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Skilled nursing facility · CMS certified · CCN 515075

Majestic Care of Manchin

401 Guffey Street, Fairmont, WV 26554 · Marion County · one of 123 skilled nursing facilities in West Virginia
100
certified beds
3 / 5
overall CMS rating
For-profit
ownership type
76.3%
occupancy, Oct 2026: 31 residents a day · West Virginia 90.6%
1.46
case mix, 1.03x the national average
4.38
nurse hours per resident day · West Virginia 3.67
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There is no full-year Medicare cost report on file for this building, so there is nothing to start the calculator from.

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How Majestic Care of Manchin compares

Better than most of Marion County on 6 of 8 lines.

Occupancy, Oct 202676.3%Behind mostLower than all 4 other buildings in Marion County

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 88.3%. Source: CMS monthly provider files, Oct 2026.

Nurse hours per resident day4.38Better than mostHigher than 4 of the 5 other buildings in Marion County

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 3.06. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating3 / 5Better than mostHigher than 3 of the 5 other buildings in Marion County

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 2 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating3 / 5Better than mostHigher than 3 of the 5 other buildings in Marion County

CMS's star rating for the building's recent health inspections. The middle of the set: 2 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating3 / 5Better than mostHigher than 3 of the 5 other buildings in Marion County, level with 1

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 2 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating2 / 5Behind mostLower than all 5 other buildings in Marion County

CMS's star rating for resident-care quality measures. The middle of the set: 4 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day1.03Better than mostHigher than 4 of the 5 other buildings in Marion County

Registered nurse hours for each resident, each day. The middle of the set: 0.75. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited26Better than mostFewer than 3 of the 5 other buildings in Marion County

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 28. Source: CMS Provider Information, Oct 2026 file.

Better than most of West Virginia on 2 of 8 lines.

Occupancy, Oct 202676.3%Behind mostHigher than 7 of the 120 other buildings in West Virginia

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 94.5%. Source: CMS monthly provider files, Oct 2026.

Nurse hours per resident day4.38Better than mostHigher than 106 of the 121 other buildings in West Virginia, level with 1

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 3.47. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating3 / 5Mid-packHigher than 46 of the 121 other buildings in West Virginia, level with 19

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating3 / 5Mid-packHigher than 52 of the 121 other buildings in West Virginia, level with 23

CMS's star rating for the building's recent health inspections. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating3 / 5Mid-packHigher than 57 of the 121 other buildings in West Virginia, level with 40

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating2 / 5Behind mostHigher than 5 of the 121 other buildings in West Virginia, level with 9

CMS's star rating for resident-care quality measures. The middle of the set: 4 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day1.03Better than mostHigher than 109 of the 121 other buildings in West Virginia

Registered nurse hours for each resident, each day. The middle of the set: 0.68. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited26Behind mostFewer than 34 of the 122 other buildings in West Virginia, the same as 1

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 19. Source: CMS Provider Information, Oct 2026 file.

From its cost report and Medicaid rate, against West Virginia
Net margin00.0%

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Medicaid share of days00.0%

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Medicaid rate$000

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Tap a line for what it measures and the middle of the set. Each count leaves this building out. Source: CMS monthly provider files, Oct 2026; CMS Provider Information, Oct 2026 file.

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Street view of Majestic Care of Manchin
Google Street View · opens in Maps
Street View
401 Guffey Street, Fairmont, WV
Map around Majestic Care of Manchin
Map · Marion County
Marion County, West Virginia
6 skilled nursing facilities; average overall rating 2.7, West Virginia 3.1.
See how Marion County compares ›
Cost report, against West Virginia
Each line is what this building filed with Medicare for its latest full year, beside the middle building in West Virginia. The rank counts from the top: 1st is the highest figure among West Virginia's filing buildings on that line, out of the buildings that filed it. The arrow beside a figure compares it with the building's own full year before: green is better, red is worse, grey is neither. Shares and margins move in points. A line standing on fewer than 20 filings is not ranked. Operating expense is the cost report's own operating line. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus that line.
Medicare cost reports, as filed

No full-year Medicare cost report on file for this building for FY2024 to FY2025. What the buildings in West Virginia that did file reported is below.

Line
State median
Reports
OccupancyPatient days as a share of available bed days, both off Worksheet S-3 Part I.
95.0%
102
Medicare share of daysTraditional Medicare days as a share of all patient days, off Worksheet S-3 Part I.
5.1%
104
Medicaid share of daysMedicaid days as a share of all patient days, off Worksheet S-3 Part I.
80.9%
104
Patient revenue per patient dayNet patient revenue off Worksheet G-3, divided by patient days off Worksheet S-3 Part I. Blended across every payer.
$446
104
Operating expense per patient dayTotal operating expense off Worksheet G-3, divided by patient days. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus this line.
$415
104
Net income per patient dayNet income off Worksheet G-3, divided by patient days.
$36
104
Net marginNet income off Worksheet G-3 over net patient revenue off the same worksheet.
8.6%
104
Quality and staffing
CMS Care Compare · Oct 2026
Overall rating3 / 5 · state 3.1
Health inspection3 / 5 · state 2.9
Staffing3 / 5 · state 2.6
RN hours per resident per day1.03 · state 0.74
Overall rating, last 8 quarters
053Q3’245Q4’244Q1’254Q2’253Q3’254Q4’254Q1’263Q2’26latest
back to 3 / 5 over the 8 quarters shown, having been as high as 5 / 5

