Holbrook Healthcare Center
183 HOLBROOK ROAD, Buckhannon, WV, 26201
Yes. Federal inspectors cited 18 deficiencies against Holbrook Healthcare Center in Buckhannon, West Virginia at its most recent standard inspection on 2025-07-29, 2 of them arising from complaints. 4 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 2 times, totalling $79,108. Medicare rates it 1 out of 5 overall.
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
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 · F0807 · 2025-07-29 · standard survey · Immediate jeopardy to resident health or safety
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 · F0584 · 2025-07-29 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2025-07-29 · standard survey · No actual harm, potential for more than minimal harm
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 · F0842 · 2025-07-29 · standard survey · No actual harm, potential for more than minimal harm
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · F0552 · 2025-07-29 · standard survey · No actual harm, potential for more than minimal harm
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 · F0580 · 2025-07-29 · from a complaint · No actual harm, potential for more than minimal harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · F0628 · 2025-07-29 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2025-07-29 · standard survey · No actual harm, potential for more than minimal harm
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 · F0656 · 2025-07-29 · standard survey · No actual harm, potential for more than minimal harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · F0677 · 2025-07-29 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · F0686 · 2025-07-29 · standard survey · No actual harm, potential for more than minimal harm
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 · F0693 · 2025-07-29 · standard survey · No actual harm, potential for more than minimal harm
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 · F0761 · 2025-07-29 · standard survey · No actual harm, potential for more than minimal harm
Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration Deficiencies · F0770 · 2025-07-29 · standard survey · No actual harm, potential for more than minimal harm
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 · F0806 · 2025-07-29 · standard survey · No actual harm, potential for more than minimal harm
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Nutrition and Dietary Deficiencies · F0810 · 2025-07-29 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-07-29 · standard survey · No actual harm, potential for more than minimal harm
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · F0881 · 2025-07-29 · standard survey · No actual harm, potential for more than minimal harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0607 · 2023-12-28 · from a complaint · Immediate jeopardy to resident health or safety
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0610 · 2023-12-28 · from a complaint · Immediate jeopardy to resident health or safety
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
What Medicare has fined this home
Who owns Holbrook Healthcare Center
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| HEALTH CARE LEASE FACILITIES, LLC | Organization | 100% | since 12/01/2019 |
| GROVES, DONNA | Individual | NOT APPLICABLE | since 12/01/2019 |
| ROMEO, DOMINIC | Individual | NOT APPLICABLE | since 04/01/2023 |
| STOLTZ, CHARLES | Individual | NOT APPLICABLE | since 12/01/2019 |
| WILHEIM, RONALD | Individual | NOT APPLICABLE | since 12/01/2019 |
| HOLBROOK MGT CO., LLC | Organization | NOT APPLICABLE | since 12/01/2019 |
| MALONE, JAMES | Individual | NOT APPLICABLE | since 09/01/2021 |
| SLOAN-OLIVERIO, ALYSSA | Individual | NOT APPLICABLE | since 09/23/2024 |
| ODENTHAL, RICHARD | Individual | NOT APPLICABLE | since 05/08/2025 |
| C.R. STOLTZ FAMILY INVESTMENT COMPANY INC | Organization | NOT APPLICABLE | since 12/01/2019 |
| C.R. STOLTZ IRREVOCABLE TRUST | Organization | NOT APPLICABLE | since 12/01/2019 |
| HEALTH CARE LEASE FACILITIES, LLC | Organization | NOT APPLICABLE | since 12/01/2019 |
Part of the COMMUNICARE HEALTH group.
Ask Holbrook Healthcare Center a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 515076.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction