Majestic Care Fairfield Assisted Living

Inspections on file

Deficiencies cited

Visits with none

Substandard care

Immediate jeopardy

The most recent inspection on file for Majestic Care Fairfield Assisted Living took place on November 4, 2025. Across the 13 inspections published by the Ohio Department of Health, surveyors cited 15 deficiencies.

A deficiency is a rule the surveyor found the facility was not meeting. Ohio inspects against two rule books at once, so most findings carry a federal code and an Ohio code for the same problem; each is counted once here, the way the state counts it. Correction dates are the state's confirmation that the issue was fixed.

This report reproduces what Ohio publishes and nothing else. Of the 13 inspections listed, the state publishes the surveyor's written findings for 4; for the other 9 it publishes only the date, the type of visit and the number of deficiencies - 8 of which found none.

Facility Details

Ohio license number

#2366R

County

Butler

Administrator

Lia Price

Director of nursing

Jessica Treleaven

Phone

(513) 699-4600

Ownership

For Profit - Corporation

Inspections

13 on file · 15 deficiencies

November 4, 2025Complaint survey · listed in Ohio's index; no findings report publishedNo deficiencies▼

✅

No deficiencies cited

Ohio lists this visit in its inspection index with no deficiencies. The state publishes a findings report only when a visit cites something, so there is no further detail to show.

October 20, 2025Licensure survey5 deficiencies▼

R-0333Personal care services provided appropriatelyOhio citation▼

What the surveyor found

Based on review of the medical record, staff interview, and policy review, the facility failed to obtain blood pressure readings as ordered. This affected one (Resident #57) of six patients sampled for personal care services. The facility census was 80.

Findings include:

Review of the medical record revealed Resident #57 was admitted to the facility on 10/29/21. Diagnoses included unspecified combined congestive heart failure, type II diabetes, unspecified schizophrenia, and chronic kidney disease.

Review of the most recent annual assessment dated 09/17/25 revealed Resident #57 was cognitively intact. Resident #57 was independent with Activities of Daily Living (ADLs) and required staff management of medications.

Review of the medical record revealed Resident #57 had physician orders dated 05/10/24 for daily blood pressure every Monday, Wednesday, and Friday.

Review of Medication Administration Records (MARs) dated September 2025 and October 2025 revealed Resident #57 had no blood pressures documented on 09/01/25, 09/03/25, 09/17/25, 10/01/25, 10/10/25, and 10/13/25.

During an interview on 10/20/25 at 10:00 A.M. the Director of Nursing (DON) confirmed Resident #57 did not have daily blood pressure measurements recorded on 09/01/25, 09/03/25, 09/17/25, 10/01/25, 10/10/25, and 10/13/25.

Review of policy titled, Vital Signs

Rule

Ohio Administrative Code - residential care rules

R-0393Tuberculosis control plan and risk assessmentOhio citation▼

What the surveyor found

Based on record review, interview, and policy review, the facility failed to ensure staff received annual TB evaluations. This had the potential to affect all residents residing in the facility. The census was 80.

Findings include:

Review of the completed facility's TB risk assessment dated 06/2025 revealed the staff were tested upon hire and had a yearly evaluation completed for TB.

Review of the personnel files for the General Manager #90 and Caregiver (CG) #138 revealed no documentation of a yearly evaluation for TB.

During an interview on 10/16/25 at 4:30 P.M. Human Resources (HR) Director #99 verified General Manager #90 and CG #138 did not have an annual evaluation for TB on file. He verified the facility tested all newly hired staff for TB upon hire and completed an annual questionnaire thereafter.

Review of policy titled, TB Infection Control Plan

Rule

Ohio Administrative Code - residential care rules

R-0559Procure, store, prepare, distribute and serve foodsOhio citation▼

What the surveyor found

Based on observation, staff interview, and facility policy review, the facility failed to properly store food and serve food in a safe and sanitary manner. This had the potential to affect all residents residing in the facility. Facility census was 80.

Findings include:

Initial tour of kitchen on 10/16/25 at 9:37 A.M. with Dietary Manager #158 revealed several areas of concern:

Tour of dry storage area on 10/16/25 at 9:40 A.M. revealed an open box of lasagna noodles unsealed and open to air and one unsealed open to air bag of tortillas. All opened items confirmed by Dietary Manager #158.

