01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-07-29 | 18 | 2025-07-29 | 3 |
| Cycle 2 | 2023-08-09 | 11 | 2023-08-09 | 5 |
| Cycle 3 | 2022-04-06 | 13 | 2022-04-06 | 4 |
CMS CCN 5150762026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Holbrook Healthcare Center
183 Holbrook Road · Buckhannon, WV 26201 · Upshur County
Certified beds120CMS provider file
Recent citation rows54current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
54 rows in the current release
4 rows carry G–L scope/severity codes; 4 carry J–L. 10 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-07-29 · HEALTHF0552Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Correction field: Deficient, Provider has date of correction · 2025-09-032025-07-29 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2025-09-03 · complaint2025-07-29 · HEALTHF0584Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-09-032025-07-29 · HEALTHF0628Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2025-09-032025-07-29 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2025-09-032025-07-29 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2025-09-032025-07-29 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2025-09-03 · complaint2025-07-29 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2025-09-032025-07-29 · HEALTHF0693Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-09-032025-07-29 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-09-032025-07-29 · HEALTHF0770Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Correction field: Deficient, Provider has date of correction · 2025-09-032025-07-29 · HEALTHF0806Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Correction field: Deficient, Provider has date of correction · 2025-09-032025-07-29 · HEALTHF0807Severity K · pattern of immediate jeopardy
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Correction field: Deficient, Provider has date of correction · 2025-09-032025-07-29 · HEALTHF0810Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Correction field: Deficient, Provider has date of correction · 2025-09-032025-07-29 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-09-032025-07-29 · HEALTHF0842Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2025-09-032025-07-29 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-09-032025-07-29 · HEALTHF0881Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Correction field: Deficient, Provider has date of correction · 2025-09-032025-07-29 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-08-112025-07-29 · FIREK0372Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2025-08-112025-07-29 · FIREK0511Severity D · isolated; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2025-08-112023-12-28 · HEALTHF0600Severity J · isolated immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2024-02-22 · complaint2023-12-28 · HEALTHF0607Severity K · pattern of immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Deficient, Provider has date of correction · 2024-02-22 · complaint2023-12-28 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2024-02-22 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-07-29 | Fine | $18,941 | 0 |
| 2023-12-28 | Fine | $60,167 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- HEALTH CARE LEASE FACILITIES, LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 12/01/2019
- GROVES, DONNAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/01/2019
- ROMEO, DOMINICIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2023
- STOLTZ, CHARLESIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/01/2019
- WILHEIM, RONALDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/01/2019
- HOLBROOK MGT CO., LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/01/2019
- MALONE, JAMESIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/01/2021
- SLOAN-OLIVERIO, ALYSSAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/23/2024
- ODENTHAL, RICHARDIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE · since 05/08/2025
- C.R. STOLTZ FAMILY INVESTMENT COMPANY INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/01/2019
- C.R. STOLTZ IRREVOCABLE TRUSTOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/01/2019
- HEALTH CARE LEASE FACILITIES, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/01/2019
- HOLBROOK MGT CO., LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 06/25/2025
- I. ROSEDALE IRREVOCABLE TRUSTOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/01/2019
- R.S. WILHEIM IRREVOCABLE TRUSTOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/01/2019
- RONALD S WILHEIM 2012 SPOUSAL TRUSTOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/01/2019
- ROSEDALE FAMILY INVESTMENT COMPANY, INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/01/2019
- RRW, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/01/2019
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.35per resident day
RN hours0.26per resident day
Weekend nurse hours2.96per resident day
Staff turnover32.9%CMS reported field
06 / LOCAL RECORDS
Open the Buckhannon ledger →