Majestic Care of Manchin

In the surveyor’s words

From the most serious findings on record at Majestic Care of Manchin, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Aug 6, 2026

  Based on observation and staff interview, the facility failed to ensure meals were served in a sanitary manner. This was a random opportunity observed during the Long-Term Care Survey Process. This failed practice had the potential to affect more than a limited number of residents. Facility census: 36.Findings include: a) Review of the Facility Policy for Safe Food Handling -Purpose read in part: To provide Care Team Members the best practices for safe handling of food. -Policy read in part: To significantly reduce the risk for foodborne illness and strengthen the safety of the food provided to Residents/Patients, we follow the U.S. […]

• No harm, potential for more than minimal, widespreadF882Feb 17, 2021

  Based on staff interviews and lack of documentation the facility failed to designate a certified Infection Preventionist to oversee the facilities infection prevention control program. The facility failed to assign a trained Infection Preventionist in the facility. The failed practice had the potential to affect more than an unlimited number of Residents. Facility census: 30. Findings included: a) Infection Preventionist An interview with Director of Nursing (DON), on 02/16/21 at 3:20 PM, revealed both DON and Unit Manager held dual responsibility for overseeing the facility-wide Infection Prevention Control Program (IPCP). DON stated, she had not completed any special training for infection preventionist training. […]

• No harm, potential for more than minimal, patternF684Aug 6, 2026

  Based on observation, record review and staff interview, the facility failed to follow physician's orders regarding diet orders for Resident #11 and Resident #7; and, treatment orders for Resident #21. This was true for two (2) of 15 residents reviewed under the care area of dining and one (1) of two (2) reviewed for wound care. Resident Identifiers: #11, #7 and #21. Facility Census: 36. Findings Included:a) Resident #11On 08/04/2026 at 12:20 PM, the noon meal was observed in the dining room. The resident was served the lunch meal with all food in bowls. However, all the food bowls were served at one time. They were sitting in front of the resident in a line. A review of the physician's order for Resident #11 states: Regular diet, Soft and Bite Sized texture, Thin consistency. […]

• No harm, potential for more than minimal, patternF756Aug 6, 2026

  The facility failed to obtain informed consent for psychotropic medications. This was true for four (4) of five (5) residents reviewed for Unnecessary Medications and Medication Regimen Review throughout the Long-Term Care Survey Process. Resident identifiers: #2, #18, #3 ,#4. Census: 48. Findings included:a) Resident #2 Psychoactive Medication Consent and Management Agreement stated in Section 1. Name of Medication. 6. Consent to the use of the above medication. There was no date of initiation, review, or revised. On 08/04/2026 at 2:04 PM in reviewing the psychoactive medications ordered for Resident #2 found the risk and benefits Psychoactive Medication Consent and Management Agreement had three (3) medications listed on one (1) agreement. […]

• No harm, potential for more than minimal, patternF805Aug 6, 2026

  Based on observations, record review, and staff interview. The facility failed to prepare and serve food in a form to meet individual needs of residents. The facility failed to follow the International Dysphagia Diet Standardization Initiative (IDDSI) diet guidelines with preparation, cooking and presentation when necessary. This failed practice had the potential to harm more than a limited number of residents that required a mechanically altered diet. This was found during the annual survey process. Resident Identifiers: #11, #3, #12, #2, #21, #23, #4, #1, and #15. Facility census: 36. Findings include: a) Policy review for Culinary Team Staffing. […]