Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Main Street Care during CMS and state inspections, most recent first.
Personal hygiene products, including shaving cream and body wash, were found unlabeled and improperly stored on the safety bar and floor of a shared shower. When questioned, a resident and a nurse aide could not identify the owner of the items, and the DON confirmed that labeling was required.
The facility did not have an RN on duty for at least eight hours on weekends, as required. The DON and ADON were on call but did not work on weekends, and the facility relied on an agreement with a hospital for emergency RN coverage. This affected all 31 residents.
A facility failed to protect a resident from potential hazards by leaving five medicine cups of Triamcinolone acetonide cream 0.1% at the bedside. The ADON confirmed the cream was for the resident's face, but the DON stated there was no order for self-administration or bedside storage.
The facility failed to document side effect monitoring for psychotropic medications for five residents, despite administering drugs like Alprazolam, Seroquel, and Risperdal. Interviews with the DON and ADON confirmed that while behaviors were monitored daily, side effect monitoring was not documented, indicating a systemic issue in medication management.
The facility failed to document side effect monitoring for psychotropic medications for five residents, despite administering these medications for conditions like anxiety and dementia. Interviews with the DON and ADON confirmed that while behaviors were monitored daily, side effect monitoring was not documented, revealing a systemic issue in medication management.
The facility failed to maintain cleanliness in the kitchen, as observed during a tour where seven air conditioning vents were found covered in dust and a black substance. These vents, located in the window and blowing over the sink and food preparation area, were confirmed to be dirty by the Food and Nutrition Contact, who stated that the maintenance department is responsible for their cleaning.
The facility failed to maintain proper infection control for clean linen storage. A linen cart with clean linen was found uncovered during a unit tour. The ADON was informed and acknowledged the issue.
A facility failed to provide a transfer form and notify the State Ombudsman when a resident was transferred to an acute care hospital after an unwitnessed fall, resulting in a head injury. The resident was found on the floor with a hematoma and bruising, and was transferred to the emergency room for evaluation. The ADON stated that note summaries are sent to the acute care facility, and the Ombudsman is not notified unless the resident is admitted.
A resident was transferred to a hospital after an unwitnessed fall, resulting in a large knot and bruising on the head. Despite the transfer, the facility failed to provide a current bed hold notice, as the existing notice was outdated. The ADON confirmed that the facility relies on a bed hold notice signed upon admission, but did not issue a new one for this incident.
A facility failed to accurately document a fall in the MDS for a resident who was transferred to a hospital after an unwitnessed fall, resulting in a head injury. Despite the incident being documented in progress notes, the MDS inaccurately indicated no falls, revealing a deficiency in the resident's assessment documentation.
Failure to Label and Store Personal Hygiene Items in Shared Bathroom
Penalty
Summary
Surveyors observed personal hygiene items, including two cans of shaving cream, a bottle of shampoo/conditioner/body wash, a container of eczema soothing lotion, and a stick, stored improperly on the safety bar and floor of a shared shower. These items were not labeled with resident names. When asked, one resident was unsure if the items belonged to another resident, and a nurse aide was also unable to identify the owner, stating they would throw the items away. The Director of Nursing confirmed that the items should have been labeled. This failure to properly label and store personal hygiene products in a shared bathroom demonstrates a lapse in the facility's infection prevention and control program, as required for the safe management of residents' personal items.
Failure to Provide RN Coverage on Weekends
Penalty
Summary
The facility failed to have a Registered Nurse (RN) on duty for at least eight hours on weekends, as required. During a record review, it was found that there was no RN coverage on several weekends, specifically on 07/06/24, 07/07/24, 07/13/24, 07/14/24, 07/20/24, 07/21/24, 07/27/24, 07/28/24, 08/03/24, 08/04/24, and 08/11/24. The Director of Nursing (DON) and the Assistant Director of Nursing (ADON) were on call and could arrive at the facility within seven to fifteen minutes, but they did not work on weekends. The facility had an agreement with a hospital to have an emergency room RN come to the unit if the on-call staff were unavailable. This practice had the potential to affect all 31 residents residing in the facility.
Medication Hazard at Bedside
Penalty
Summary
The facility failed to protect residents from potential hazards by leaving five medicine cups containing Triamcinolone acetonide cream 0.1% at the bedside of a resident. This was observed during an interview with the resident, where the surveyor noted the presence of the medication cups on the bedside table. The Assistant Director of Nursing confirmed that the cream was intended for the resident's face. However, the Director of Nursing later stated that there was no order for the resident to self-administer the medication or to have it by the bedside.
