Majestic Care of Hopemont

150 Hopemont Drive · Terra Alta, WV · 26764 · 3047892411

98 certified beds For profit - Corporation

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Staffing levels are well below research benchmarks for safe care.
  • Inspection results have improved across recent cycles.

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Red flags

5 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

RN staffing in the bottom 10% nationally

0.21 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Total nurse staffing below 3.0 hours per resident-day

2.38 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

95% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 18
Serious harm & abuse 20% 70
Staffing 20% 28
Federal penalties 15% 64
Trend 10% 89
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day2.383.48 min · 4.1 strong
RN hours / resident-day0.210.55–0.75
Weekend hours / resident-day2.28≈ weekday level
Nursing turnover / year95%median 45%
Fines (3-yr window)1 · $57,116

Inspection citations (52 in the current record)

  • Potential for harm · D February 19, 2026

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected March 15, 2026 · Resident Rights

  • Potential for harm · E February 19, 2026

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Corrected March 15, 2026 · Resident Rights

  • Potential for harm · E February 19, 2026

    Honor 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.

    Corrected March 15, 2026 · Resident Rights

  • Potential for harm · D February 19, 2026

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected March 15, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 19, 2026

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected March 16, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E February 19, 2026

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected March 15, 2026 · Quality of Life and Care

  • Potential for harm · E February 19, 2026

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected March 16, 2026 · Quality of Life and Care

  • Potential for harm · E February 19, 2026

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected March 15, 2026 · Pharmacy Service

  • Potential for harm · D February 19, 2026

    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

    Corrected March 15, 2026 · Nutrition and Dietary

  • Potential for harm · F February 19, 2026

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Corrected March 15, 2026 · Nutrition and Dietary

  • Potential for harm · F February 19, 2026

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Corrected March 15, 2026 · Nutrition and Dietary

  • Potential for harm · D February 19, 2026

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Corrected March 15, 2026 · Nutrition and Dietary

  • Potential for harm · D February 19, 2026

    Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

    Corrected March 15, 2026 · Nutrition and Dietary

  • Potential for harm · E February 19, 2026

    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

    Corrected March 15, 2026 · Nutrition and Dietary

  • Potential for harm · D February 19, 2026

    Provide special eating equipment and utensils for residents who need them and appropriate assistance.

    Corrected March 15, 2026 · Nutrition and Dietary

  • Potential for harm · F February 19, 2026

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected March 15, 2026 · Nutrition and Dietary

  • Potential for harm · D February 19, 2026

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected March 15, 2026 · Resident Assessment and Care Planning

  • Potential for harm · F February 19, 2026

    Provide and implement an infection prevention and control program.

    Corrected March 15, 2026 · Infection Control

  • Potential for harm · D November 20, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected January 1, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E November 20, 2024 · found via complaint

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected January 1, 2025 · Nutrition and Dietary

  • Potential for harm · E November 20, 2024 · found via complaint

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected January 1, 2025 · Nutrition and Dietary

  • Potential for harm · D June 6, 2024

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected July 30, 2024 · Resident Rights

  • Potential for harm · E June 6, 2024

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected July 30, 2024 · Resident Rights

  • Potential for harm · D June 6, 2024

    Reasonably accommodate the needs and preferences of each resident.

    Corrected July 30, 2024 · Resident Rights

  • Potential for harm · D June 6, 2024

    Honor 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.

    Corrected July 30, 2024 · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
January 4, 2024Fine$57,116

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 51E148 · certified since March 30, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.