CMS sets the overall star rating from health inspections, staffing and quality measures. The occupancy percentage is not the star rating. Occupancy compares average residents with certified beds. Certified beds can include beds the home chooses not to fill; this figure does not tell us why beds are unused.

Resident care
CMS quality measures · 2025Q3 to 2026Q2 · Oct 2026
measurethis buildingWest Virginianationrecent quarters
Needed more help with daily activities23.8%worse than state13.8%13.5%2025Q4: 19.0%2026Q2: 13.6%
19.0% → 13.6%
Q4’25 to Q2’26
Catheter inserted and left in0.0%better than state0.3%0.7%2025Q2: 0.0%2025Q3: 0.0%2025Q4: 0.0%2026Q1: 0.0%2026Q2: 0.0%
0.0% → 0.0%
Q2’25 to Q2’26
Urinary tract infection0.0%better than state1.5%1.5%2025Q2: 0.0%2025Q3: 0.0%2025Q4: 0.0%2026Q1: 0.0%2026Q2: 0.0%
0.0% → 0.0%
Q2’25 to Q2’26
Fall with major injury6.6%worse than state4.3%3.2%2025Q2: 7.7%2025Q3: 6.9%2025Q4: 6.2%2026Q1: 6.9%2026Q2: 6.5%
7.7% → 6.5%
Q2’25 to Q2’26
Newly given an antipsychotic (short stay)too few residents to report1.0%1.5%too few quarters to chart
Ability to walk independently worsened16.9%worse than state13.9%12.7%too few quarters to chart
Pressure ulcers6.2%worse than state3.9%4.5%2025Q2: 3.2%2025Q3: 0.0%2025Q4: 12.4%2026Q1: 5.1%2026Q2: 5.7%
3.2% → 5.7%
Q2’25 to Q2’26
Given an antipsychotic26.8%worse than state12.9%15.4%2025Q3: 30.0%2025Q4: 26.1%2026Q2: 30.0%
30.0% → 30.0%
Q3’25 to Q2’26

Each figure is the share of residents, so lower is better. The building's figure, the state's and the nation's are CMS's four-quarter averages; the small bars are single quarters, which move more than the average does.

Surveys and enforcement
CMS health inspections
Aug 2026
last standard survey
26
deficiencies cited · West Virginia avg 20.9
$0
fines, last 3 years
Not reported
CMS affiliation

CMS groups homes with shared ownership or management. An affiliation does not establish that a chain owns this building.

Medicaid in West Virginia
state rate files
$381
median daily rate across the West Virginia buildings in our rate book, Jul 2026 file
Also in Fairmont, WV
4 other certified skilled nursing facilities in Fairmont
West Virginia at a glance
123
buildings
10,734
licensed beds
90%
occupancy
83%
for-profit
The neighborhood
Street map © OpenStreetMap · satellite © Esri · pins: CMS Care Compare · loads as you reach it
Nearby skilled nursing
buildingbedsoveralloccupancyFairmont Medical CenterFairmont · 1.5 mi305 / 5over 85%Fairmont Rehabilitation and Healthcare Center LLCFairmont · 1.8 mi1201 / 570-85%Pierpont Center at Fairmont CampusFairmont · 2.5 mi1202 / 5over 85%Tygart Center at Fairmont CampusFairmont · 2.5 mi1191 / 5over 85%St. Barbara's Memorial Nursing HomeMonongah · 5.2 mi574 / 5over 85%Taylor Healthcare CenterGrafton · 11.2 mi904 / 5under 70%
The map and the list carry the same facts, from SNFRadar's system.
About this data
What is the CMS overall rating of Majestic Care of Manchin?
Majestic Care of Manchin in Fairmont, WV carries an overall CMS rating of 3 out of 5 stars in the Oct 2026 CMS file.
How many beds does Majestic Care of Manchin have?
Majestic Care of Manchin is certified for 100 beds in the Oct 2026 CMS file.
How full is Majestic Care of Manchin?
CMS's reported average residents put Majestic Care of Manchin's occupancy in the under 70% band in the Oct 2026 CMS file.
Source: CMS Provider Information, Care Compare and Payroll-Based Journal staffing · CMS files dated October 2026.
Published by 3G Healthcare Real Estate, skilled nursing advisors. Authors: Stan Klos III, Founder · Christian Patrick, President.
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Source: CMS Provider Information and Care Compare, Oct 2026 files. Tracked every month in SNFRadar's system.