Nursing homeActive
Majestic Care of Livonia
28550 Five Mile Road, Livonia, MI 481547344278270142 certified beds · 96 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
17
since 2023
Deficiencies
46
● 1● 41● 4
Penalties · 3 yrs
$139,006
3 fines · 1 action
Last survey
2026-02-26
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 2
Staffing 3
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Michigan LARA · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-02-26 | Standard | 070 | CMS-2567 (Care Compare) | — |
| 2025-05-28 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-02-05 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-12-10 | Standard | 0130 | CMS-2567 (Care Compare) | — |
| 2024-10-16 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-10-15 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-09-26 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-09-05 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-08-01 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-07-24 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-07-18 | Complaint | 120 | CMS-2567 (Care Compare) | — |
| 2024-04-04 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-02-22 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-11-28 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-10-31 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2023-10-04 | Standard | 091 | CMS-2567 (Care Compare) | — |
| 2023-08-23 | Complaint | 010 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Michigan LARA publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-20Record 235057-20260226-F550
F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-20Record 235057-20260226-F640
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-20Record 235057-20260226-F677
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-20Record 235057-20260226-F756
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-20Record 235057-20260226-F804
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-20Record 235057-20260226-F842
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-20Record 235057-20260226-F921
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-19Record 235057-20250528-F602
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-21Record 235057-20250205-F657
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-30Record 235057-20241210-F550
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-30Record 235057-20241210-F657
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-30Record 235057-20241210-F677
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-30Record 235057-20241210-F684
F688Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-30Record 235057-20241210-F688
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-30Record 235057-20241210-F692
F699Provide care or services that was trauma informed and/or culturally competent.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-30Record 235057-20241210-F699
F727Have 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.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-12-30Record 235057-20241210-F727
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-30Record 235057-20241210-F761
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-30Record 235057-20241210-F804
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-30Record 235057-20241210-F806
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-12-30Record 235057-20241210-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-30Record 235057-20241210-F880
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-31Record 235057-20241016-F686
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-31Record 235057-20241015-F677
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-27Record 235057-20240926-F684
F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-27Record 235057-20240905-F626
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-26Record 235057-20240801-F689
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-08-05Record 235057-20240724-F686
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-30Record 235057-20240718-F561
F565Honor the resident's right to organize and participate in resident/family groups in the facility.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-26Record 235057-20240718-F565
F680Ensure the activities program is directed by a qualified professional.Scope/severity CPaperwork
Care planning
Widespread; potential for minimal harm.Corrected 2024-07-30Record 235057-20240718-F680
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-04-05Record 235057-20240404-F689
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-23Record 235057-20240222-F609
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-04Record 235057-20231128-F757
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-11-13Record 235057-20231031-F686
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity HHarm
Abuse & neglect
Pattern; actual harm that is not immediate jeopardy.Corrected 2023-10-13Record 235057-20231004-F600
F584Honor 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.Scope/severity FStandard
Dignity & rights
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-10-13Record 235057-20231004-F584
F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-13Record 235057-20231004-F626
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-13Record 235057-20231004-F657
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-10-13Record 235057-20231004-F677
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-13Record 235057-20231004-F758
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-13Record 235057-20231004-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-10-13Record 235057-20231004-F812
F814Dispose of garbage and refuse properly.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-10-13Record 235057-20231004-F814
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-13Record 235057-20231004-F880
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-24Record 235057-20230823-F584
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-07-18 | Civil money penalty | $13,105 | CMS · Penalties |
| 2024-04-04 | Civil money penalty | $32,262 | CMS · Penalties |
| 2023-10-04 | Civil money penalty | $93,639 | CMS · Penalties |
| 2023-10-04 | Denial of payment for new admissions Payment denial for 12 days, from 2023-11-01 | — | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.31
Facility
Michigan
National
Michigan 0.78 · National 0.69
Total nurse hours per resident day3.59
Facility
Michigan
National
Michigan 3.99 · National 3.86
Weekend total nurse hours2.91
Facility
Michigan
National
Michigan 3.50 · National 3.42
Total nursing staff turnover40%
Facility
Michigan
National
Michigan 44% · National 46%
Registered nurse turnover20%
Facility
Michigan
National
Michigan 39% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Michigan | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 4.9% | 5.1% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.4% | 3.0% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 5.4% | 14.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.3% | 1.5% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 2.3% | 10.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 4.7% | 5.4% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 8.1% | 19.4% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Majestic Michigan Operations I LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Dem Family Trust I Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 21% | — | — |
| Alexander, David Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bazzi, Hassan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Chamberlain, Margaret Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Garrison, Luke Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Livonia SNF Realty LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Majestic Management Michigan LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Marx, David Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Pruitt, Paul Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Rewa, Angela Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Russell, Robert Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Shatrov, Anzhelika Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Wolfe, Eric Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| 4 Mdr Of Queens Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Alexander, David Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bazzi, Hassan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Chamberlain, Margaret Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Garrison, Luke Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Livonia SNF Realty LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Majestic Management Michigan LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Marx, David Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mdg Majestic Michigan Realty I LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mdg Real Estate Global Limited Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Pruitt, Paul Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Pruitt, Paul Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Rewa, Angela Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Russell, Robert Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Shatrov, Anzhelika Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Wolfe, Eric Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Majestic Care — 22 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Michigan.
No county cost figures on file for Wayne.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Regency at Livonia Livonia | 1.6 mi | 2026-03-03 | 0301 |
| Fountain Bleu Health and Rehabilitation Center Livonia | 2.7 mi | 2025-12-03 | 082 |
| Marywood Nursing Care Center Livonia | 2.4 mi | 2026-01-08 | 0201 |
| Medilodge of Livonia Livonia | 3.3 mi | 2026-05-27 | 0282 |
| The Manor of Farmington Hills Farmington Hills | 3.5 mi | 2025-11-20 | 0509 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |