

Facility	Beds	Last inspection	Citations (window)	Fines
Heritage Center 1201 W Buena Vista Rd, Evansville, IN 47710 CCN 155104	172	Jun 10, 2026	352 harm	—
Majestic Care of Terre Haute 3150 N Seventh St, Terre Haute, IN 47804 CCN 155143	104	Feb 5, 2026	27	—
Healthwin Health & Rehabilitation 20531 Darden Rd, South Bend, IN 46637 CCN 155153	145	Aug 17, 2026	781 harm1 open	—
Majestic Care of New Haven 1201 Daly Drive, New Haven, IN 46774 CCN 155207	109	Apr 1, 2026	44	—
Saint Anthony 203 Franciscan Dr, Crown Point, IN 46307 CCN 155214	189	Apr 8, 2026	70	—
Majestic Care of Southport 8549 S Madison Ave, Indianapolis, IN 46227 CCN 155247	122	Sep 26, 2025	36	—
Sycamore Care Strategies 12802 East US Hwy 50, Loogootee, IN 47553 CCN 155263	56	Apr 16, 2026	282 IJ	$32k
Majestic Care of West Allen 6050 S Cr 800 E 92, Fort Wayne, IN 46814 CCN 155322	96	Apr 16, 2026	321 IJ	$22k

Same chain in Indiana

All 28 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Majestic Care of Terre Haute 3150 N Seventh St, Terre Haute, IN 47804 CCN 155143	104	Feb 5, 2026	27	—
Majestic Care of New Haven 1201 Daly Drive, New Haven, IN 46774 CCN 155207	109	Apr 1, 2026	44	—
Saint Anthony 203 Franciscan Dr, Crown Point, IN 46307 CCN 155214	189	Apr 8, 2026	70	—
Majestic Care of Southport 8549 S Madison Ave, Indianapolis, IN 46227 CCN 155247	122	Sep 26, 2025	36	—
Majestic Care of West Allen 6050 S Cr 800 E 92, Fort Wayne, IN 46814 CCN 155322	96	Apr 16, 2026	321 IJ	$22k
Majestic Care of Deming Park 3300 Poplar St, Terre Haute, IN 47803 CCN 155358SFF CandidateAbuse icon	86	Jan 15, 2026	623 IJ	$74k
Majestic Care of Fort Wayne 7519 Winchester Rd, Fort Wayne, IN 46819 CCN 155359	70	Dec 11, 2025	71 harm	—
Majestic Care of Sheridan 803 S Hamilton St, Sheridan, IN 46069 CCN 155376	80	Apr 10, 2026	29	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 445 S County Road 525 E, Avon, IN 46123
ZIP: 46123
County: Hendricks County FIPS 18063
State: Indiana
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Avon Health & Rehabilitation Center 4171 Forest Pointe Circle, Avon, IN 46123 CCN 155236	1.9 km	137	Feb 26, 2026	14	—
Countryside Meadows 762 N Dan Jones Rd, Avon, IN 46123 CCN 155792	4.5 km	171	Mar 19, 2026	452 harm	—
Danville Regional Rehabilitation 255 Meadow Dr, Danville, IN 46122 CCN 155132	5.8 km	110	Jun 23, 2025	20	—
Hummel Park Health & Rehabilitation 3700 Clarks Creek Rd, Plainfield, IN 46168 CCN 155215SFF Candidate	7.4 km	189	Aug 14, 2026	833 IJ1 harm	$207k
Brooke Knoll Village 1108 Kingwood Drive, Avon, IN 46123 CCN 155814	7.7 km	117	Apr 9, 2026	30	—
Wellbrooke of Avon 10307 E County Rd 100 N,, Indianapolis, IN 46234 CCN 155811	8.7 km	70	Mar 13, 2026	20	—
Brownsburg Meadows 2 E Tilden, Brownsburg, IN 46112 CCN 155761	9.3 km	147	Apr 16, 2026	321 harm	—
Cumberland Trace Health & Living Community 1925 Reeves Road, Plainfield, IN 46168 CCN 155836	9.4 km	104	May 23, 2025	223 harm	$34k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	155338	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	155338	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 155338

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction