Majestic Care of Lakin in West Columbia, WV has a 3-star overall rating, with 3-star health inspections and stronger 4-star staffing and quality scores. It reports nurse staffing above the federal benchmark (4.99 vs. 4.1 hours per resident day) but also has $45,694 in fines in the last 24 months and a recent federal penalty, with recent inspection citations involving accident hazards, hydration, and resident protection from abuse.
Last inspection: July 2, 2026Penalties, last 24 months: $45,694recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.9877.
Staffing detail
Registered nurses
1.17
Licensed practical nurses
0.72
Nurse aides
3.10
Weekend nursing
3.64
Hours per resident per day.
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
37%51.7%Worsening
Residents with a fall causing major injury
1.7%1.8%No change
Residents with pressure ulcers (bedsores)
2.1%0%Improving
Residents with a urinary tract infection
3.3%0%Improving
Residents who lost too much weight
9.3%1.8%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
18.9%9.8%Improving
Residents whose ability to walk got worse
10.8%14.3%Worsening
Long-stay residents on antianxiety or sleep medication
48.3%32.1%Improving
Residents with a long-term catheter
1.8%0%Improving
Residents with new or worsening incontinence
8%17.3%Worsening
Residents with depressive symptoms
0%3.8%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—96.9%—
Long-stay residents given the pneumonia vaccine
56.7%77.2%Improving
Short-stay residents given the pneumonia vaccine
—31%—
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to ensure residents got enough drinks to meet their needs and preferences and stay properly hydrated. Cited March 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 807 — 42 CFR §483.60 — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited March 2025 — isolated incident, actual harm.
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F-Tag 600 — 42 CFR §483.12 — S/S: G
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited July 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to educate residents and staff about COVID-19 vaccination, offer the vaccine to eligible people, and properly record vaccination status. Cited July 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 887 — 42 CFR §483.80 — S/S: E
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
PENALTY
A federal fine of $45,694 was recorded.
INSPECTION
Health inspection found 18 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 13 health deficiencies.
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INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $45,694 in total fines.
Federal fine
Mar 12, 2025
$45,694
Operator & ownership
Ownership
For profit - Corporation
Occupancy
56.9 residents on an average day (42% of 136 beds)
Resident voice
Resident council
Medicare history
Certified for 42 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.