Failure to Monitor Side Effects of Psychotropic Medications
Penalty
Summary
The facility failed to provide side effect monitoring for psychotropic medications for five residents during the Long-Term Care Survey Process. The residents involved were prescribed various psychotropic medications, including Alprazolam, Depakote, Effexor XR, Seroquel, Xanax, Zoloft, Risperdal, Donepezil hydrochloride, DULoxetine HCl, Mirtazapine, Trazodone, and Paxil. Despite the administration of these medications, there was no documentation of side effect monitoring in the Medication Administration Records (MAR) and Treatment Administration Records (TAR) for the months of June, July, and August 2024. Interviews with the Director of Nursing (DON) and the Assistant Director of Nursing (ADON) revealed that while the facility monitored for behaviors daily, they did not document the monitoring of side effects for these medications. This lack of documentation was consistent across all five residents reviewed, indicating a systemic issue in the facility's medication management practices. The facility's census at the time was 31 residents.
Failure to Monitor Side Effects of Psychotropic Medications
Penalty
Summary
The facility failed to provide side effect monitoring for psychotropic medications for five residents during the Long-Term Care Survey Process. The residents involved were prescribed various psychotropic medications for conditions such as anxiety disorder, delirium, generalized anxiety disorder, depressive disorder, and vascular dementia with behavioral disturbance. Despite the administration of these medications, there was no documentation of side effect monitoring in the Medication Administration Records (MAR) and Treatment Administration Records (TAR) for the months of June, July, and August 2024. Interviews with the Director of Nursing (DON) and the Assistant Director of Nursing (ADON) revealed that while the facility monitored for behaviors daily, they did not document the monitoring of side effects for the psychotropic medications. This lack of documentation was consistent across all five residents reviewed, indicating a systemic issue in the facility's medication management practices.
Unclean Air Conditioning Vents in Kitchen
Penalty
Summary
The facility failed to maintain cleanliness in the kitchen, specifically regarding the air conditioning vents. During an initial tour of the kitchen, it was observed that seven vents located in the window, which blow over the three-compartment sink and into the open area where food is prepared and served, were covered in dust and a black substance. This condition was confirmed by the Food and Nutrition Contact (FNC), who acknowledged that the maintenance department is responsible for taking down the vents for cleaning and agreed that it was time for this task to be completed.
Infection Control Deficiency: Uncovered Clean Linen Cart
Penalty
Summary
The facility failed to maintain an appropriate infection control program for the storage of clean linen. During a tour of the unit, a linen cart with clean linen was observed to be uncovered on the top and sides. This observation was made at 10:42 AM on 08/20/24. The Assistant Director of Nursing (ADON) was notified and observed the uncovered linen cart at 10:46 AM, acknowledging the issue by stating, 'I'll take care of this.'
Failure to Notify Ombudsman and Provide Transfer Form
Penalty
Summary
The facility failed to provide a transfer form and notify the State Ombudsman of a transfer to an acute care facility for a resident. The resident was transferred to an acute care hospital following an unwitnessed fall, which resulted in a large knot and bruising to the back of the head. A progress note indicated that the resident was found lying on the floor beside her bed and had stated she fell on her head. A full body assessment was completed, and neurological checks were initiated. The facility physician and the resident's power of attorney were notified via phone, and the resident was transferred to the emergency room for evaluation. However, the review found no transfer form in the medical record, and the State Ombudsman was not notified of the transfer. The Assistant Director of Nursing stated that note summaries are sent to the acute care facility, and the State Ombudsman is not notified unless the resident is admitted.
Failure to Provide Bed Hold Notice After Hospital Transfer
Penalty
Summary
The facility failed to provide a bed hold notice for a resident after a transfer to an acute care hospital following an unwitnessed fall. The resident was found on the floor beside her bed with a large knot and bruising on the back of her head. A full body assessment was conducted, and neurological checks were initiated. The facility physician and the resident's power of attorney were notified, and the resident was transferred to the emergency room for evaluation. However, the review revealed that the bed hold notice provided by the facility was dated for a previous year, and no new notice was issued for this specific transfer. The Assistant Director of Nursing acknowledged that the facility uses a bed hold notice signed upon admission, but a specific notice for this incident was not completed.
Inaccurate MDS Documentation for Resident Fall
Penalty
Summary
The facility failed to complete an accurate Minimum Data Set (MDS) for a resident regarding a fall incident. The resident was transferred to an acute care hospital following an unwitnessed fall, which resulted in a large knot and bruising to the back of the head. A progress note documented the fall and subsequent medical actions, including a full body assessment and neurological checks. However, the MDS inaccurately noted that the resident had no falls, despite the documented incident. This discrepancy was identified during a record review and staff interview, highlighting the inaccuracy in the resident's assessment documentation.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Hinton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Summers Healthcare Center | 5.7 mi | — | 0 | 0 |
| Raleigh Center | 13.5 mi | — | 13 | 0 |
| Majestic Care Of Beckley | 17.4 mi | — | 0 | 0 |
| Lindside Healthcare Center | 18 mi | — | 24 | 0 |
| Pine Lodge | 18 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.