Majestic Care of Hopemont ranked as the second largest nursing home in Preston County for the first quarter of 2026, the Centers for Medicare and Medicaid Services (CMS) reported.
The facility offered 98 beds, which is 11 fewer than the county’s average for that time frame. Throughout the quarter, the center cared for an average of 47.8 residents each day.
CMS rated Majestic Care of Hopemont at 1 out of 5 overall, which is below West Virginia’s average nursing home rating of 2.9.
Kingwood Healthcare Center was the county’s largest nursing home during the quarter, providing 120 beds.
By the end of the first quarter of 2026, Majestic Care of Hopemont had incurred a total fine of $57,116 and received one penalty.
There was one public nursing home operating in Preston County, West Virginia at that time.
Estimates from the U.S. Census Bureau show that the older adult population in the United States is increasing, while the number of younger residents declines. From 2020 to 2024, Americans age 65 and older grew by 13%, while those under 18 decreased by 1.7%. Over the past 100 years, the nation’s older adult population has expanded sharply, climbing from 4.9 million in 1920 to more than 61 million in 2024.
A 2021 study indicated that close to half of adults in this age group—or about 28 million—could require long-term services and supports. More than a third may eventually enter nursing home care, projections suggest.
“Living a long life is something that many of us want and could get,” said Jesse Slome, executive director of the American Association for Long-Term Care Insurance. “But when we live a long life, the chances of us needing long-term care increase exponentially. But when you need that type of care, there are limited options.”
| Rank | Nursing Home | Overall Rating |
|---|---|---|
| 1 | Kingwood Healthcare Center | 2 |
| 2 | Majestic Care of Hopemont | 1 |
Information in this article was obtained from the Centers for Medicare and Medicaid Services. The source data can be found here.


