Nursing homeActive
Holbrook Healthcare Center
183 Holbrook Road, Buckhannon, WV 262013044723280120 certified beds · 107 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
5
since 2022
Deficiencies
42
● 1● 37● 4
Penalties · 3 yrs
$79,108
2 fines
Last survey
2025-07-29
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 1
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · West Virginia OHFLAC · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-07-29 | Standard | 0171 | CMS-2567 (Care Compare) | — |
| 2023-12-28 | Complaint | 033 | CMS-2567 (Care Compare) | — |
| 2023-10-10 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-08-09 | Standard | 1100 | CMS-2567 (Care Compare) | — |
| 2022-04-06 | Standard | 060 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · West Virginia OHFLAC publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.Scope/severity KHarm
Food & nutrition
Pattern; immediate jeopardy to resident health or safety.Corrected 2025-09-03Record 515076-20250729-F807
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-03Record 515076-20250729-F552
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-03Record 515076-20250729-F580
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-03Record 515076-20250729-F584
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-03Record 515076-20250729-F628
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-03Record 515076-20250729-F641
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-03Record 515076-20250729-F656
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-03Record 515076-20250729-F677
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-03Record 515076-20250729-F686
F693Ensure 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-03Record 515076-20250729-F693
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-03Record 515076-20250729-F761
F770Provide timely, quality laboratory services/tests to meet the needs of residents.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-03Record 515076-20250729-F770
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-03Record 515076-20250729-F806
F810Provide special eating equipment and utensils for residents who need them and appropriate assistance.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-03Record 515076-20250729-F810
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-03Record 515076-20250729-F812
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-03Record 515076-20250729-F842
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-03Record 515076-20250729-F880
F881Implement a program that monitors antibiotic use.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-03Record 515076-20250729-F881
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-02-22Record 515076-20231228-F600
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity KHarm
Abuse & neglect
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-02-22Record 515076-20231228-F607
F610Respond appropriately to all alleged violations.Scope/severity KHarm
Abuse & neglect
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-02-22Record 515076-20231228-F610
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-22Record 515076-20231228-F609
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-05Record 515076-20231228-F690
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-05Record 515076-20231228-F698
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-10-24Record 515076-20231010-F812
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-01Record 515076-20230809-F558
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-01Record 515076-20230809-F580
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-01Record 515076-20230809-F584
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-01Record 515076-20230809-F623
F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-01Record 515076-20230809-F640
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-01Record 515076-20230809-F645
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-01Record 515076-20230809-F695
F803Ensure 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.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-01Record 515076-20230809-F803
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-01Record 515076-20230809-F812
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-01Record 515076-20230809-F842
F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyScope/severity CPaperwork
Records
Widespread; potential for minimal harm.Corrected 2023-09-01Record 515076-20230809-F868
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-05-03Record 515076-20220406-F550
F578Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-05-03Record 515076-20220406-F578
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-05-03Record 515076-20220406-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-05-03Record 515076-20220406-F610
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-05-03Record 515076-20220406-F806
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-05-03Record 515076-20220406-F880
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-07-29 | Civil money penalty | $18,941 | CMS · Penalties |
| 2023-12-28 | Civil money penalty | $60,167 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.26
Facility
West Virginia
National
West Virginia 0.73 · National 0.69
Total nurse hours per resident day3.35
Facility
West Virginia
National
West Virginia 3.66 · National 3.86
Weekend total nurse hours2.96
Facility
West Virginia
National
West Virginia 3.17 · National 3.42
Total nursing staff turnover33%
Facility
West Virginia
National
West Virginia 44% · National 46%
Registered nurse turnover63%
Facility
West Virginia
National
West Virginia 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | West Virginia | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.0% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.8% | 4.4% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 5.5% | 13.4% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.0% | 1.6% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 15.4% | 14.7% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 8.1% | 6.3% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 21.8% | 27.0% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Health Care Lease Facilities, LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Holbrook Mgt Co., LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Malone, James Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Sloan-Oliverio, Alyssa Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| C.R. Stoltz Family Investment Company Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| C.R. Stoltz Irrevocable Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Groves, Donna Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Health Care Lease Facilities, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Holbrook Mgt Co., LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| I. Rosedale Irrevocable Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Malone, James Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Odenthal, Richard Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| R.S. Wilheim Irrevocable Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Romeo, Dominic Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Ronald S Wilheim 2012 Spousal Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rosedale Family Investment Company, Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rrw, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| S.L. Rosedale Irrevocable Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Skilled Hc Holdings, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sloan-Oliverio, Alyssa Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Stoltz, Charles Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Wilheim Family Investment Company, Inc. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Wilheim, Ronald Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Part of a chain
Communicare Health — 110 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or West Virginia.
No county cost figures on file for Upshur.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| St. Joseph's Hospital Buckhannon | 0.8 mi | 2025-03-20 | 0120 |
| Crestview Manor Healthcare Jane Lew | 13.0 mi | 2026-02-11 | 0141 |
| Mansfield Place Philippi | 14.7 mi | 2025-07-24 | 0181 |
| Tygart Valley Health & Rehabilitation Belington | 14.8 mi | 2025-11-20 | 0350 |
| River Oaks Healthcare Center Clarksburg | 20.5 mi | 2026-06-03 | 0760 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |