Indiana State Department of Health
Division of Long Term Care
 
CONSUMER REPORT
 
MAJESTIC CARE OF SOUTHPORT
 
NURSING HOME
SKILLED NURSING FACILITY / NURSING FACILITY DISTINCT PART
Created on: 07/25/2025
 
Posted to the Web on: 08/06/2025
 
 



Basic Information

FACILITY CONTACT INFORMATION:
Address: 8549 S MADISON AVE
City: INDIANAPOLIS
Telephone: (317) 881-9164
Web Site:  
 
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
 
LICENSE INFORMATION:
  License number: 25-000151-1
  License effective date: 07/01/2025
  License expiration date: 06/30/2026
 


Administration and Staff

Administrator: BROCTON BENNETT
  Start date: 08/05/2024
 
Director of Nursing: TONYA STRONG
  Start date: 04/07/2025
 
Medical director:  
  Start date:   /  /  
 
Wound care specialist: Jessica Yantzy
  Start date:   /  /  
 
Infection preventionist:  
  Start date:   /  /  
 


Ownership

CURENT OWNERSHIP:
 
Owning corporation: PULASKI MEMORIAL HOSPITAL
616 E 13TH STREET
WINAMAC IN 46996
 
Ownership type:  NON-PROFIT
 
Officer(s): MICHAEL MCKAY
            LINDA WEBB
            CHARLES HUTTON
            GREGG MALOTT
            CLINT KAUFFMAN
            STEVE JAROSINSKI
            ADAM BENNETT
            JENNIFER SMITH
            TAYLOR WHITE
            JENNIFER MELLON
 
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: HENDRICKS COUNTY HOSPITAL
Date of last change of ownership: 07/01/2021
 


Bed Counts and Census

COMPREHENSIVE CARE BEDS:
Number of Medicaid beds (NF):                     0
Number of Medicare beds (SNF):                    16
Number of Medicare/Medicaid beds (SNF/NF):        124
Number of non-certified comprehensive care beds (State Licensed only):     0
Total number of comprehensive care beds:     140
 
RESIDENTIAL CARE BEDS:
 
Total number of residential beds:            0
 
Total number of beds in facility:            140
 
CENSUS:
Facility census:  79
As reported by the facility on: 07/02/2025
 
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 07/02/2025
 
Residential care beds occupied:  0
As reported by the facility on: 07/02/2025
 
Alzheimer Beds:  0
Alzheimer Beds Occupied:  0
As reported by the facility on:   /  /  
 
Ventilator Beds:  0
Ventilator Beds Occupied:  0
As reported by the facility on:   /  /  
 


Sprinklers and Smoke Detectors

This facility is: FULLY SPRINKLERED
 
Number of comprehensive care resident rooms: 77
Number of comprehensive care resident rooms with battery 
                    operated smoke detectors: 77
Number of comprehensive care resident rooms 
             with hard wired and/or wireless smoke detectors: 0
 
Person completing form - EDNA DAVENPORT
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. HFA
Date form completed - 04/05/2023
 


Nurse Aide Training

NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved:  
Nurse aide training and competency evaluation program (NATCEP) expires:  
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 05/30/2025
 
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: 
     HEALTH CARE INSTITUTE
         Approved: 11/02/1998
         Terminated: 02/02/2007
     STAFFING AND EDUCATION FOR EXCELLENCE
         Approved: 07/28/1999
         Terminated: 02/02/2007
     AREA 31 CAREER CENTER
         Approved: 10/20/1999
         Terminated: 02/02/2007
     CENTRAL NINE CAREER CENTER
         Approved: N/A
         Terminated: 02/02/2007
     NURSE AIDE TRAINING CENTER LLC
         Approved: 05/07/1998
         Terminated: 02/02/2007
     IVY TECH COMMUNITY COLLEGE
         Approved: 02/24/1998
         Terminated: 02/02/2007
 


Complaints

NUMBER OF SUBSTANTIATED COMPLAINTS: 
 
  Current year:  0
  Previous year:  0
  2 years previous:  0

 


Facility Report Card



 


 
03/01/2020 Current QTR
12/01/2019 Previous QTR
09/01/2019 Previous QTR
06/01/2019 Previous QTR


Report Card Score
419
404
416
419


Rank of Score
20
25
20
18


Average Score
302
296
295
296


 
*Facility report card scores have not been updated since March 1, 2020 due to changes in the survey process during the ongoing COVID-19 pandemic. 
The facility report card score is calculated four times per calendar year 
for the two most recent nursing home health surveys.  The facility report card score 
also includes all complaint surveys, life safety code surveys, emergency preparedness surveys, 
and any follow-up surveys that occur within the two most recent nursing home health surveys. 
The facility report card score ranges from 500 to 0, with 500 being the best score possible. 
 
