CCN 365209 · Butler County, Ohio
Majestic Care of Middletown LLC
6898 Hamilton Middletown Road, Middletown, OH 45044
Majestic Care of Middletown LLC is a 200-bed for-profit nursing home in Middletown, Ohio, first certified for Medicare or Medicaid in 1968. CMS rates it 2 out of 5 stars overall in its September 2026 data, and it averaged 127.3 residents a day, about 64% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 200
- Average residents per day
- 127.3 (63.6% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Majestic Care of Middletown LLC
- Certified since
- Oct 11, 1968
- Chain or affiliated group
- Majestic Care (26 facilities, chain average 2.4 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Ohio median | US median |
|---|---|---|---|
| Overall rating | 2 of 5 | State spread: 118 at 1, 216 at 2, 180 at 3, 190 at 4, 209 at 5 | |
| Health inspections | 1 of 5 | ||
| Quality measures | 5 of 5 | ||
| Staffing | 1 of 5 | ||
| Total nurse hours per resident per day | 3.43 | 3.57 | 3.68 |
| RN hours per resident per day | 0.33 | 0.59 | 0.58 |
| Weekend nurse hours per resident per day | 3.01 | ||
| Nursing staff turnover | 45.3% | 48.5% | 44.9% |
| Occupancy (residents / beds) | 63.6% | 87.2% | 85.7% |
| Fines reported by CMS | 1 totaling $108,164 | ||
| Health deficiencies, latest standard survey | 8 (Jun 5, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Majestic Care of Middletown LLC does not meet it today: health inspection rating 1. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Rb SNF Operations Holdings LLCOrganization | Direct Ownership Interest | 100% | 10/01/2020 |
| 6898 Hamilton Middletown Road SNF Realty LLCOrganization | Operational / Managerial Control | n/a | 10/01/2020 |
| Majestic Management LLCOrganization | Operational / Managerial Control | n/a | 10/01/2020 |
| Chamberlain, MargaretIndividual | Operational / Managerial Control | n/a | 09/11/2023 |
| Marx, DavidIndividual | Operational / Managerial Control | n/a | 10/01/2020 |
| Pruitt, PaulIndividual | Operational / Managerial Control | n/a | 05/01/2023 |
| Rewa, AngelaIndividual | Operational / Managerial Control | n/a | 10/23/2023 |
| Russell, RobertIndividual | Operational / Managerial Control | n/a | 04/08/2024 |
| Shatrov, AnzhelikaIndividual | Operational / Managerial Control | n/a | 12/02/2024 |
| Wolfe, EricIndividual | Operational / Managerial Control | n/a | 09/11/2023 |
| Wylie, AmyIndividual | Operational / Managerial Control | n/a | 01/01/2025 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Sep 30, 2020 | Majestic Care of Middletown LLC | Garden Manor Extended Care Center, Inc. |
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.