Tour of walk-in refrigerator at 9:46 A.M. revealed an open, undated gallon jug of orange juice, a box of bacon, unsealed and open to air, a large unopened sealed tub of hard-boiled eggs with no received-on date (with a use by date of 09/28/25).

Tour of the walk- in freezer on 10/16/25 at 9:57 A.M. revealed a box of hamburgers patties in an opened bag, an opened bag of frozen dough rolls unsealed and open to air, a box of pizza crusts open and unsealed, and a box of hushpuppies in an open, unsealed bag. All opened items confirmed by Dietary Manager #158.

Observation of lunch being served on 10/16/25 revealed Cook #152 plating food for residents in the dining room. Cook #152 washed hands and dawned gloves in preparation of making a hamburger. Cook #152 opened package of buns, removed the bun, picked up utensil to place burger on bun and then proceeded to touch bun to stabilize it while he was cutting. District Manager of Healthcare Services Group #172, who currently has the food service contract for facility, confirmed Cook #152 did not remove gloves, wash hands, and don new gloves after touching contaminated bag and utensils before touching the bun.

Review of facility policy labeled, Food Storage: Cold Foods

Rule

Ohio Administrative Code - residential care rules

R-0615Fire drill requirementsOhio citation▼

What the surveyor found

Based on review of fire drills, staff interview, and policy review, the facility failed to conduct quarterly fire drills on each shift and failed to ensure residents were evacuated during fire drills on at least two drills per year on each shift. This had the potential to affect all residents. The facility census was 80.

Findings include:

Review of fire drill reports revealed in the last 12 months, the facility conducted fire drills on second shift on 10/08/24, 02/28/25, 07/16/25, and 09/30/25; there were no second shift fire drills conducted during the second quarter. Additionally, the facility conducted fire drills on third shift on 11/24/24. 03/12/25, and 05/06/25; there were no fire drills conducted in third shift in the third quarter. None of the fire drills had documentation of residents evacuated during drills.

During an interview on 10/20/25 at 1:05 P.M. General Manager #90 confirmed the facility did not perform fire drills on each shift every quarter, and residents were not evacuated during fire drills conducted in the last twelve months.

During an interview on 10/20/25 at 1:25 P.M. Maintenance Director #91 verified there were no residents evacuated during fire drills conducted in the last twelve months.

Review of policy titled, Fire Drills

Rule

Ohio Administrative Code - residential care rules

R-0619Written record of drills and evaluationOhio citation▼

What the surveyor found

Based on review of fire drills, staff interviews, and policy review, the facility failed to ensure fire drills were evaluated for effectiveness. This had the potential to affect all residents. The facility census was 80.

Findings include:

Review of fire drills dated 10/08/24, 11/24/24, 12/31/24, 01/31/25, 02/28/25, 03/12/25, 04/02/25, 05/06/25, 05/29/25, 07/16/25, 08/19/25, and 09/30/25 revealed documentation for each fire drill was silent regarding effectiveness of drill procedures, number of individuals evacuated, total time for evacuation, and weather conditions during evacuation.

During an interview on 10/20/25 at 1:05 P.M. General Manager #90 verified evaluations of fire drills were not completed in the last 12 months.

During an interview on 10/20/25 at 1:25 P.M. Maintenance Director #91 stated he was unaware staff were required to document an evaluation of each fire drills and verified no evaluations were completed after fire drills conducted in the last twelve months.

Review of policy titled, Fire Drills

Rule

Ohio Administrative Code - residential care rules

July 23, 2025Complaint survey1 deficiency▼

R-0333Personal care services provided appropriatelyOhio citation▼

What the surveyor found

Based on medical record review, staff interview, and review of the facility policy, the facility failed to ensure residents received showers per their preference. This affected one (Resident #5) of three residents reviewed for bathing/showers. The facility census was 110 residents.

Findings include:

Review of the medical record for Resident #5 revealed an admission date of 10/06/24 with diagnoses including osteoarthritis, combined systolic and diastolic heart failure, and muscle weakness.

Review of the resident assessment for Resident #5 dated 04/22/25 revealed the resident had severe cognitive impairment and was dependent on staff assistance with showering.

