Facility profile · CCN 395432
Holland Center For Rehabilitation And Nursing
45 federal citations on record , including 1 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $36,186.
Record summary
Federal record · Q1 202645
Total citations
45
Last 3 years
2
Actual harm+
1
Federal penalties
$36,186
Total fines
3
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
45 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 29, 2026 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Dec 11, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| May 16, 2025 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| May 16, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| May 16, 2025 | F742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | Standard |
| May 16, 2025 | F730 | Observe each nurse aide's job performance and give regular training. | D | Standard |
| May 16, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| May 16, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| May 16, 2025 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| May 16, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| May 16, 2025 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard |
| May 16, 2025 | F577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | B | Standard |
| Sep 25, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint |
| Aug 13, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Jul 12, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint |
| Jul 12, 2024 | F944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | D | Standard |
| Jul 12, 2024 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard |
| Jul 12, 2024 | F881 | Implement a program that monitors antibiotic use. | E | Standard |
| Jul 12, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Jul 12, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Jul 12, 2024 | F836 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | E | Standard |
| Jul 12, 2024 | F814 | Dispose of garbage and refuse properly. | D | Standard |
| Jul 12, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard |
| Jul 12, 2024 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard |
| Jul 12, 2024 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard |
| Jul 12, 2024 | F700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard |
| Jul 12, 2024 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | E | Standard |
| Jul 12, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Jul 12, 2024 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Jul 12, 2024 | F578 | Honor 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. | D | Standard |
| Apr 22, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Apr 22, 2024 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint |
| Feb 8, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Oct 5, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Oct 5, 2023 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Oct 5, 2023 | F761 | 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. | D | Standard |
| Oct 5, 2023 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Oct 5, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Oct 5, 2023 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard |
| Oct 5, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard |
| Oct 5, 2023 | F693 | 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. | D | Standard |
| Oct 5, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Jul 28, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Jul 28, 2023 | F559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Complaint |
| Jul 17, 2023 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $36,186 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jul 12, 2024 | Fine | $36,186 | — |
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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