HOLBROOK HEALTHCARE CENTER

BUCKHANNON, WV · 120 beds · For profit - Corporation

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • 1-star health inspection rating (lowest possible)
  • 1-star staffing rating
  • 4 citation(s) at the highest severity level — immediate risk to residents
  • $79,108 in fines
  • RN hours significantly below state average

Green Flags

No positive signals identified yet.

Quick Facts

★☆☆☆☆
CMS Overall
★☆☆☆☆
Health Inspection
18
1.3x state avg
Deficiencies
$79,108
Fines (3-yr)
★☆☆☆☆
Staffing

Violation Timeline

July 28, 2025

18 deficiencyies
F0552 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Ensure that residents are fully informed and understand their health status, care and treatments.

F0584 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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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.

F0628 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

F0641 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Ensure each resident receives an accurate assessment.

F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0686 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F0693 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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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.

F0761 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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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.

F0770 Potential Harm Scope/Severity: D

Administration Deficiencies

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Provide timely, quality laboratory services/tests to meet the needs of residents.

F0806 Potential Harm Scope/Severity: D

Nutrition and Dietary Deficiencies

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Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

F0807 Immediate Jeopardy Scope/Severity: K

Nutrition and Dietary Deficiencies

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Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

F0810 Potential Harm Scope/Severity: D

Nutrition and Dietary Deficiencies

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Provide special eating equipment and utensils for residents who need them and appropriate assistance.

F0812 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0842 Potential Harm Scope/Severity: E

Resident Assessment and Care Planning Deficiencies

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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0881 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Implement a program that monitors antibiotic use.

F0580 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide care and assistance to perform activities of daily living for any resident who is unable.

December 27, 2023

2 deficiencyies
F0600 Immediate Jeopardy Scope/Severity: J

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F0607 Immediate Jeopardy Scope/Severity: K

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Develop and implement policies and procedures to prevent abuse, neglect, and theft.

See full violation history →

Staffing

0.21
RN hrs/res/day
0.91
LPN hrs/res/day
2.10
CNA hrs/res/day
2.88
Weekend hrs/res/day
34%
Total nurse turnover
71%
RN turnover

A nurse checks on each resident roughly every 7.5 hours on average.

Fines & Penalties

  • Fine Jul 28, 2025
    $18,941
  • Fine Dec 27, 2023
    $60,167
Total $79,108

Ownership

For profit - Corporation Chain: COMMUNICARE HEALTH
  • HEALTH CARE LEASE FACILITIES, LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 12/01/2019

    100% Organization
  • C.R. STOLTZ FAMILY INVESTMENT COMPANY INC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 12/01/2019

    NO PERCENTAGE PROVIDED Organization
  • C.R. STOLTZ IRREVOCABLE TRUST

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 12/01/2019

    NO PERCENTAGE PROVIDED Organization
  • I. ROSEDALE IRREVOCABLE TRUST

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 12/01/2019

    NO PERCENTAGE PROVIDED Organization
  • R.S. WILHEIM IRREVOCABLE TRUST

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 12/01/2019

    NO PERCENTAGE PROVIDED Organization
  • RONALD S WILHEIM 2012 SPOUSAL TRUST

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 12/01/2019

    NO PERCENTAGE PROVIDED Organization
  • ROSEDALE FAMILY INVESTMENT COMPANY, INC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 12/01/2019

    NO PERCENTAGE PROVIDED Organization
  • RRW, LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 12/01/2019

    NO PERCENTAGE PROVIDED Organization
  • S.L. ROSEDALE IRREVOCABLE TRUST

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 12/01/2019

    NO PERCENTAGE PROVIDED Organization
  • SKILLED HC HOLDINGS, LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 12/01/2019

    NO PERCENTAGE PROVIDED Organization
  • WILHEIM FAMILY INVESTMENT COMPANY, INC.

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 12/01/2019

    NO PERCENTAGE PROVIDED Organization
  • HOLBROOK MGT CO., LLC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 12/01/2019

    Organization
  • MALONE, JAMES

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 09/01/2021

    Individual
  • SLOAN-OLIVERIO, ALYSSA

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 09/23/2024

    Individual
  • GROVES, DONNA

    CORPORATE OFFICER

    Since since 12/01/2019

    Individual
  • ROMEO, DOMINIC

    CORPORATE OFFICER

    Since since 04/01/2023

    Individual
  • STOLTZ, CHARLES

    CORPORATE OFFICER

    Since since 12/01/2019

    Individual
  • WILHEIM, RONALD

    CORPORATE OFFICER

    Since since 12/01/2019

    Individual

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