View the Scope and Severity grid
 
View the scoring methodology
 



Overview of Survey findings




 
 The Most Recent Set
 2ND Most Recent Set
 3RD Most Recent Set

Immediate Jeopardy
No
Yes
Yes


 Substandard Quality of Care 
No
Yes
No


Administrator Change
Yes
Yes
Yes


Owner Change
No
No
No


Number of Substantiated Complaints With Deficiencies
0
0
0


Deficiency Free Standard Health Survey
No
No
No


 
    The term 'Recent Set' referenced above relates to the referenced annual survey,
    and any other surveys performed between it and the previous annual survey.
 

 


Enforcement Actions

 
Federal Certification Actions Imposed
     Discretionary Deny Pay for New Admits
     Date Imposed: 06/24/2023  Date Ended: 07/06/2023
     Civil Money Penalty
     Date Imposed: 05/26/2023  Date Ended: 07/06/2023
     Amount proposed per day: 
     Amount proposed per day: 
     Amount proposed per day: 
     Amount proposed per day: 10275
     Amount proposed per day: 585
     Civil Money Penalty
     Date Imposed: 12/14/2022  Date Ended: 12/14/2022
     Amount proposed per day: 
 
Date terminated from Medicare/Medicaid: N/A
 


Survey History


    The survey report is not posted until the report has been provided to the facility and their plan of correction submitted and approved.
    The survey report therefore will likely not be posted until four to six weeks after the exit date.
        
    In the grid below click on an event ID that is underlined to see the survey report for that event.


 
Event ID
Survey Type
Exit Date

OCHB11
Complaint
07/02/2025


8S4011
Complaint
04/21/2025


WOIW11
Complaint
03/31/2025


OJGL12
Complaint, Follow Up
03/21/2025


TSV212
Complaint, Follow Up
03/21/2025


OJGL11
Complaint
02/26/2025


TSV211
Complaint
02/17/2025


K8ES11
Complaint
01/27/2025


RY1N22
Recertification, Follow Up, Life Safety Code
01/03/2025


RY1N12
Recertification, Follow Up, State Licensure
11/18/2024


RY1N21
Recertification, Life Safety Code
11/06/2024


4YL611
Complaint
11/01/2024


RY1N11
Recertification, Complaint, State Licensure
10/11/2024


703D11
Complaint
09/11/2024


V8TC11
Complaint
08/12/2024


D6OI11
Complaint
07/10/2024


SSS712
Complaint, Follow Up
05/28/2024


SSS711
Complaint, Other
04/22/2024


GEID11
Complaint
01/25/2024


PD7622
Recertification, Follow Up, Life Safety Code
01/25/2024


PD7612
Recertification, Follow Up, State Licensure
01/12/2024


PD7621
Recertification, Life Safety Code
12/14/2023


PD7611
Recertification, Complaint, State Licensure
11/17/2023


68HZ11
Complaint
10/31/2023


RYY211
Complaint
09/13/2023


7R4L11
Complaint
07/18/2023


BYGU12
Complaint, Follow Up
07/14/2023


2XZF12
Complaint, Follow Up
07/14/2023


2XZF11
Complaint
06/20/2023


BYGU11
Complaint
05/31/2023


VP2311
Complaint
05/05/2023


GJ6511
Complaint
03/20/2023


KKLD11
Complaint
02/23/2023


B17F12
Complaint, Follow Up
01/18/2023


B17F11
Complaint
12/14/2022


YQ4622
Recertification, Follow Up, Life Safety Code
12/05/2022


YQ4612
Recertification, Follow Up, State Licensure
11/21/2022


YQ4621
Recertification, Life Safety Code
10/24/2022


YQ4611
Recertification, Complaint, State Licensure
09/27/2022


 
 


Links and Resources

 
CMS nursing home compare page 
 
    In addition to the information provided on this 
    web site, the Centers for Medicare & Medicaid Services (CMS) has a web site 
    which contains information on every Medicare and Medicaid certified nursing 
    home in the country. The CMS nursing home survey results contain summary information 
    about a facility's noncompliance of regulations regarding the care of residents 
    found in the nursing homes. You can locate nursing homes in your area and find 
    information about compliance with federal regulations.
 
Resources and links to other organizations
 
Choosing a Nursing Home
 
Overview of the Survey Process
 
State Wide Grouping of all Scores
   
Overview of current comprehensive facility scores
   
Spreadsheet of current comprehensive facility names and scores
   
Legal Disclaimer for Long Term Care Reports.