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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 215204

Holly Hill Healthcare Center

84 federal citations on record .

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Record summary

Federal record · Q1 2026
84
Total citations
47
Last 3 years
1
Actual harm+
0
Federal penalties
$0
Total fines
2
Overall ★ rating

Most common violation categories here

Quality of Care21 Resident Rights18 Care Planning14 Medication & Pharmacy11 Nutrition & Dietary6

Most common F-tags at this facility

F6844 F8424 F5503 F6573 F6893

Citation history

84 on record
SurveyF-TagViolationSeveritySource
Aug 1, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Mar 5, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
Mar 5, 2024F679Provide activities to meet all resident's needs.EComplaint
Mar 5, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Mar 5, 2024F610Respond appropriately to all alleged violations.DComplaint
Mar 5, 2024F914Provide bedrooms that don't allow residents to see each other when privacy is needed.DStandard
Mar 5, 2024F880Provide and implement an infection prevention and control program.FStandard
Mar 5, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Mar 5, 2024F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FStandard
Mar 5, 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 5, 2024F759Ensure medication error rates are not 5 percent or greater.DStandard
Mar 5, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Mar 5, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Mar 5, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Mar 5, 2024F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DStandard
Mar 5, 2024F700Try 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.DStandard
Mar 5, 2024F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Mar 5, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Mar 5, 2024F691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.DStandard
Mar 5, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Mar 5, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Mar 5, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Mar 5, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Mar 5, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Mar 5, 2024F641Ensure each resident receives an accurate assessment.DStandard
Mar 5, 2024F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.EStandard
Mar 5, 2024F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.EStandard
Mar 5, 2024F624Prepare residents for a safe transfer or discharge from the nursing home.DStandard
Mar 5, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard
Mar 5, 2024F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard
Mar 5, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Mar 5, 2024F558Reasonably accommodate the needs and preferences of each resident.EStandard
Mar 5, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Dec 15, 2023F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.EComplaint
Dec 15, 2023F880Provide and implement an infection prevention and control program.DComplaint
Dec 15, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Dec 15, 2023F761Ensure 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.DComplaint
Dec 15, 2023F760Ensure that residents are free from significant medication errors.EComplaint
Dec 15, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Dec 15, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Dec 15, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Dec 15, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Dec 15, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Dec 15, 2023F641Ensure each resident receives an accurate assessment.EComplaint
Dec 15, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
Dec 15, 2023F584Honor 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.DComplaint
Dec 15, 2023F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.CComplaint
Apr 16, 2019F923Have enough outside ventilation via a window or mechanical ventilation, or both.DStandard
Apr 16, 2019F919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard
Apr 16, 2019F880Provide and implement an infection prevention and control program.DStandard
Apr 16, 2019F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Apr 16, 2019F807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.DStandard
Apr 16, 2019F770Provide timely, quality laboratory services/tests to meet the needs of residents.DStandard
Apr 16, 2019F761Ensure 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
Apr 16, 2019F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DStandard
Apr 16, 2019F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Apr 16, 2019F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Apr 16, 2019F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Apr 16, 2019F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Apr 16, 2019F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DStandard
Apr 16, 2019F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Apr 16, 2019F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard
Apr 16, 2019F610Respond appropriately to all alleged violations.DStandard
Apr 16, 2019F584Honor 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.DStandard
Apr 16, 2019F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Apr 16, 2019F578Honor 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
Apr 16, 2019F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Dec 13, 2017F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Dec 13, 2017F810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DStandard
Dec 13, 2017F807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.DStandard
Dec 13, 2017F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.BStandard
Dec 13, 2017F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DStandard
Dec 13, 2017F770Provide timely, quality laboratory services/tests to meet the needs of residents.DStandard
Dec 13, 2017F759Ensure medication error rates are not 5 percent or greater.DStandard
Dec 13, 2017F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Dec 13, 2017F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Dec 13, 2017F742Provide 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.DStandard
Dec 13, 2017F692Provide enough food/fluids to maintain a resident's health.DStandard
Dec 13, 2017F685Assist a resident in gaining access to vision and hearing services.DStandard
Dec 13, 2017F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Dec 13, 2017F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Dec 13, 2017F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Dec 13, 2017F584Honor 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.DStandard
Dec 13, 2017F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
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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