Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Majestic Care Of Jefferson Pointe during CMS and state inspections, most recent first.
A resident reported being struck in the face by another resident while sitting on their bed, resulting in bruising and swelling around one eye and a scratch under the other. Progress notes and frequent checks documented the visible injuries and their gradual healing, but no neurological checks or neurological assessment were completed, as confirmed by regional leadership. This omission occurred despite a facility head injury policy requiring neurological evaluation and neuro checks after any known, suspected, or verbalized head injury.
A resident with schizophrenia, dementia, and a hip fracture was readmitted with an unstageable sacral/coccygeal pressure ulcer and had physician orders for Dakins solution cleansing, Therahoney application, and Mepilex dressing every shift. Review of the MAR showed the ordered wound treatments were not documented as completed on multiple days, and both a QMA and an LPN confirmed that missing initials indicated the treatments were not performed, contrary to facility policy requiring care to be provided as ordered by the physician.
The facility did not ensure daily nurse staffing information was accurately posted in a visible location, as required by policy. Outdated postings were observed, and staff interviews revealed confusion about who was responsible for updating the information, potentially affecting all residents.
Surveyors observed unsanitary kitchen conditions, including food debris, spills, and improper storage, as well as a lack of hand hygiene by dietary staff and incomplete cleaning documentation. All residents consumed food prepared in this environment, and facility policy requirements for cleanliness and sanitation were not followed.
A CNA was observed loudly requesting supplies from other staff in a manner that compromised a resident's dignity, rather than using discreet communication methods. The resident involved had Alzheimer's disease, and facility policy requires respectful and private interactions with residents.
A resident with diabetes and morbid obesity did not receive prescribed Ozempic due to pharmacy supply issues. The facility failed to document the reasons for missed doses or notify the physician and family. Despite attempts to offer alternatives, the resident and physician refused, and the facility eventually obtained the medication.
A facility failed to ensure a resident was treated with respect and dignity when a CNA gestured offensively during a disagreement. The resident, who had no cognitive impairment, was extremely angry but not scared. The CNA, employed for 26 years with no prior issues, was terminated following the incident.
The facility failed to ensure proper labeling of open dates for medications on one of three medication carts reviewed, affecting three residents. Medications for a resident with lung disease, another with chronic kidney disease, and a third with cognitive impairment were found without open dates, despite facility policy requiring such labeling.
Failure to Perform Neurological Evaluation After Resident-to-Resident Altercation
Penalty
Summary
The deficiency involves the facility’s failure to complete a neurological evaluation after a resident sustained a blow to the eye from another resident. A progress note dated 3/10/2026 at 10:19 PM documented that Resident 55 was sitting on their bed and reported that another resident hit him near his eye. On assessment, staff noted bruising to the left eye and a scratch under the right eye. A subsequent progress note dated 3/11/2026 at 5:18 PM documented that the IDT met to review the incident, confirming that Resident 55 had been in his room sitting on his bed when a nurse was called because another resident had made contact with his face. Ongoing 15-minute checks documented on 3/13/2026, 3/15/2026, 3/16/2026, 3/18/2026, and 3/19/2026 indicated that Resident 55 was resting in bed and that the bruising and swelling to the left eye continued to heal over time. However, in interviews, the Regional Vice President of Operations and the Regional Nurse Consultant both stated that the facility did not complete neurological checks or a neurological assessment following this incident. This was inconsistent with the facility’s current “Head Injury” policy, dated 1/2/2024, which required assessment following a known, suspected, or verbalized head injury, including a neurological evaluation for changes in physical function, behavior, cognition, level of consciousness, dizziness, nausea, irritability, slurred speech, or slow responses, and performance of neuro checks as indicated or specified by the physician.
Failure to Complete Ordered Wound Care for Pressure Ulcer
Penalty
Summary
The deficiency involves the facility’s failure to complete ordered wound care treatments for a resident with multiple pressure ulcers. Resident E had diagnoses including schizophrenia, dementia, anxiety disorder, and a hip fracture, and a significant change MDS showed moderately impaired cognition with delusions. A care plan documented that the resident was readmitted with an unstageable pressure ulcer to the sacrum/coccyx, with interventions specifying that wound treatment was to be provided as ordered. A physician order directed that Dakins 0.125% solution be applied to the coccyx every shift, with cleansing using Dakins-dampened Kerlix, application of Therahoney to the sacrum, and coverage with a Mepilex dressing. Review of the January MAR showed that the ordered coccyx wound treatment lacked completion initials on three separate dates, indicating the treatment was not completed as ordered. A QMA confirmed that if medications or treatments were not initialed on the MAR, it meant they had not been completed. An LPN similarly stated that medications and treatments were to be completed as ordered by the physician and initialed on the MAR or TAR, and that a lack of documentation indicated the treatment had not been done. The facility’s policy provided by the Administrator stated that care and services were to be provided as ordered by the physician, which was not followed in this case.
Failure to Accurately Post Daily Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that the daily report of nursing staff directly responsible for resident care was accurately posted in a visible and accessible location. During an observation, several daily staffing postings were found in a plastic slot near the front desk, but the most recent visible posting was dated several days prior, with others even older. Multiple staff members were observed passing by the postings without updating them. Interviews with the Maintenance Director, Medical Records manager, and the scheduler revealed confusion and lack of clarity regarding who was responsible for updating the daily staffing postings, with no specific staff member identified as accountable when the scheduler was absent. The facility's policy required that the number of licensed nurses and unlicensed nursing personnel responsible for direct resident care be posted daily, within two hours of each shift's start, in a prominent and accessible location. However, the observed postings were outdated, and staff interviews indicated inconsistent practices and unclear delegation of responsibility for maintaining the postings. This failure had the potential to affect all 74 residents in the facility.
