Majestic Care of Livonia

28550 Five Mile Road · Livonia, MI · 48154 · 7344278270

142 certified beds For profit - Corporation Chain: Majestic Care

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $13,105 in fines in the last 24 months.
  • 3 citations involved actual harm to residents.
  • Inspection results have improved across recent cycles.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Score breakdown

Inspection record 30% of score 40
Serious harm & abuse 20% 66
Staffing 20% 59
Federal penalties 15% 16
Trend 10% 92
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.553.48 min · 4.1 strong
RN hours / resident-day0.350.55–0.75
Weekend hours / resident-day2.93≈ weekday level
Nursing turnover / year43%median 45%
Fines (3-yr window)3 · $139,006

Inspection citations (47 in the current record)

  • Potential for harm · D February 26, 2026

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Corrected March 20, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D February 26, 2026

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected March 20, 2026 · Pharmacy Service

  • Potential for harm · D February 26, 2026

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected March 20, 2026 · Nutrition and Dietary

  • Potential for harm · D February 26, 2026

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected March 20, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E February 26, 2026

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

    Corrected March 20, 2026 · Environmental

  • Potential for harm · D February 26, 2026 · found via complaint

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

    Corrected March 20, 2026 · Resident Rights

  • Potential for harm · D February 26, 2026 · found via complaint

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

    Corrected March 20, 2026 · Quality of Life and Care

  • Potential for harm · D May 28, 2025 · found via complaint

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected June 19, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 5, 2025 · found via complaint

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

    Corrected February 21, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D December 10, 2024

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

    Corrected December 30, 2024 · Resident Rights

  • Potential for harm · D December 10, 2024

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

    Corrected December 30, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D December 10, 2024

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected December 30, 2024 · Quality of Life and Care

  • Potential for harm · D December 10, 2024

    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 December 30, 2024 · Pharmacy Service

  • Potential for harm · D December 10, 2024

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected December 30, 2024 · Nutrition and Dietary

  • Potential for harm · D December 10, 2024

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

    Corrected December 30, 2024 · Nutrition and Dietary

  • Potential for harm · D December 10, 2024

    Provide and implement an infection prevention and control program.

    Corrected December 30, 2024 · Infection Control

  • Potential for harm · D December 10, 2024 · found via complaint

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

    Corrected December 30, 2024 · Quality of Life and Care

  • Potential for harm · D December 10, 2024 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected December 30, 2024 · Quality of Life and Care

  • Potential for harm · D December 10, 2024 · found via complaint

    Provide enough food/fluids to maintain a resident's health.

    Corrected December 30, 2024 · Quality of Life and Care

  • Potential for harm · D December 10, 2024 · found via complaint

    Provide care or services that was trauma informed and/or culturally competent.

    Corrected December 30, 2024 · Quality of Life and Care

  • Potential for harm · F December 10, 2024 · found via complaint

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Corrected December 30, 2024 · Nursing and Physician Services

  • Potential for harm · F December 10, 2024 · found via complaint

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

    Corrected December 30, 2024 · Nutrition and Dietary

  • Potential for harm · D October 16, 2024 · found via complaint

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

    Corrected October 31, 2024 · Quality of Life and Care

  • Potential for harm · D October 15, 2024 · found via complaint

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

    Corrected October 31, 2024 · Quality of Life and Care

  • Potential for harm · D September 26, 2024 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected September 27, 2024 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
July 18, 2024Fine$13,105
April 4, 2024Fine$32,262
October 4, 2023Fine$93,639
October 4, 2023Payment Denial12 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235057 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.