Federal inspection record · CMS data as of October 1, 2026
Holbrook Healthcare Center
183 Holbrook Road, Buckhannon, WV · (304) 472-3280
- Certified beds
- 110
- Residents per day
- 103
- Ownership
- For-Profit
- Chain
- Communicare Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 4, 1984
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in West Virginia.
-
Staffing
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among West Virginia homes
Holbrook Healthcare Center carries 233.25 inspection points. That is fewer than 9% of West Virginia's 122 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in West Virginia: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–24 pts
- 4★ 24–55 pts
- 3★ 55–92.5 pts
- 2★ 92.5–163 pts
- 1★ over 163 pts
Bars show every rated home in West Virginia by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
42 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (4)
-
K
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
-
K
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
-
K
Respond appropriately to all alleged violations.
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Resident Rights10E
- E
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.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
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.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- E
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Nutrition and Dietary7E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- D
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
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.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Resident Assessment and Care Planning6E
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Quality of Life and Care6D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
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.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Infection Control3E
- D
Provide and implement an infection prevention and control program.
- D
Implement a program that monitors antibiotic use.
- E
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Administration2D
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
- C
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Pharmacy Service1D
- D
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.
Inspection history
2025-07-29
18 health deficiencies · 3 fire-safety deficiencies
Top issue: Nutrition and Dietary (4 deficiencies)
2023-08-09
11 health deficiencies · 5 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
2022-04-06
13 health deficiencies · 4 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 37 min of nursing staff time a day, 19 min of it from a registered nurse.
This home
3 h 37 min
West Virginia average
3 h 43 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 32% of nursing staff and 86% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$79,108 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-07-29 | Fine | $18,941 |
| 2023-12-28 | Fine | $60,167 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.8 pts worse | 2.4 | 1.6 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts worse | 2.1 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3 pts better | 99.5% | 96.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.8 pts better | 98.1% | 97.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.3 pts better | 4.0% | 4.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms6.1 pts better | 2.1% | 8.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.6 pts worse | 6.7% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.4 pts better | 21.5% | 26.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.3 pts better | 5.6% | 12.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2 pts better | 11.9% | 13.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.6 pts better | 13.2% | 13.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.5 pts better | 1.0% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4 pts worse | 25.4% | 21.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.5 pts better | 2.4% | 3.9% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine28 pts worse | 51.0% | 79.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.4 pts better | 8.2% | 10.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1 pts better | 0.0% | 1.0% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine28.8 pts worse | 50.0% | 78.8% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.7 pts worse | 25.7% | 22.0% | 23.4% |
·
Who owns and runs it
23 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Health Care Lease Facilities, LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 12 facilities |
| C.r. Stoltz Family Investment Company Inc | Adp Of The SNF · Organization | 0% | 37 facilities |
| C.r. Stoltz Irrevocable Trust | Adp Of The SNF · Organization | 0% | 57 facilities |
| Groves, Donna | Corporate Officer · Individual | 0% | 91 facilities |
| Health Care Lease Facilities, LLC | Adp Of The SNF · Organization | 0% | 12 facilities |
| Holbrook Mgt Co., LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Holbrook Mgt Co., LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| I. Rosedale Irrevocable Trust | Adp Of The SNF · Organization | 0% | 55 facilities |
| Malone, James | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Malone, James | Adp Of The SNF · Individual | 0% | 3 facilities |
| Odenthal, Richard | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 73 facilities |
| R.s. Wilheim Irrevocable Trust | Adp Of The SNF · Organization | 0% | 57 facilities |
| Romeo, Dominic | Corporate Officer · Individual | 0% | 90 facilities |
| Ronald S Wilheim 2012 Spousal Trust | Adp Of The SNF · Organization | 0% | 56 facilities |
| Rosedale Family Investment Company, Inc | Adp Of The SNF · Organization | 0% | 56 facilities |
| Rrw, LLC | Adp Of The SNF · Organization | 0% | 59 facilities |
| S.l. Rosedale Irrevocable Trust | Adp Of The SNF · Organization | 0% | 56 facilities |
| Skilled Hc Holdings, LLC | Adp Of The SNF · Organization | 0% | 11 facilities |
| Sloan-Oliverio, Alyssa | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Sloan-Oliverio, Alyssa | Adp Of The SNF · Individual | 0% | 1 facilities |
| Stoltz, Charles | Corporate Officer · Individual | 0% | 87 facilities |
| Wilheim Family Investment Company, Inc. | Adp Of The SNF · Organization | 0% | 54 facilities |
| Wilheim, Ronald | Corporate Officer · Individual | 0% | 86 facilities |
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Fire safety
12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Install an approved automatic sprinkler system.
Gas, Vacuum, and Electrical Systems4F
- F
Have proper medical gas storage and administration areas.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- E
Have generator or other power source capable of supplying service within 10 seconds.
- C
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Services2D
- D
Have properly installed electrical wiring and gas equipment.
- D
Have properly installed electrical wiring and gas equipment.
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Other homes nearby
-
St. Joseph's Hospital
Buckhannon, WV · Wvu Medicine
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 6 h
- Fines
- $0
-
Crestview Manor Healthcare
Jane Lew, WV · Communicare Health
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 37 min
- Fines
- $42,266
-
Mansfield Place
Philippi, WV
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 50 min
- Fines
- $17,345