Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around October 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Holbrook Healthcare Center during CMS and state inspections, most recent first.
The facility failed to notify the MPOA of a resident's dermatology appointment and did not document this notification, resulting in the MPOA learning of the appointment from the doctor's office. Additionally, the facility did not notify the physician or responsible party of a change in condition following a CT scan for another resident, with no documentation of such notifications found in the medical record.
A resident with multiple chronic conditions and total dependence on staff for ADLs was found with long, jagged fingernails, despite a care plan requiring staff to provide all personal hygiene. Family and staff interviews, as well as direct observation, confirmed that nail care was not performed as needed.
Failure to Notify MPOA and Responsible Parties of Appointments and Changes in Condition
Penalty
Summary
The facility failed to notify the Medical Power of Attorney (MPOA) of a resident's scheduled dermatology appointment and did not document this notification in the medical record. The MPOA only became aware of the appointment after being contacted by the doctor's office for treatment permission. A grievance was filed by the MPOA regarding the lack of notification, and review of the medical record confirmed there was no documentation indicating the MPOA was informed of the new appointment. Staff interviews confirmed that notification should be documented in the medical record, but no such documentation was found for this event. The resident involved lacked capacity due to dementia and had a DNR order with limited interventions. Additionally, the facility failed to notify the physician and responsible party of a change in condition for another resident who underwent a CT scan. There was no documentation in the electronic medical chart indicating that the physician, resident, or responsible party had been notified of the results. Staff confirmed the absence of documentation for these notifications. The facility's policy requires notification of changes in condition, but this was not followed in these instances.
Failure to Provide ADL Nail Care to Dependent Resident
Penalty
Summary
The facility failed to provide adequate Activities of Daily Living (ADL) care to a dependent resident, as evidenced by multiple observations and interviews. The resident, who has a significant ADL self-care performance deficit due to a complex medical history including progressive vascular leukoencephalopathy, multiple sclerosis, dementia, depression, arthritis, and other conditions, was found to have long and jagged fingernails on both hands. The resident's care plan indicated total dependence on staff for personal hygiene, including nail care, with staff responsible for performing all related tasks. During a family interview, the Medical Power of Attorney reported that the resident's fingernails were consistently untrimmed during visits, sometimes causing indentations in the resident's hands. This observation was confirmed by a surveyor and acknowledged by an LPN, who agreed that the resident's fingernails needed to be cut. Record review further supported that the resident required full assistance with ADLs, yet the necessary nail care was not provided as required by the care plan.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 48 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Buckhannon
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| St. Joseph's Hospital | 0.8 mi | — | 0 | 0 |
| Crestview Manor Healthcare | 13 mi | — | 4 | 0 |
| Mansfield Place | 14.7 mi | — | 0 | 0 |
| Tygart Valley Health & Rehabilitation | 14.8 mi | — | 12 | 0 |
| Autumn Lake Healthcare At Crystal Springs | 18 mi | — | 3 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.