Majestic Care of Manchin
401 GUFFEY STREET, Fairmont, WV 26554
Fairmont, West Virginia · CMS verdict
On the federal five-star scale, Majestic Care of Manchin carries a 4 of 5 CMS overall rating, above-average quality that runs above West Virginia's state average of 2.8.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Majestic Care of Manchin in Fairmont, West Virginia holds a CMS overall rating of 4 of 5 stars and a PlainElderCare Quality & Compliance Index of 66 of 100 (grade D). The 41-bed facility operates where a semi-private nursing-home room in West Virginia runs a median of $12,836 per month. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (heavier deficiency book)
With 35 CMS deficiencies on file, this facility sits in the heavier U.S. deficiency tercile (>31). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 4 of 5 stars. How this is calculated.
How the 66 is built
Each segment is a dimension's weighted points toward the score, summing to 66.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Majestic Care of Manchin's heavier CMS deficiency book
Quality ratings
On Care Compare (data as of April 2026), Majestic Care of Manchin carries an overall CMS quality rating of 4 out of 5 stars. That figure rolls up three sub-ratings tracked separately: health inspection (4/5), staffing (4/5), and quality measures (4/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Fairmont, West Virginia, this facility operates 41 certified beds with an average daily census of roughly 32 residents - an occupancy rate of about 78%. The facility is classified under government - state ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 78% occupancy, this facility has meaningful open capacity relative to its certified bed count.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (35 total). CMS has levied 1 enforcement penalty - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Majestic Care of Manchin compares to West Virginia
CMS five-star sub-ratings (0–5) for this facility against the West Virginia facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = West Virginia state average. Higher is better on all four CMS measures.
Where Majestic Care of Manchin ranks in West Virginia
Among the 122 CMS-rated nursing homes in West Virginia, Majestic Care of Manchin’s 4-star overall rating is higher than 65% of them. The bars show how all West Virginia homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
25 West Virginia homes share this 4-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 41 |
| Residents | 32 |
| Ownership | Government - State |
| County | Marion |
| Penalties | 1 |
| Deficiencies | 35 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What families ask about Majestic Care of Manchin's inspection record
What is the quality rating for Majestic Care of Manchin? ▾
Majestic Care of Manchin has an overall CMS quality rating of 4 out of 5 stars, with a health inspection rating of 4/5, staffing rating of 4/5, and quality measures rating of 4/5.
How much does a nursing home cost per month in West Virginia? ▾
CareScout's 2025 survey puts West Virginia's median semi-private nursing home rate at $12,836 per month ($154,030 per year), with private rooms averaging $13,262 per month.
What services does Majestic Care of Manchin offer? ▾
With 41 beds with approximately 32 current residents, Majestic Care of Manchin is a skilled nursing facility. It operates under government - state ownership, and CMS's inspection record shows 35 deficiencies and 1 penalties.
Does Majestic Care of Manchin have any deficiencies or penalties? ▾
Majestic Care of Manchin has multiple deficiencies (35 total) and 1 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in West Virginia? ▾
In West Virginia, alternatives include assisted living ($6,340/mo), home health aides ($5,720/mo), and adult day care (N/A/mo).
Keep reading
Also see the West Virginia elder-care overview and highest-rated states. Provider ID: 515075.
Read our methodology - how this data is sourced, computed, and verified.