Holbrook Healthcare Center

Certification

Medicare-certified.

Ratings

Inspection history (42)

Records from April 2022 to July 2025.

• July 29, 2025

  Tag F0628

  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 3, 2025.

• July 29, 2025

  Tag F0806

  Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 3, 2025.

• July 29, 2025

  Tag F0812

  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 3, 2025.

• July 29, 2025

  Tag F0686

  Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 3, 2025.

• July 29, 2025

  Tag F0641

  Ensure each resident receives an accurate assessment.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 3, 2025.

• July 29, 2025

  Tag F0693

  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.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 3, 2025.

• July 29, 2025

  Tag F0761

  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.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 3, 2025.

• July 29, 2025

  Tag F0842

  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 3, 2025.

• July 29, 2025

  Tag F0584

  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.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 3, 2025.

• July 29, 2025

  Tag F0810

  Provide special eating equipment and utensils for residents who need them and appropriate assistance.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 3, 2025.

• July 29, 2025

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 3, 2025.

• July 29, 2025

  Tag F0881

  Implement a program that monitors antibiotic use.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 3, 2025.

• July 29, 2025

  Tag F0770

  Provide timely, quality laboratory services/tests to meet the needs of residents.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 3, 2025.

• July 29, 2025

  Tag F0656

  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 3, 2025.

• July 29, 2025

  Tag F0807

  Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

  Severity K: pattern, immediate jeopardy. Corrected September 3, 2025.

• July 29, 2025

  Tag F0580

  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 3, 2025.

• July 29, 2025

  Tag F0552

  Ensure that residents are fully informed and understand their health status, care and treatments.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 3, 2025.

• July 29, 2025

  Tag F0677

  Provide care and assistance to perform activities of daily living for any resident who is unable.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 3, 2025.

• December 28, 2023

  Tag F0690

  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 5, 2024.

• December 28, 2023

  Tag F0610

  Respond appropriately to all alleged violations.

  Severity K: pattern, immediate jeopardy. Corrected February 22, 2024.

Penalties (2)

Total fines: $79,108

• July 29, 2025 · Fine

  CMS recorded a civil money penalty of $18,941 against this nursing home on July 29, 2025.

• December 28, 2023 · Fine

  CMS recorded a civil money penalty of $60,167 against this nursing home on December 28, 2023.

Staffing

3.61 nurse hours per resident per day in Q2 2026, up from 3.45 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit - Corporation