nursing home in Buckhannon, WV

Holbrook Healthcare Center

183 Holbrook Road, Buckhannon, WV 26201 · (304) 472-3280

★★★★★1
Much below average
CMS overall star rating
  • Health inspections★★★★★1
  • Staffing★★★★★1
  • Quality measures★★★★★3

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Holbrook Healthcare Center at a glance

Holbrook Healthcare Center is a 120-bed for-profit nursing home in Buckhannon, West Virginia (Upshur County).

CMS gives it 1 out of 5 stars on its overall star rating, worse than the West Virginia average of 3.

Residents receive about 3.4 hours of nursing care per day (0.3 of them from registered nurses), worse than the state average of 3.7 hours.

Its most recent standard health inspection (July 29, 2025) found 18 health citations. The West Virginia average is 11.7.

Federal regulators fined it 2 times in the past three years, totaling $79,108.

Nursing staff turnover is 32.9% per year (state average 44.1%).

Facility details

Type
Nursing home
Ownership
For Profit - Corporation
Beds
120
Certified for
Medicare and Medicaid
Chain / affiliated entity
Communicare Health
Medicare-certified since
September 4, 1984
Resident/family council
Both
County
Upshur County
CMS Certification Number
515076

Ratings

MeasureThis facilityWest Virginia avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)1 / 53 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)1 / 52.9 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)1 / 52.6 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)3 / 53.6 / 53.6 / 5Worse
Long-stay quality rating (higher is better)4 / 54 / 53.8 / 5Average
Short-stay (rehab) quality rating (higher is better)3 / 52.9 / 53.3 / 5Average

Staffing

This facility3.35 hrsWest Virginia average3.67 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. West Virginia and U.S. averages
MeasureThis facilityWest Virginia avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.35 hrs3.67 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.26 hrs0.73 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)2.09 hrs2.04 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)2.96 hrs3.17 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)32.9%44.1%45.8%Better
Registered nurse turnover (yearly) (lower is better)62.5%42.4%42.9%Worse
Administrators who left in the past year (lower is better)211Worse

Inspections

This facility18West Virginia average12U.S. average9
Health citations in the most recent inspection: this facility vs. West Virginia and U.S. averages
MeasureThis facilityWest Virginia avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)18129Worse
Citations from complaint investigations (latest cycle) (lower is better)233Better
Weighted health inspection score ⓘ (lower is better)233.3114.180.6Worse

Penalties

This facility2West Virginia average1U.S. average1
Fines in the past 3 years: this facility vs. West Virginia and U.S. averages
MeasureThis facilityWest Virginia avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)211Worse
Total fines in the past 3 years (lower is better)$79,108$29,505$30,972Worse
All federal penalties in the past 3 years (lower is better)211Worse

Size

MeasureThis facilityWest Virginia avg.U.S. avg.vs. U.S.
Certified beds12087107
Average residents per day1077886
Occupancy88.8%90.7%80.9%

Long-stay residents

This facility3.8%West Virginia average4.4%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. West Virginia and U.S. averages
MeasureThis facilityWest Virginia avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)3.8%4.4%3.2%Worse
Long-stay residents with pressure ulcers (lower is better)3%4.2%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)5.5%13.4%15.4%Better
Long-stay residents with a urinary tract infection (lower is better)1%1.6%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0%0.4%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)15.4%14.7%13.9%Worse
Long-stay residents whose walking worsened (lower is better)14.7%15.9%14.1%Average
Long-stay residents who lose too much weight (lower is better)8.1%6.3%5.2%Worse
Long-stay residents with depressive symptoms (lower is better)1.9%7.6%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0.2%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)21.8%27%19.5%Worse
Long-stay residents with new or worse incontinence (lower is better)24.4%22.1%19%Worse
Long-stay residents given a flu vaccine (higher is better)98.1%97.6%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)99.5%96.4%93.6%Better

Short-stay residents

This facility0%West Virginia average1%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. West Virginia and U.S. averages
MeasureThis facilityWest Virginia avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)0%1%1.6%Better
Short-stay residents given a flu vaccine (higher is better)75.9%79.4%79.8%Average
Short-stay residents given a pneumonia vaccine (higher is better)53.5%79.1%82%Worse

Inspection citations

State inspectors cited this home for 42 health deficiencies and 12 fire safety deficiencies in the inspection records CMS currently publishes. 4 citations involved actual harm, including 4 rated "immediate jeopardy".

