Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Majestic Care of Bryan

BRYAN, OH · 149 certified beds · Last Life Safety survey December 11, 2025

CMS Certification Number 365830 · first certified March 1991

Ownership

Independently operated (no chain recorded by CMS) · For profit - Limited Liability company

Ownership changed December 28, 2021 (change of ownership)to BRYAN HEALTHCARE AND REHABILITATION CENTER LLC from BRYAN SNF LLC

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within OH

25 citations — more than 77% of the 922 certified nursing homes in OH. Compared within OH rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 11 citations; the earlier surveys in the window averaged 7. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens August 2027 — about 10 months from now. This facility’s last Life Safety survey was December 2025. Facilities in OH are typically surveyed 20–32 months after the last one (median 26), measured over 889 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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4 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

2 of the 25 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

6 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 25 Life Safety citations above. The Physical Environment Index

F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0880 Provide and implement an infection prevention and control program.
F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

How that compares

Citations on file over three years

Compared with the median facility in OH, and nationally. Surveyors differ markedly between states, so the OH figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	25
Median facility in OH	16
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
April 11, 2022	5
March 21, 2024	9
December 11, 2025	11

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	3	2025-12-11
K-0353	Inspect, test, and maintain automatic sprinkler systems.	3	2025-12-11
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	2	2024-03-21
K-0363	Install corridor and hallway doors that block smoke.	2	2025-12-11
K-0712	Have simulated fire drills held at unexpected times.	2	2025-12-11
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	2	2025-12-11
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	1	2022-04-11
E-0039	Conduct testing and exercise requirements.	1	2025-12-11

What the citations cover

Citations by CMS category

Smoke Deficiencies 9
Miscellaneous Deficiencies 7
Gas, Vacuum, and Electrical Systems Deficiencies 3
Services Deficiencies 2
Other 4

Citations by CMS category
Category	Citations
Smoke Deficiencies	9
Miscellaneous Deficiencies	7
Gas, Vacuum, and Electrical Systems Deficiencies	3
Services Deficiencies	2
Emergency Preparedness Deficiencies	2
Egress Deficiencies	2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

December 11, 2025 — 11 citations

Citations issued on December 11, 2025
Tag	What the surveyor checks	Status
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (January 2, 2026)
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	Deficient, Provider has date of correction (January 2, 2026)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (January 2, 2026)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (January 2, 2026)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (January 2, 2026)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (January 2, 2026)
K-0711	Provide a written emergency evacuation plan.	Deficient, Provider has date of correction (January 2, 2026)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (January 2, 2026)
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	Deficient, Provider has date of correction (January 2, 2026)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (January 2, 2026)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (January 2, 2026)

March 21, 2024 — 9 citations

Citations issued on March 21, 2024
Tag	What the surveyor checks	Status
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (March 29, 2024)
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	Deficient, Provider has date of correction (March 29, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (March 29, 2024)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (March 29, 2024)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (March 29, 2024)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (March 29, 2024)
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	Deficient, Provider has date of correction (March 29, 2024)
K-0753	Have restrictions on the use of highly flammable decorations.	Deficient, Provider has date of correction (March 29, 2024)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (March 29, 2024)

April 11, 2022 — 5 citations

Citations issued on April 11, 2022
Tag	What the surveyor checks	Status
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (May 24, 2022)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (May 24, 2022)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (May 24, 2022)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has date of correction (May 24, 2022)
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	Deficient, Provider has date of correction (May 24, 2022)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.