All citations for Holbrook Healthcare Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Holbrook Healthcare Center

Last standard health inspection on record

July 29, 2025

Showing 26 to 42 of 42 citations

  1. No harm, with potential for more than minimal harm

    Implement a program that monitors antibiotic use.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0881, Infection Control Deficiencies. Inspection of July 29, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 3, 2025).

  2. No harm, with potential for more than minimal harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 28, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 22, 2024).

  3. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of December 28, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 5, 2024).

  4. No harm, with potential for more than minimal harm

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of December 28, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 5, 2024).

  5. No harm, with potential for more than minimal harm

    Reasonably accommodate the needs and preferences of each resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0558, Resident Rights Deficiencies. Inspection of August 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 1, 2023).

  6. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0580, Resident Rights Deficiencies. Inspection of August 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 1, 2023).

  7. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of August 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 1, 2023).

  8. No harm, with potential for more than minimal harm

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0623, Resident Rights Deficiencies. Inspection of August 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 1, 2023).

  9. No harm, with potential for more than minimal harm

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0640, Resident Assessment and Care Planning Deficiencies. Inspection of August 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 1, 2023).

  10. No harm, with potential for more than minimal harm

    PASARR screening for Mental disorders or Intellectual Disabilities

    Isolated (one or a few residents). CMS level D.

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of August 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 1, 2023).

  11. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of August 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 1, 2023).

  12. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of August 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 1, 2023).

  13. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of April 6, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 3, 2022).

  14. No harm, with potential for more than minimal harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 6, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 3, 2022).

    The home is disputing this citation.

  15. No harm, with potential for more than minimal harm

    Respond appropriately to all alleged violations.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 6, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 3, 2022).

    The home is disputing this citation.

  16. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0806, Nutrition and Dietary Deficiencies. Inspection of April 6, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 3, 2022).

  17. No harm, with potential for minimal harm

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Widespread (many residents). CMS level C.

    Health citation F-0868, Administration Deficiencies. Inspection of August 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 1, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.