DateCitationSeverityStatus
July 29, 2025
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
E
Potential harm, pattern
Corrected August 11, 2025
July 29, 2025
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
E
Potential harm, pattern
Corrected August 11, 2025
July 29, 2025
Fire safety
Have properly installed electrical wiring and gas equipment.
Services Deficiencies · Tag K0511
D
Potential harm, isolated
Corrected August 11, 2025
July 29, 2025
Standard
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Nutrition and Dietary Deficiencies · Tag F0807
K
Immediate jeopardy, pattern
Corrected September 3, 2025
July 29, 2025
Standard
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
E
Potential harm, pattern
Corrected September 3, 2025
July 29, 2025
Standard
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.
Resident Rights Deficiencies · Tag F0584
E
Potential harm, pattern
Corrected September 3, 2025
July 29, 2025
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected September 3, 2025
July 29, 2025
Standard
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Nutrition and Dietary Deficiencies · Tag F0810
D
Potential harm, isolated
Corrected September 3, 2025
July 29, 2025
Standard
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Tag F0806
D
Potential harm, isolated
Corrected September 3, 2025
July 29, 2025
Standard
Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration Deficiencies · Tag F0770
D
Potential harm, isolated
Corrected September 3, 2025
July 29, 2025
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected September 3, 2025
July 29, 2025
Standard
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Tag F0881
D
Potential harm, isolated
Corrected September 3, 2025
July 29, 2025
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected September 3, 2025
July 29, 2025
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected September 3, 2025
July 29, 2025
Standard
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Tag F0552
D
Potential harm, isolated
Corrected September 3, 2025
July 29, 2025
Complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
D
Potential harm, isolated
Corrected September 3, 2025
July 29, 2025
Standard
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Tag F0628
D
Potential harm, isolated
Corrected September 3, 2025
July 29, 2025
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected September 3, 2025
July 29, 2025
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected September 3, 2025
July 29, 2025
Complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected September 3, 2025
July 29, 2025
Standard
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.
Quality of Life and Care Deficiencies · Tag F0693
D
Potential harm, isolated
Corrected September 3, 2025
December 28, 2023
Complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607
K
Immediate jeopardy, pattern
Corrected February 22, 2024
December 28, 2023
Complaint
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
K
Immediate jeopardy, pattern
Corrected February 22, 2024
December 28, 2023
Complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
J
Immediate jeopardy, isolated
Corrected February 22, 2024
December 28, 2023
Complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Tag F0690
D
Potential harm, isolated
Corrected March 5, 2024
December 28, 2023
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected February 22, 2024
December 28, 2023
Complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0698
D
Potential harm, isolated
Corrected March 5, 2024
October 10, 2023
Complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected October 24, 2023
August 9, 2023
Fire safety
Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923
F
Potential harm, widespread
Corrected October 2, 2023
August 9, 2023
Fire safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Smoke Deficiencies · Tag K0374
F
Potential harm, widespread
Corrected October 2, 2023
August 9, 2023
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
F
Potential harm, widespread
Corrected October 2, 2023
August 9, 2023
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
E
Potential harm, pattern
Corrected October 2, 2023
August 9, 2023
Fire safety
Have properly installed electrical wiring and gas equipment.
Services Deficiencies · Tag K0511
D
Potential harm, isolated
Corrected October 2, 2023
August 9, 2023
Standard
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.
Nutrition and Dietary Deficiencies · Tag F0803
E
Potential harm, pattern
Corrected September 1, 2023
August 9, 2023
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected September 1, 2023
August 9, 2023
Standard
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected September 1, 2023
August 9, 2023
Standard
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
D
Potential harm, isolated
Corrected September 1, 2023
August 9, 2023
Standard
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
D
Potential harm, isolated
Corrected September 1, 2023
August 9, 2023
Standard
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.
Resident Rights Deficiencies · Tag F0584
D
Potential harm, isolated
Corrected September 1, 2023
August 9, 2023
Standard
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Tag F0623
D
Potential harm, isolated
Corrected September 1, 2023
August 9, 2023
Standard
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0640
D
Potential harm, isolated
Corrected September 1, 2023
August 9, 2023
Standard
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Tag F0645
D
Potential harm, isolated
Corrected September 1, 2023
August 9, 2023
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected September 1, 2023
August 9, 2023
Standard
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies · Tag F0868
C
No harm, widespread
Corrected September 1, 2023
April 6, 2022
Fire safety
Ensure that testing and maintenance of electrical equipment is performed.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921
F
Potential harm, widespread
Corrected May 10, 2022
April 6, 2022
Fire safety
Install an approved automatic sprinkler system.
Smoke Deficiencies · Tag K0351
F
Potential harm, widespread
Corrected May 10, 2022
April 6, 2022
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
E
Potential harm, pattern
Corrected May 10, 2022
April 6, 2022
Fire safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0926
C
No harm, widespread
Corrected May 10, 2022
April 6, 2022
Standard
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.
Resident Rights Deficiencies · Tag F0578
E
Potential harm, pattern
Corrected May 3, 2022
April 6, 2022
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected May 3, 2022
April 6, 2022
Standard
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Tag F0806
D
Potential harm, isolated
Corrected May 3, 2022
April 6, 2022
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected May 3, 2022
April 6, 2022
Standard
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected May 3, 2022
April 6, 2022
Standard
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
D
Potential harm, isolated
Corrected May 3, 2022

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 2 federal penalties in the past three years, including $79,108 in fines.

