Holbrook Healthcare Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 12 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (18 vs median 12)
- High RN turnover (71%)
Bottom 25% in WV · Critically understaffed (RN) · Worst in COMMUNICARE HEALTH chain · $79,108 in fines
What this means for your family
Given the consistent reports of poor facility maintenance and unprofessional staff behavior, we strongly recommend visiting in person to observe the environment yourself. Families should be particularly cautious regarding communication protocols and ask for specific details on how the facility handles resident safety and medication management.
Google Reviews
Google Reviews
12 reviews analyzed“Holbrook Healthcare Center receives consistently poor feedback regarding facility conditions, staff professionalism, and quality of care. Families frequently report concerns about outdated infrastructure, unpleasant odors, and a perceived lack of transparency or responsiveness from the nursing staff.”
Quality Themes
Tap a score for detailsStrengths
- Occasional compassionate individual staff members
- Effective end-of-life comfort care in specific instances
Concerns
- Unprofessional or rude staff behavior (mentioned by 4 reviewers)
- Poor facility maintenance and unpleasant odors (mentioned by 3 reviewers)
- Inadequate or ineffective physical therapy (mentioned by 2 reviewers)
- Lack of communication regarding resident health/safety (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
Questions for Your Tour
- 1Given the recent challenges with facility maintenance and odors, what is your current protocol for ensuring daily cleanliness and sanitation in resident rooms?
- 2How do you ensure consistent and proactive communication with families regarding changes in a resident's health or safety status?
- 3What specific training or oversight programs do you have in place to ensure all staff members provide professional and respectful care to every resident?
- 4I understand that medication management is a high priority; could you walk me through your process for ensuring accuracy and timeliness in administering daily medications?
- 5Regarding physical therapy, how do you tailor rehabilitation plans to ensure residents are making measurable progress toward their mobility goals?
- 6What does a typical daily activity schedule look like to keep residents engaged and socially active within the community?
Personalized based on this facility's data
Key Review Excerpts
“Old delipidated building, bad oder, physical therapy a joke..My mom went in walking and wearing underwear, after 8 months was kicked out, came home in a wheel chair unable to walk wearing a diaper.”
“They take good care of my mother! But they never notified me that my mother's roommate has covid and the most of the staffing just plain rude!”
“There was some good people there including the head nurse but seems not to be aware of some of the things going on. Mom also lost some of her clothes there as it had been taken for laundry and disappeared.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
6
measures
4
measures
7
measures
Residents on antipsychotic medication
Residents with depression symptoms
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Residents who lost too much weight
Residents vaccinated for pneumonia
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed reports triggering 9 of the 54 deficiencies, including serious concerns about abuse prevention and resident care. The facility shows recurring problems with nutrition and dietary services, fire safety systems, and resident rights that persist across multiple surveys. All violations have correction dates, but the pattern of repeated issues in key care areas like meal services and safety suggests ongoing operational challenges families should discuss during visits.
Jul 29, 2025Routine19
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.
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
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.
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.
Nutrition and Dietary Deficiencies
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Jul 29, 2025Complaint2
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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Dec 28, 2023Complaint6
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Oct 10, 2023Complaint1
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Aug 9, 2023Routine16
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Nutrition and Dietary Deficiencies
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
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.
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.
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
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.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Apr 6, 2022Routine10
Smoke Deficiencies
Install an approved automatic sprinkler system.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Resident Rights Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
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.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Federal Penalties
Fine
Jul 29, 2025
$18,941
Fine
Dec 28, 2023
$60,167
Ownership & Operations
Who Operates This Facility
Holbrook Healthcare Center
for profit
Chain Affiliation
Communicare Health
122 facilities nationwide
Chain avg rating: 2.8/5 · Rank 114 of 121 (Worst)
Ownership & Management
Owners
Health Care Lease Facilities, LLC
Owner · Organization
Odenthal, Richard
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
12 reviews from families & visitors
Official Website
Visit communicarehealth.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.