Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 555578

Holiday Manor Care Center

59 federal citations on record , including 5 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $18,363.

Abuse Icon 5 Immediate Jeopardy

Record summary

Federal record · Q1 2026
59
Total citations
48
Last 3 years
7
Actual harm+
2
Federal penalties
$18,363
Total fines
3
Overall ★ rating

Most common violation categories here

Medication & Pharmacy13 Quality of Care12 Resident Rights10 Care Planning8 Abuse & Neglect7

Most common F-tags at this facility

F6005 F7554 F6563 F7583 F7613

Citation history

59 on record
SurveyF-TagViolationSeveritySource
Mar 13, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Mar 13, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Mar 13, 2025F880Provide and implement an infection prevention and control program.DStandard
Mar 13, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
Mar 13, 2025F761Ensure 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.DStandard
Mar 13, 2025F760Ensure that residents are free from significant medication errors.DStandard
Mar 13, 2025F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.EStandard
Mar 13, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Mar 13, 2025F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DStandard
Mar 13, 2025F699Provide care or services that was trauma informed and/or culturally competent.DStandard
Mar 13, 2025F697Provide safe, appropriate pain management for a resident who requires such services.EStandard
Mar 13, 2025F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard
Mar 13, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Mar 13, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Mar 13, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Mar 13, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Mar 13, 2025F578Honor 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.EStandard
Dec 19, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
Dec 19, 2024F777Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.DComplaint
Dec 19, 2024F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.EComplaint
Dec 19, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Dec 19, 2024F732Post nurse staffing information every day.DComplaint
Dec 19, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Dec 19, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Dec 19, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Nov 27, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Oct 2, 2024F880Provide and implement an infection prevention and control program.EComplaint
Oct 2, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Sep 25, 2024F624Prepare residents for a safe transfer or discharge from the nursing home.JComplaint
Sep 25, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint
Jun 24, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
May 1, 2024F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DComplaint
Mar 22, 2024F908Keep all essential equipment working safely.DStandard
Mar 22, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Mar 22, 2024F761Ensure 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.DStandard
Mar 22, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Mar 22, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Mar 22, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Mar 22, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Mar 22, 2024F584Honor 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.EStandard
Mar 22, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EStandard
Mar 22, 2024F558Reasonably accommodate the needs and preferences of each resident.DStandard
Mar 22, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Mar 13, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Nov 15, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Oct 13, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Jul 24, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
May 11, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
May 21, 2021F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.LStandard
May 21, 2021F880Provide and implement an infection prevention and control program.LStandard
May 21, 2021F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.LStandard
May 21, 2021F761Ensure 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.EStandard
May 21, 2021F759Ensure medication error rates are not 5 percent or greater.EStandard
May 21, 2021F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard
May 21, 2021F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
May 21, 2021F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
May 21, 2021F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
May 21, 2021F578Honor 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.DStandard
May 21, 2021F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $18,363 .

DateTypeFinePayment denial
Sep 25, 2024Fine$8,157—
Sep 25, 2024Fine$10,206—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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