DatePenaltyAmount / length
July 29, 2025Fine$18,941
December 28, 2023Fine$60,167

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
HEALTH CARE LEASE FACILITIES, LLC
Organization
5% or greater direct ownership interest100%12/01/2019
C.R. STOLTZ FAMILY INVESTMENT COMPANY INC
Organization
adp of the snfNOT APPLICABLE12/01/2019
C.R. STOLTZ IRREVOCABLE TRUST
Organization
adp of the snfNOT APPLICABLE12/01/2019
HEALTH CARE LEASE FACILITIES, LLC
Organization
adp of the snfNOT APPLICABLE12/01/2019
HOLBROOK MGT CO., LLC
Organization
adp of the snfNOT APPLICABLE06/25/2025
I. ROSEDALE IRREVOCABLE TRUST
Organization
adp of the snfNOT APPLICABLE12/01/2019
MALONE, JAMES
Individual
adp of the snfNOT APPLICABLE09/01/2021
RONALD S WILHEIM 2012 SPOUSAL TRUST
Organization
adp of the snfNOT APPLICABLE12/01/2019
ROSEDALE FAMILY INVESTMENT COMPANY, INC
Organization
adp of the snfNOT APPLICABLE12/01/2019
RRW, LLC
Organization
adp of the snfNOT APPLICABLE12/01/2019
R.S. WILHEIM IRREVOCABLE TRUST
Organization
adp of the snfNOT APPLICABLE12/01/2019
SKILLED HC HOLDINGS, LLC
Organization
adp of the snfNOT APPLICABLE12/01/2019
SLOAN-OLIVERIO, ALYSSA
Individual
adp of the snfNOT APPLICABLE09/23/2024
S.L. ROSEDALE IRREVOCABLE TRUST
Organization
adp of the snfNOT APPLICABLE12/01/2019
WILHEIM FAMILY INVESTMENT COMPANY, INC.
Organization
adp of the snfNOT APPLICABLE12/01/2019
GROVES, DONNA
Individual
corporate officerNOT APPLICABLE12/01/2019
ROMEO, DOMINIC
Individual
corporate officerNOT APPLICABLE04/01/2023
STOLTZ, CHARLES
Individual
corporate officerNOT APPLICABLE12/01/2019
WILHEIM, RONALD
Individual
corporate officerNOT APPLICABLE12/01/2019
ODENTHAL, RICHARD
Individual
individual is an owner, partner or trustee of any adp of the snfNOT APPLICABLE05/08/2025
HOLBROOK MGT CO., LLC
Organization
operational/managerial controlNOT APPLICABLE12/01/2019
MALONE, JAMES
Individual
operational/managerial controlNOT APPLICABLE09/01/2021
SLOAN-OLIVERIO, ALYSSA
Individual
operational/managerial controlNOT APPLICABLE09/23/2024

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    ★★★★★5Much above average
  2. Crestview Manor Healthcare

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  3. Mansfield Place

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    ★★★★★4Above average
  4. Tygart Valley Health & Rehabilitation

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    ★★★★★3Average
  5. Autumn Lake Healthcare at Crystal Springs

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    ★★★★★1Much below average
  6. Nella's at Autumn Lake Healthcare

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Frequently asked questions

What is Holbrook Healthcare Center's rating?

Holbrook Healthcare Center has 1 out of 5 stars on the CMS overall star rating. The average for West Virginia nursing homes is 3 stars.

How many inspection citations did Holbrook Healthcare Center receive?

Its most recent standard health inspection found 18 citations, compared with a West Virginia average of 11.7. Every citation is listed on this page with its severity.

Does Holbrook Healthcare Center accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Holbrook Healthcare Center?

It is for profit - corporation and part of Communicare Health. The ownership section on this page lists the owners and managers reported to CMS.

Where is Holbrook Healthcare Center and how do I contact it?

Holbrook Healthcare Center is at 183 Holbrook Road, Buckhannon, WV 26201. Phone: (304) 472-3280.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.