Review of the shower log for Resident #5 dated April 2025 revealed on 04/17/25 Resident #5 requested to have a shower on 04/18/25 instead of 04/17/25. Resident #5 did not receive a shower until 04/21/25.

Review of the shower log for Resident #5 dated May 2025 revealed on 05/26/25 Resident #5 requested to have a shower on 05/27/25 instead of on 05/26/25. Resident #5 did not receive a shower until 05/29/25.

Interview on 07/22/25 at 3:15 P.M. with Nursing Administrator (NA) #4 confirmed Resident #5 did not receive showers on the days she requested.

Review of facility policy titled Activities of Daily Living (ADLs) dated 01/02/24 revealed the facility would provide bathing and toileting assistance consistent with the resident's needs and choices.

This violation represents noncompliance investigated under Complaint Number OH00164642.

Rule

Ohio Administrative Code - residential care rules

March 10, 2025Complaint survey · listed in Ohio's index; no findings report publishedNo deficiencies▼

✅

No deficiencies cited

Ohio lists this visit in its inspection index with no deficiencies. The state publishes a findings report only when a visit cites something, so there is no further detail to show.

November 21, 2024Licensure survey4 deficiencies▼

R-0127Types of allowed personal care services trainingOhio citation▼

What the surveyor found

Based on record review and interview, the facility failed to ensure all caregivers had proper skills training prior to providing personal care services unsupervised. This had the potential to affect all 112 residents residing in the facility.

Findings include:

Review of the personnel files revealed Caregiver #68 was hired on 07/17/24 , Caregiver #70 was hired on 09/25/24, and Caregiver #80 was hired on 01/31/24. There was no documentation of skills training in Caregivers #68, #70, and #80's personnel files.

Interview on 11/20/24 at 11:14 A.M. with Human Resources Director #100 verified Caregivers #68, #70, and #80 had no documentation regarding completed skills training.

Rule

Ohio Administrative Code - residential care rules

R-0362Accounting of held resident funds, written authorizationOhio citation▼

What the surveyor found

Based on record review and interview, the facility failed to ensure authorizations for managing resident funds accounts were witnessed. This affected one (#2) of four residents reviewed for resident funds accounts. The facility census was 112.

Findings include:

Review of the medical record for Resident #2 revealed an admission date of 08/21/23. Review of the assessment dated 03/15/24 revealed Resident #2 was cognitively intact.

Review of the resident funds account authorization for Resident #2 revealed the form had been signed by Resident #2 but had not been witnessed.

Interview on 11/19/24 at 5:21 P.M. with the Executive Director verified the account authorization had not been witnessed.

Rule

Ohio Administrative Code - residential care rules

R-0393Tuberculosis control plan and risk assessmentOhio citation▼

What the surveyor found

Based on record review, interview, and policy review, the facility failed to have a completed Tuberculosis (TB) risk assessment and failed to adhere to their TB control plan. This had the potential to affect all residents residing in the facility. The census was 112.

Findings include:

Review of the completed facilities TB risk assessment dated 11/2024 revealed the last TB risk assessment was conducted in 2022. The assessment indicated the staff were tested upon hire and have a yearly evaluation completed for TB.

Review of the personnel files for the Executive Director (ED) and Caregiver #84 revealed no documentation of a yearly evaluation for TB.

Interview on 11/19/24 at 12:28 P.M. with the Clinical Director confirmed no TB risk assessments were completed for staff in the year 2023. The Clinical Director confirmed the ED and Caregiver #84 did not have a yearly TB risk assessment for 2023.

Interview on 11/20/24 at 9:35 A.M. with Human Resources Director #100 stated only new hires were tested for TB.

Review of the policy titled Infection Prevention and Control Program

Rule

Ohio Administrative Code - residential care rules

R-0615Fire drill requirementsOhio citation▼

What the surveyor found

Based on record review and interview, the facility failed to ensure fire drills were conducted on varied shifts and failed to ensure residents that were capable of self-evacuation were evacuated in at least two fire drills per year on each shift. This had the potential to affect all 112 residents residing in the facility.

Findings include:

Review of the fire drills conducted from 11/30/23 to 10/28/24 revealed no fire drills were completed on night shift.

The drills from 11/30/23 to 10/28/24 were all completed on day shift, and drills for 02/10/24, 03/05/24, 05/20/24, and 06/24/24 were conducted on the evening shift. The documented fire drills also lacked evidence of any resident self-evacuations completed.

Interview on 11/19/24 at 5:21 P.M. with the Executive Director verified the fire drills were not conducted on varied shifts, and the documentation failed to specify whether any residents self-evacuated.

Rule

Ohio Administrative Code - residential care rules

August 23, 2024Complaint survey · listed in Ohio's index; no findings report publishedNo deficiencies▼

✅

No deficiencies cited

Ohio lists this visit in its inspection index with no deficiencies. The state publishes a findings report only when a visit cites something, so there is no further detail to show.

May 18, 2024Complaint survey · listed in Ohio's index; no findings report published1 deficiency▼

📄

1 deficiency recorded, findings not published

Ohio's inspection index lists this visit and its deficiency count, but the state publishes no findings for it.

November 28, 2023Complaint survey · listed in Ohio's index; no findings report publishedNo deficiencies▼

✅

No deficiencies cited

Ohio lists this visit in its inspection index with no deficiencies. The state publishes a findings report only when a visit cites something, so there is no further detail to show.

August 23, 2023Complaint survey · listed in Ohio's index; no findings report publishedNo deficiencies▼

✅

No deficiencies cited

Ohio lists this visit in its inspection index with no deficiencies. The state publishes a findings report only when a visit cites something, so there is no further detail to show.

May 19, 2023Complaint survey · listed in Ohio's index; no findings report publishedNo deficiencies▼

✅

No deficiencies cited

Ohio lists this visit in its inspection index with no deficiencies. The state publishes a findings report only when a visit cites something, so there is no further detail to show.

April 28, 2023Complaint survey · listed in Ohio's index; no findings report publishedNo deficiencies▼

✅

No deficiencies cited

Ohio lists this visit in its inspection index with no deficiencies. The state publishes a findings report only when a visit cites something, so there is no further detail to show.

January 5, 2023Licensure survey4 deficiencies▼

R-0362Accounting of held resident funds, written authorizationOhio citation▼

What the surveyor found

Based on record review, policy and staff interview, the facility failed to ensure residents, or their responsible parties authorized the facility to manage their financial affairs. The facility also failed to ensure resident funds authorizations were witnessed. This affected three (#04, #07 and #38) of five residents reviewed for resident personal funds accounts. The facility census was 113.

Findings include:

1. Review of the Resident #07's chart revealed Resident #07 admitted to the facility on 03/24/22, with diagnoses including chronic kidney disease, nonrheumatic mitral valve insufficiency, acute cystitis without hematuria, insomnia, and diverticulum of bladder.

Review of the Resident #07's resident assessment dated 02/07/22 revealed Resident #07 was oriented to year, date, and month. Resident #07 was independent with toileting, dressing, grooming, and eating. Resident #07 required assistance with ambulating and bathing.

Review of Resident #07's undated resident funds authorization revealed Resident #07's resident representative signed the resident funds authorization. Further review of the resident funds authorization revealed the authorization was not witnessed.

2. Review of the Resident #04's chart revealed Resident #04 admitted to the facility on 02/10/12, with diagnoses including cerebrovascular disease, unspecified dementia, allergic contact dermatitis, constipation, cataract, convulsions, chronic sinusitis, and gastro esophageal reflux disease.

Review of the Resident #04's resident assessment dated 03/21/22 revealed Resident #04 was oriented to year, and month. Resident #04 was independent with ambulation, toileting, bathing, dressing, grooming, and eating.

Review of Resident #04's resident funds authorization dated 12/20/22 revealed Business Office Manager #800 signed the resident funds authorization on 12/20/22. Resident #04 and Resident #04's responsible party did not sign the authorization and that authorization was not witnessed.

3. Review of the Resident #38's chart revealed Resident #38 admitted to the facility on 09/25/15, with diagnoses including other seizures, epilepsy, chronic or unspecified gastric ulcer with hemorrhage, hyperlipidemia, and vascular dementia with behavioral disturbance.

Review of the Resident #38's resident assessment dated 02/14/22 revealed Resident #38 was oriented to year. Resident #38 was independent with toileting and eating. Resident #38 required assistance with dressing, grooming, ambulating, and bathing.

