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Holbrook Healthcare CenterCMS ratings, inspections and fines

Address
183 Holbrook Road, Buckhannon, WV 26201
CCN
515076
Ownership type
For-profit, corporation
Certified beds
120
Residents per day
107
CMS flags
None in the CMS record
CMS star ratings
Overall rating1 of 5
Health inspection rating1 of 5
Staffing rating1 of 5
Quality measure rating3 of 5
Care Compare record (Medicare.gov)

The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.

CMS gives Holbrook Healthcare Center an overall rating of 1 of 5 stars. The last standard survey was on 29 Jul 2025. The latest survey cycle has 18 health citations. The median for nursing homes in West Virginia is 10. CMS lists 2 fines with a total of $79,108 for this home in its penalties file.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .

Since the last CMS update

The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Holbrook Healthcare Center, with medians
Rating (1 to 5 stars)This homeUpshur County medianWest Virginia medianUS average (CMS)
Overall rating15.03.03.0
Health inspection rating15.03.02.8
Staffing rating15.02.02.9
Quality measure rating33.04.03.6

A median is the middle value of the homes in the group: 2 homes in the county, 123 homes in the state. What the CMS star ratings measure

Citations by survey cycle

CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.

Health citations of Holbrook Healthcare Center in the last three survey cycles
Survey cycleStandard surveyCitationsWest Virginia median
Cycle 1 (latest)29 Jul 20251810
Cycle 29 Aug 20231114
Cycle 3No date1313

Health citations

The record of one deficiency in an inspection. One inspection can give many citations.

Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.

Scope and severity of the 42 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyL0
Actual harm that is not immediate jeopardyG0H0I0
No actual harm, potential for more than minimal harmF0
No actual harm, potential for minimal harmA0B0

Survey cycle 1 (latest): 18 citations

Standard survey of this cycle: .

Health citations of Holbrook Healthcare Center in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
29 Jul 2025F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey3 Sep 2025
29 Jul 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation3 Sep 2025
29 Jul 2025F0584Honor 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.EStandard survey3 Sep 2025
29 Jul 2025F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard survey3 Sep 2025
29 Jul 2025F0641Ensure each resident receives an accurate assessment.DStandard survey3 Sep 2025
29 Jul 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey3 Sep 2025
29 Jul 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation3 Sep 2025
29 Jul 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey3 Sep 2025
29 Jul 2025F0693Ensure 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.DStandard survey3 Sep 2025
29 Jul 2025F0761Ensure 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.DStandard survey3 Sep 2025
29 Jul 2025F0770Provide timely, quality laboratory services/tests to meet the needs of residents.DStandard survey3 Sep 2025
29 Jul 2025F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard survey3 Sep 2025
29 Jul 2025F0807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.KStandard survey3 Sep 2025
29 Jul 2025F0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DStandard survey3 Sep 2025
29 Jul 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey3 Sep 2025
29 Jul 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard survey3 Sep 2025
29 Jul 2025F0880Provide and implement an infection prevention and control program.DStandard survey3 Sep 2025
29 Jul 2025F0881Implement a program that monitors antibiotic use.DStandard survey3 Sep 2025

Survey cycle 2: 11 citations

Standard survey of this cycle: .

Health citations of Holbrook Healthcare Center in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
9 Aug 2023F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey1 Sep 2023
9 Aug 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey1 Sep 2023
9 Aug 2023F0584Honor 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.DStandard survey1 Sep 2023
9 Aug 2023F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey1 Sep 2023
9 Aug 2023F0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard survey1 Sep 2023
9 Aug 2023F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey1 Sep 2023
9 Aug 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey1 Sep 2023
9 Aug 2023F0803Ensure 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.EStandard survey1 Sep 2023
9 Aug 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey1 Sep 2023
9 Aug 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey1 Sep 2023
9 Aug 2023F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyCStandard survey1 Sep 2023

Survey cycle 3: 13 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Holbrook Healthcare Center in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
28 Dec 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint investigation22 Feb 2024
28 Dec 2023F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.KComplaint investigation22 Feb 2024
28 Dec 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation22 Feb 2024
28 Dec 2023F0610Respond appropriately to all alleged violations.KComplaint investigation22 Feb 2024
28 Dec 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation5 Mar 2024
28 Dec 2023F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DComplaint investigation5 Mar 2024
10 Oct 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint investigation24 Oct 2023
6 Apr 2022F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey3 May 2022
6 Apr 2022F0578Honor 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.EStandard survey3 May 2022
6 Apr 2022F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey (in dispute review)3 May 2022
6 Apr 2022F0610Respond appropriately to all alleged violations.DStandard survey (in dispute review)3 May 2022
6 Apr 2022F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard survey3 May 2022
6 Apr 2022F0880Provide and implement an infection prevention and control program.EStandard survey3 May 2022

The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report

Penalties

A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.

Penalties of Holbrook Healthcare Center in the CMS penalties file
DateTypeFineDays without payment
29 Jul 2025Fine$18,941
28 Dec 2023Fine$60,167

Staffing

Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.

Nurse staffing hours per resident per day at Holbrook Healthcare Center
StaffThis homeWest Virginia medianWest Virginia average (CMS)
All nurse staff3.353.503.66
Registered nurses (RN)0.260.700.73
Licensed practical nurses (LPN)1.010.90
Nurse aides2.092.04
All nurse staff, weekends2.963.003.17
Nurse staff turnover in a year
32.9%
Nurse staff turnover, West Virginia median
43.2%
RN turnover in a year
62.5%
Administrators who left in a year
2

Homes report the hours to CMS in the Payroll-Based Journal.

Quality measures

A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.

Quality measures of Holbrook Healthcare Center, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeWest Virginia medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay15.4%14.2%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.0%1.0%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.8%4.4%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay14.7%15.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.0%3.6%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay5.5%10.9%13.4%

For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure

Ownership

An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.

Ownership type
For-profit, corporation
Legal business name
Holbrook Leasing Co LLC
Chain
Communicare Health (110 homes in the CMS chain file)
Organisations in the CMS ownership record of Holbrook Healthcare Center
OrganisationRole in the CMS recordInterestSince
Health Care Lease Facilities, LLC5% or greater direct ownership interest100%1 Dec 2019
Holbrook Mgt Co., LLCOperational/managerial control1 Dec 2019
Health Care Lease Facilities, LLCAdp of the snf1 Dec 2019
Holbrook Mgt Co., LLCAdp of the snf25 Jun 2025
RRW, LLCAdp of the snf1 Dec 2019
Skilled HC Holdings, LLCAdp of the snf1 Dec 2019

The site shows organisations only. It does not show the names of persons.

Other homes in Upshur County

The other nursing home in Upshur County, West Virginia
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
St. Joseph's HospitalBuckhannon5 of 57$020 Mar 2025

All 2 nursing homes in Upshur County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Holbrook Healthcare Center (CCN 515076). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/holbrook-healthcare-center-buckhannon-wv-515076/

Provenance

Licence
US government work, public domain
CMS processed the data on

A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.

Questions

When was Holbrook Healthcare Center last inspected?
The latest inspection with a citation in the CMS record was on 29 Jul 2025. It was a standard survey and a complaint investigation. It gave 18 citations. The standard survey before the last one was on 9 Aug 2023.
Who operates Holbrook Healthcare Center?
The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Communicare Health. The CMS ownership file names Holbrook Mgt Co., LLC for operational or managerial control. This site does not show the names of persons.
Is Holbrook Healthcare Center a Special Focus Facility?
No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in West Virginia as a Special Focus Facility and 5 as candidates.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.