Failure to Maintain Sanitary Kitchen Conditions and Proper Food Handling
Penalty
Summary
The facility failed to maintain sanitary conditions in the kitchen, as evidenced by multiple observations of unclean equipment, improper hand hygiene, and inadequate labeling and storage of food items. During inspections, surveyors noted food debris in the handwashing sink, a broken paper towel dispenser with no towels available, and spills of colored liquids and food debris on the kitchen floor. The dry storage area contained an open cardboard box, and the walk-in refrigerator had an opened can of mustard covered only with plastic wrap, as well as unlabeled and undated containers of brown liquid and expired fruit. The walk-in freezer floor was covered with ice, vegetables, cardboard, and other debris. The stove and grill trap contained unidentifiable hot liquid, tiles were missing from the wall behind the stove, and the dishwashing station had pans and plates stored upside down, exposing them to potential contamination. Additionally, a garbage can was missing its lid. Further, the Dietary Manager was observed preparing food for residents with special diets without wearing gloves and wiping her hands on her pants, indicating a lack of proper hand hygiene. Review of cleaning schedules over several weeks revealed that most cleaning tasks were not documented as completed, with many days showing no initials to indicate that cleaning had occurred. Facility policy requires all food preparation and service areas to be maintained in a clean and sanitary condition, with routine cleaning schedules and proper trash containment, but these standards were not met. All 74 residents in the facility consumed food prepared in this kitchen.
Failure to Maintain Resident Dignity During Staff Communication
Penalty
Summary
During an observation in the men's memory unit dining room, a Certified Nursing Assistant (CNA) was heard yelling from a resident's room, requesting supplies such as a brief, pants, linens, and towels from other staff members. The CNA expressed concern about not wanting the resident to walk down the hall, prioritizing safety over dignity. In a subsequent interview, the CNA acknowledged that yelling down the hall was a dignity issue and admitted not considering the use of the call light or other discreet means to request assistance. The resident involved had a diagnosis of Alzheimer's disease. Facility policy requires staff to speak respectfully to residents and maintain resident privacy, which was not followed in this instance.
Medication Availability and Administration Deficiency
Penalty
Summary
The facility failed to ensure that medications were available and administered as prescribed by the physician for a resident. The resident, who had diagnoses of diabetes and morbid obesity, was prescribed Ozempic for weight loss. The medication was supposed to be administered weekly starting in August, with increasing dosages over time. However, the Medication Administration Record (MAR) indicated that the medication was not given on specific dates in August and November. There was no documentation in the progress notes explaining why the medication was not administered, nor was there any record of notifying the physician or the resident's family about the missed doses. Interviews with staff revealed that the facility experienced supply issues with obtaining Ozempic from the pharmacy. The Director of Nursing confirmed that the endocrinologist wanted the resident to be on Ozempic exclusively, but the medication was difficult to obtain. Although alternative medications were suggested by the pharmacy, they were refused by the resident and physician. Eventually, the facility received a multi-dose pen and began administering the medication as prescribed. However, the Director of Nursing was unable to provide documentation of the pharmacy's supply issues.
Failure to Treat Resident with Respect and Dignity
Penalty
Summary
The facility failed to ensure a resident was treated with respect and dignity. An incident occurred between Resident F and a Certified Nurses Aide (CNA 6), where CNA 6 was observed having a disagreement with Resident F. During the disagreement, Resident F was on the phone with a family member and mentioned something about CNA 6. In response, CNA 6 put their middle finger up and gestured toward the resident. Resident F, who had no cognitive impairment, indicated that she was not scared but was extremely angry and hung up the phone on her niece. The incident was confirmed by the Executive Director, who noted that CNA 6 had been employed for 26 years with no prior incidents or issues and was well-liked. However, the employee was terminated following the incident. Resident F's medical history included Chronic Obstructive Pulmonary Disease with acute exacerbation. The facility's policy on Resident's Rights, dated October 2019, was reviewed and indicated that all care team members should recognize the rights of residents at all times to enable dignity, respect, and proper delivery of care. The incident was related to a complaint and was found to be a deficiency in the facility's adherence to this policy.
Failure to Properly Label Medications
Penalty
Summary
The facility failed to ensure proper labeling of open dates for medications on one of three medication carts reviewed, affecting three residents. During an observation, it was noted that the East Hall medication cart had three opened medications without an open date: cough syrup for Resident 9, polyethylene glycol powder for Resident 14, and milk of magnesia for Resident 92. The Qualified Medical Assistant (QMA) indicated that all medications should be labeled with an open date and a discard or expiration date. However, the medications in question were not labeled accordingly, and the QMA labeled them with the date 5/15/24 during the observation. Resident 9 had a diagnosis of lung disease and muscle weakness, and their Medication Administration Record (MAR) indicated that the cough syrup had not been administered in May 2024. Resident 14, diagnosed with chronic kidney disease and constipation, had an order for polyethylene glycol powder dated 4/29/23, which was last administered on 5/22/24. Resident 92, diagnosed with adult failure to thrive and cognitive impairment, had an order for milk of magnesia dated 4/26/24, but the medication had not been administered from May 1 to May 22, 2024. The Regional Nurse Consultant acknowledged ongoing issues with medication labeling during cart audits from February to April 2024, and the facility's policy on medication storage did not specify the labeling requirements for multiple-use packaging.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Fort Wayne
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Sage Bluff Health And Rehab Center | 1.6 mi | — | 6 | 0 |
| Coventry Meadows | 1.7 mi | — | 1 | 0 |
| Englewood Health & Rehabilitation Center | 2.6 mi | — | 0 | 0 |
| Life Care Center Of Fort Wayne | 4.6 mi | — | 9 | 0 |
| Majestic Care Of Fort Wayne | 4.8 mi | — | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.