Holbrook Healthcare Center

CMS star ratings

Overall★★★★★ 1/5

State avg 3.0

Health inspections★★★★★ 1/5

State avg 2.9

Staffing★★★★★ 1/5

State avg 2.6

Quality measures★★★★★ 3/5

State avg 3.6

Long-stay quality★★★★★ 4/5

Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing: 3.35 (state 3.66 · U.S. 3.86)
Registered nurses (RN): 0.26 (state 0.73 · U.S. 0.69)
Licensed practical nurses: 1.01 (state 0.90 · U.S. 0.86)
Nurse aides: 2.09 (state 2.04 · U.S. 2.32)
Weekend total: 2.96 (state 3.17 · U.S. 3.42)
Nursing staff turnover: 32.9 (state 44.1 · U.S. 45.8)%
RN turnover: 62.5 (state 42.3 · U.S. 42.9)%
Administrators who left: 2 in the last year

Inspections

Last standard inspection: July 29, 2025
Health deficiencies (last cycle): 18.0 (state 11.6 · U.S. 9.3)
From complaints: 2
Citations on record (3 years): 42 health · 12 fire safety · includes immediate jeopardy

Date	Citation	Severity	Status
2025-07-29	Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. F0807 · Nutrition and Dietary Deficiencies	K Immediate jeopardy to resident health or safety	Corrected 2025-09-03
2025-07-29	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. F0584 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-09-03
2025-07-29	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-09-03
2025-07-29	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-09-03
2025-07-29	Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-09-03
2025-07-29	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-09-03
2025-07-29	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-09-03
2025-07-29	Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-09-03
2025-07-29	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-09-03
2025-07-29	Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-09-03
2025-07-29	Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-09-03
2025-07-29	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. F0693 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-09-03
2025-07-29	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. F0761 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-09-03
2025-07-29	Provide timely, quality laboratory services/tests to meet the needs of residents. F0770 · Administration Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-09-03
2025-07-29	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806 · Nutrition and Dietary Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-09-03
2025-07-29	Provide special eating equipment and utensils for residents who need them and appropriate assistance. F0810 · Nutrition and Dietary Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-09-03
2025-07-29	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-09-03
2025-07-29	Implement a program that monitors antibiotic use. F0881 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-09-03
2023-12-28	Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	K Immediate jeopardy to resident health or safety	Corrected 2024-02-22
2023-12-28	Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	K Immediate jeopardy to resident health or safety	Corrected 2024-02-22
2023-12-28	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	J Immediate jeopardy to resident health or safety	Corrected 2024-02-22
2023-12-28	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-02-22
2023-12-28	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-03-05
2023-12-28	Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-03-05
2023-10-10	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2023-10-24
2023-08-09	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. F0803 · Nutrition and Dietary Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-09-01
2023-08-09	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-09-01
2023-08-09	Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-09-01
2023-08-09	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-09-01
2023-08-09	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. F0584 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-09-01
2023-08-09	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-09-01
2023-08-09	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. F0640 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-09-01
2023-08-09	PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-09-01
2023-08-09	Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-09-01
2023-08-09	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-09-01
2023-08-09	Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868 · Administration Deficiencies	C No actual harm, potential for minimal harm	Corrected 2023-09-01
2022-04-06	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. F0578 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2022-05-03
2022-04-06	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2022-05-03
2022-04-06	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-05-03
2022-04-06	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-05-03
2022-04-06	Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-05-03
2022-04-06	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806 · Nutrition and Dietary Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-05-03

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years, including $79,108 in fines.

Date	Type	Amount
2025-07-29	Fine	$18,941
2023-12-28	Fine	$60,167

Ownership & management

Name	Role	Since
Health Care Lease Facilities, LLC (organization)	5%+ Direct Ownership Interest · 100%
C.R. Stoltz Family Investment Company INC (organization)	Administrator · NOT APPLICABLE
C.R. Stoltz Irrevocable Trust (organization)	Administrator · NOT APPLICABLE
Health Care Lease Facilities, LLC (organization)	Administrator · NOT APPLICABLE
Holbrook MGT Co., LLC (organization)	Administrator · NOT APPLICABLE
I. Rosedale Irrevocable Trust (organization)	Administrator · NOT APPLICABLE
Malone, James (individual)	Administrator · NOT APPLICABLE
R.S. Wilheim Irrevocable Trust (organization)	Administrator · NOT APPLICABLE
Ronald S Wilheim 2012 Spousal Trust (organization)	Administrator · NOT APPLICABLE
Rosedale Family Investment Company, INC (organization)	Administrator · NOT APPLICABLE
RRW, LLC (organization)	Administrator · NOT APPLICABLE
S.L. Rosedale Irrevocable Trust (organization)	Administrator · NOT APPLICABLE
Skilled HC Holdings, LLC (organization)	Administrator · NOT APPLICABLE
Sloan-Oliverio, Alyssa (individual)	Administrator · NOT APPLICABLE
Wilheim Family Investment Company, INC. (organization)	Administrator · NOT APPLICABLE
Groves, Donna (individual)	Corporate Officer · NOT APPLICABLE
Romeo, Dominic (individual)	Corporate Officer · NOT APPLICABLE
Stoltz, Charles (individual)	Corporate Officer · NOT APPLICABLE
Wilheim, Ronald (individual)	Corporate Officer · NOT APPLICABLE
Odenthal, Richard (individual)	Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
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

Frequently asked questions

What is the rating of Holbrook Healthcare Center?

Holbrook Healthcare Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in West Virginia.

How many beds does Holbrook Healthcare Center have?

It has 120 certified beds and cares for about 107 residents per day.

Has Holbrook Healthcare Center been fined?

Yes. CMS lists 2 penalties totaling $79,108 in the last three years.

Who owns Holbrook Healthcare Center?

It is part of Communicare Health and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Holbrook Healthcare Center?

(304) 472-3280. The facility is located at 183 Holbrook Road, Buckhannon, WV 26201.

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Contact & location

Facility details