Review of Resident #38's resident funds authorization dated 12/20/22 revealed Business Office Manager (BOM) #800 signed the resident funds authorization on 12/20/22. Resident #38 and Resident #38's responsible party did not sign the authorization and that authorization was not witnessed.

Interview with Executive Director #14 on 01/03/23 at 2:53 P.M., verified Resident #04, Resident #07 and Resident #38 did not have their resident funds authorizations witnessed. Executive Director #14 also verified BOM #800 signed Resident #04 and Resident #38's resident funds authorizations and Resident #04 and Resident #38 or their responsible parties did not sign the resident funds authorizations.

Review of the undated policy titled Resident Personal Funds revealed the facility will act as a fiduciary of the resident's funds and hold, safeguard, manage and account for the personal funds deposited with the facility upon the written authorization of the resident.

Rule

Ohio Administrative Code - residential care rules

R-0615Fire drill requirementsOhio citation▼

What the surveyor found

Based on record review and staff interview, the facility failed to ensure at least two disaster preparedness drills were conducted per year including a tornado drill. This affected 113 residents of 113 residents that resided at the facility. The facility census was 113.

Findings include:

Review of the facility's disaster and tornado drills from 01/02/22 to 01/03/23 revealed no disaster or tornado drills were conducted.

Interview with Executive Director #14 on 01/03/23 at 2:53 P.M. verified the facility did not have any disaster or tornado drills conducted from 01/02/22 to 01/03/23.

This citation represent the continued noncompliance from the 11/03/21 survey.

Rule

Ohio Administrative Code - residential care rules

R-0660Maintain heating, electrical, bldg services; central heating check Q2 yearsOhio citation▼

What the surveyor found

Based on record review and staff interview, the facility failed to ensure the central heating system was checked every two years by a heating contractor. This affected 113 of 113 residents that resided in the facility. The facility census was 113.

Findings include:

Review of the facility's central heating system inspections from 01/03/21 to 01/05/23 revealed no central heating inspections by a contractor were completed at the facility.

Interview with Executive Director #14 on 01/05/23 at 8:49 A.M., verified the facility did not have a central heating inspection report completed by a contractor from 01/03/21 to 01/05/23.

Rule

Ohio Administrative Code - residential care rules

R-0719Confidential treatment of recordsOhio citation▼

What the surveyor found

Based on observation, record review and staff interview, the facility failed to safeguard a resident's privacy during the destruction of plastic pill packets. This affected one (#68) of two residents reviewed for medication administration. The facility census was 113.

Findings include:

Review of the Resident #68's chart revealed Resident #68 admitted to the facility on 12/15/21, with diagnoses including bilateral primary osteoarthritis of knee, chronic obstructive pulmonary disease, disorder of thyroid, hyperlipidemia, sleep apnea, calculus of kidney and heart disease.

Observation of the facility on 01/03/23 at 8:31 A.M., revealed Licensed Practical Nurse (LPN) #16 to dispense Resident #68's amiodarone tablet 200 milligram (mg), aspirin tablet delayed release 81 mg, cyanocobalamin 1000 mcg, fish oil capsule 1000 mg, glucosamine chondroitin tablet 500-400 mg, iron 325 mg, lactobacillus capsule, levothyroxine sodium 100 microgram (mcg), carvedilol tablet 6.25 mg 1.5 tablet, metformin 500 mg, protonix tablet delayed release 40 mg, and sucralfate tablet one gram from individual plastic pill packets that contained Resident #68's name, medication name and dose. Further observation of the facility revealed LPN #16 to place the plastic pill packets containing Resident #68's name, medication name and dose in the trash in the room, after dispensing the medication from the plastic pill packets.

Interview with LPN #16 on 01/03/23 at 8:31 A.M., verified LPN #16 placed plastic pill packets that contained Resident #68's name, medication name and dose in the unsecured trash.

Review of the policy titled Administering Medications, dated April 2019 revealed medications are administered in a safe and timely manner as prescribed.

Rule

Ohio Administrative Code - residential care rules

October 3, 2022Complaint survey · listed in Ohio's index; no findings report publishedNo deficiencies▼

✅

No deficiencies cited

Ohio lists this visit in its inspection index with no deficiencies. The state publishes a findings report only when a visit cites something, so there is no further detail to show.