Majestic Care of Lakin in West Columbia, WV has a 1-star overall rating, with 1-star health inspection and staffing ratings but a 4-star quality measures rating. It has a recent abuse citation, $45,694 in fines over the last 24 months, and reported nurse staffing of 3.22 hours per resident per day versus the 4.1 federal benchmark.
Last inspection: March 12, 2025Penalties, last 24 months: $45,694recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2173.
Staffing detail
Registered nurses
0.76
Licensed practical nurses
0.48
Nurse aides
1.98
Weekend nursing
2.51
Hours per resident per day.
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
45.9%Worsening
Residents with a fall causing major injury
2.1%Improving
Residents with pressure ulcers (bedsores)
1.1%Improving
Residents with a urinary tract infection
3.4%Worsening
Residents who lost too much weight
6.5%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
16.2%Worsening
Residents whose ability to walk got worse
18.2%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
44.7%Worsening
Residents with a long-term catheter
0.9%Steady
Residents with new or worsening incontinence
7.6%Improving
Residents with depressive symptoms
1.4%Steady
Long-stay residents given the seasonal flu vaccine
96.9%Steady
Long-stay residents given the pneumonia vaccine
75.5%Improving
Short-stay residents given the pneumonia vaccine
35.7%Steady
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.
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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 home failed to protect residents’ right to complain without fear and did not ensure grievances were handled promptly. Cited March 2025 — limited pattern, potential for harm.
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F-Tag 585 — 42 CFR §483.10 — S/S: E
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E
Recent history
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.
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INSPECTION
Health inspection found 13 health deficiencies.
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INSPECTION
Health inspection found 7 health deficiencies.
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Penalties & enforcement
On record with Medicare: 1 fine · $45,694 in total fines.
Federal fine
Mar 12, 2025
$45,694
Operator & ownership
Ownership
Government - State
Occupancy
59.3 residents on an average day (44% 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.