Facility profile · CCN 235440
Holland Home - Raybrook Manor
23 federal citations on record , and 1 federal enforcement actions totaling $0.
Record summary
Federal record · Q1 202623
Total citations
20
Last 3 years
1
Actual harm+
1
Federal penalties
$0
Total fines
4
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
23 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 23, 2025 | 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 | Complaint |
| Dec 23, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Feb 5, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Feb 5, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Feb 5, 2025 | F810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Standard |
| Feb 5, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard |
| Feb 5, 2025 | 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 | Standard |
| Feb 5, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Feb 5, 2025 | F585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard |
| Feb 5, 2025 | F583 | Keep residents' personal and medical records private and confidential. | F | Standard |
| Feb 5, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Jan 26, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Jan 26, 2024 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Jan 26, 2024 | 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 |
| Jan 26, 2024 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | B | Standard |
| Jan 26, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Jan 26, 2024 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Nov 29, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint |
| Nov 29, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Nov 29, 2023 | F610 | Respond appropriately to all alleged violations. | E | Complaint |
| Jan 11, 2023 | F813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Standard |
| Jan 11, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Jan 11, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 0 civil money penalties totaling $0 and 1 payment-denial actions spanning 10 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Feb 5, 2025 | Payment Denial | — | Mar 1, 2025 · 10 days |
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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