HOLBROOK HEALTHCARE CENTER
HOLBROOK HEALTHCARE CENTER is a 120-bed nursing home in BUCKHANNON, West Virginia. CMS has certified it for Medicare and Medicaid since 1984-09-04. It averages 106.5 residents a day.
What harm was found in the violations cited at HOLBROOK HEALTHCARE CENTER?
CMS lists 42 health-inspection deficiencies for HOLBROOK HEALTHCARE CENTER since 2022-04-06, 36 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2025-07-29.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-07-29 | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | K |
| 2025-07-29 | F0584, F0812, F0842 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2025-07-29 | F0552, F0580, F0628, F0641, F0656, F0677, F0686, F0693, F0761, F0770, F0806, F0810, F0880, F0881 | Ensure that residents are fully informed and understand their health status, care and treatments. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. / Provide timely, quality laboratory services/tests to meet the needs of residents. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Provide special eating equipment and utensils for residents who need them and appropriate assistance. / Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use. | D |
| 2023-12-28 | F0607, F0610 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Respond appropriately to all alleged violations. | K |
| 2023-12-28 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J |
| 2023-12-28 | F0609, F0690, F0698 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe, appropriate dialysis care/services for a resident who requires such services. | D |
| 2023-10-10 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2023-08-09 | F0803, F0812 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2023-08-09 | F0558, F0580, F0584, F0623, F0640, F0645, F0695, F0842 | Reasonably accommodate the needs and preferences of each resident. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / PASARR screening for Mental disorders or Intellectual Disabilities / Provide safe and appropriate respiratory care for a resident when needed. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2023-08-09 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | C |
| 2022-04-06 | F0578, F0880 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Provide and implement an infection prevention and control program. | E |
| 2022-04-06 | F0550, F0609, F0610, F0806 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D |
Why was HOLBROOK HEALTHCARE CENTER fined 2 times?
| Date | Type | Amount |
|---|---|---|
| 2025-07-29 | Fine | $18,941 |
| 2023-12-28 | Fine | $60,167 |
How is HOLBROOK HEALTHCARE CENTER staffed relative to the WV average?
| Measure | This facility | WV average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.35402 | 3.66055 |
| Total nursing staff turnover (%) | 32.9 | 44.1 |
| Average number of residents per day | 106.5 | 78.4 |
Who owns HOLBROOK HEALTHCARE CENTER, and what chain is it in?
HOLBROOK HEALTHCARE CENTER is registered with CMS as For profit - Corporation, operates under the legal business name HOLBROOK LEASING CO LLC and belongs to the COMMUNICARE HEALTH chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | HEALTH CARE LEASE FACILITIES, LLC | since 12/01/2019 |
| CORPORATE OFFICER | GROVES, DONNA, ROMEO, DOMINIC, STOLTZ, CHARLES, WILHEIM, RONALD | since 04/01/2023 |
| OPERATIONAL/MANAGERIAL CONTROL | HOLBROOK MGT CO., LLC, MALONE, JAMES, SLOAN-OLIVERIO, ALYSSA | since 09/01/2021 |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | ODENTHAL, RICHARD | since 05/08/2025 |
| ADP OF THE SNF | C.R. STOLTZ FAMILY INVESTMENT COMPANY INC, C.R. STOLTZ IRREVOCABLE TRUST, HEALTH CARE LEASE FACILITIES, LLC, HOLBROOK MGT CO., LLC, I. ROSEDALE IRREVOCABLE TRUST, R.S. WILHEIM IRREVOCABLE TRUST, RONALD S WILHEIM 2012 SPOUSAL TRUST, ROSEDALE FAMILY INVESTMENT COMPANY, INC, RRW, LLC, S.L. ROSEDALE IRREVOCABLE TRUST, SKILLED HC HOLDINGS, LLC, WILHEIM FAMILY INVESTMENT COMPANY, INC., MALONE, JAMES, SLOAN-OLIVERIO, ALYSSA | since 06/25/2025 |
Were you or a family member harmed at HOLBROOK HEALTHCARE CENTER?