HOLBROOK HEALTHCARE CENTER
CMS
Documentation Failure
Immediate Jeopardy
Infection Control
Medication Error
Nutrition Care
Resident Neglect
Wound Care
Penalty
$79,108
Outcome
HOLBROOK HEALTHCARE CENTER in BUCKHANNON, WV was fined $79,108 by CMS across 2 separate penalties following 42 deficiency citations identified during federal surveys.
Details
HOLBROOK HEALTHCARE CENTER (BUCKHANNON, WV) — $79,108 in CMS Fines
Outcome: HOLBROOK HEALTHCARE CENTER in BUCKHANNON, WV was fined $79,108 by CMS across 2 separate penalties following 42 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Ensure that residents are fully informed and understand their health status, care and treatments.
- 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.
- Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- Ensure each resident receives an accurate assessment.
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 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.
- 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.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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