Majestic Care of Lakin

11522 Ohio River Road · West Columbia, WV · 25287 · 3046750860

136 certified beds Government - State

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results are getting worse cycle over cycle, not better.

Red flags

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

2 immediate-jeopardy citations in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

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.

Score breakdown

Inspection record 30% of score 26
Serious harm & abuse 20% 4
Staffing 20% 62
Federal penalties 15% 66
Trend 10% 20
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: 4 of 5

Total nurse hours / resident-day3.223.48 min · 4.1 strong
RN hours / resident-day0.760.55–0.75
Weekend hours / resident-day2.51≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)1 · $45,694

Inspection citations (38 in the current record)

  • Immediate jeopardy · J March 12, 2025 · found via complaint

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

    Corrected April 30, 2025 · Quality of Life and Care

  • Immediate jeopardy · J March 12, 2025 · found via complaint

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

    Corrected April 30, 2025 · Nutrition and Dietary

  • Actual harm · G March 12, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected April 30, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 12, 2025

    Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

    Corrected April 30, 2025 · Resident Rights

  • Potential for harm · E March 12, 2025

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Corrected April 30, 2025 · Resident Rights

  • Potential for harm · D March 12, 2025

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

    Corrected April 30, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 12, 2025

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected April 30, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E March 12, 2025

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected April 30, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E March 12, 2025

    Provide activities to meet all resident's needs.

    Corrected April 30, 2025 · Quality of Life and Care

  • Potential for harm · E March 12, 2025

    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 April 30, 2025 · Nutrition and Dietary

  • Potential for harm · E March 12, 2025

    Provide and implement an infection prevention and control program.

    Corrected April 30, 2025 · Infection Control

  • Potential for harm · E March 12, 2025

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Corrected April 30, 2025 · Nursing and Physician Services

  • Potential for harm · E March 12, 2025 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected April 30, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E March 12, 2025 · found via complaint

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

    Corrected April 30, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 12, 2025 · found via complaint

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

    Corrected April 30, 2025 · Resident Rights

  • Potential for harm · E March 12, 2025 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected April 30, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E March 12, 2025 · found via complaint

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

    Corrected April 30, 2025 · Quality of Life and Care

  • Potential for harm · E March 12, 2025 · found via complaint

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected April 30, 2025 · Nursing and Physician Services

  • Potential for harm · D July 19, 2023

    Keep residents' personal and medical records private and confidential.

    Corrected August 31, 2023 · Resident Rights

  • Potential for harm · D July 19, 2023

    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 August 31, 2023 · Resident Rights

  • Potential for harm · D July 19, 2023

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Corrected August 31, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D July 19, 2023

    Ensure each resident receives an accurate assessment.

    Corrected August 31, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D July 19, 2023

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected August 31, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D July 19, 2023

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected August 31, 2023 · Quality of Life and Care

  • Potential for harm · D July 19, 2023

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected August 31, 2023 · Quality of Life and Care

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

Federal penalties

DateTypeAmount / length
March 12, 2025Fine$45,694

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 51E124 · certified since November 15, 1983. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.