Federal inspection record · CMS data as of October 1, 2026
Majestic Care of Hopemont
150 Hopemont Drive, Terra Alta, WV · (304) 789-2411
- Special Focus Facility
- Certified beds
- 98
- Residents per day
- 43
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicaid
- Certified since
- March 30, 1988
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in West Virginia.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among West Virginia homes
Majestic Care of Hopemont carries 282 inspection points. That is fewer than 2% of West Virginia's 122 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in West Virginia: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–24 pts
- 4★ 24–55 pts
- 3★ 55–92.5 pts
- 2★ 92.5–163 pts
- 1★ over 163 pts
Bars show every rated home in West Virginia by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
52 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (5)
-
L
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
L
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
L
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
-
L
Keep all essential equipment working safely.
-
L
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Everything else, by area of care
Nutrition and Dietary11F
- F
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.
- F
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
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.
- D
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- D
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
- D
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights8E
- E
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- E
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Ensure that residents are fully informed and understand their health status, care and treatments.
- E
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
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.
Quality of Life and Care6E
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Ensure the activities program is directed by a qualified professional.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Resident Assessment and Care Planning6E
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure each resident receives an accurate assessment.
Freedom from Abuse, Neglect, and Exploitation5D
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Respond appropriately to all alleged violations.
Pharmacy Service4E
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- D
Ensure that residents are free from significant medication errors.
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Nursing and Physician Services3F
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- E
Post nurse staffing information every day.
- E
Observe each nurse aide's job performance and give regular training.
Infection Control2F
- F
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Administration2F
- F
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
- D
Have a plan that describes the process for conducting QAPI and QAA activities.
Inspection history
2026-02-19
18 health deficiencies · 12 fire-safety deficiencies
Top issue: Nutrition and Dietary (8 deficiencies)
2024-06-06
19 health deficiencies · 8 fire-safety deficiencies
Top issue: Resident Rights (5 deficiencies)
2022-08-24
15 health deficiencies · 0 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 13 min of nursing staff time a day, 25 min of it from a registered nurse.
This home
4 h 13 min
West Virginia average
3 h 43 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 95% of nursing staff and 100% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$57,116 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-01-04 | Fine | $57,116 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts worse | 2.0 | 1.6 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days3.1 pts worse | 4.8 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine27.4 pts worse | 69.1% | 96.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.3 pts worse | 96.0% | 97.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1 pts worse | 5.3% | 4.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.3 pts better | 4.9% | 8.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.8 pts better | 4.3% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication12 pts worse | 38.9% | 26.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication39.9 pts worse | 52.8% | 12.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained7.3 pts worse | 7.4% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened7.3 pts worse | 21.2% | 13.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.2 pts worse | 18.0% | 13.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse | 0.4% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.8 pts worse | 4.3% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence10.2 pts better | 11.2% | 21.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.6 pts better | 1.3% | 3.9% | 4.5% |
·
Fire safety
20 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Have an enclosure around a vertical opening shaft.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- C
Properly select, install, inspect, or maintain portable fire extinguishes.
Egress4F
- F
Install emergency lighting that can last at least 1 1/2 hours.
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- C
Install emergency lighting that can last at least 1 1/2 hours.
Gas, Vacuum, and Electrical Systems4F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
- E
Have proper medical gas storage and administration areas.
- F
Ensure that testing and maintenance of electrical equipment is performed.
Miscellaneous3E
- E
Have restrictions on the use of portable space heaters.
- D
Have simulated fire drills held at unexpected times.
- C
Have simulated fire drills held at unexpected times.
Services1F
- F
Have elevators that firefighters can control in the event of a fire.
Emergency Preparedness1F
- F
Establish an Emergency Preparedness Program (EP).
·
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Oakland Nursing & Rehabilitation Center
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-
Dennett Rehab Center
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