Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 195431

Holly Hill House

56 federal citations on record , and 1 federal enforcement actions totaling $57,824.

Abuse Icon

Record summary

Federal record · Q1 2026
56
Total citations
51
Last 3 years
1
Actual harm+
1
Federal penalties
$57,824
Total fines
1
Overall ★ rating

Most common violation categories here

Care Planning13 Resident Rights9 Abuse & Neglect7 Quality of Care7 Medication & Pharmacy5

Most common F-tags at this facility

F6569 F6004 F6092 F6442 F6952

Citation history

56 on record
SurveyF-TagViolationSeveritySource
Aug 27, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Aug 27, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DComplaint
Aug 27, 2025F610Respond appropriately to all alleged violations.DComplaint
Aug 27, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Aug 27, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Apr 15, 2025F865Have a plan that describes the process for conducting QAPI and QAA activities.FStandard
Apr 15, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Apr 15, 2025F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.DStandard
Apr 15, 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
Apr 15, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Apr 15, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Apr 15, 2025F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FStandard
Apr 15, 2025F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Apr 15, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Apr 15, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Apr 15, 2025F584Honor 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 15, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Feb 26, 2025F585Honor 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.EComplaint
Feb 12, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Feb 12, 2025F641Ensure each resident receives an accurate assessment.DComplaint
Feb 12, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
Dec 11, 2024F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.EComplaint
Oct 15, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Oct 15, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Oct 15, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Sep 5, 2024F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.FComplaint
Sep 5, 2024F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.FComplaint
Sep 5, 2024F692Provide enough food/fluids to maintain a resident's health.EComplaint
Sep 5, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint
Jun 10, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jun 10, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EComplaint
Apr 24, 2024F880Provide and implement an infection prevention and control program.EStandard
Apr 24, 2024F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.EStandard
Apr 24, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Apr 24, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Apr 24, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Apr 24, 2024F641Ensure each resident receives an accurate assessment.DStandard
Apr 9, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Apr 9, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint
Apr 9, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Apr 9, 2024F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.EComplaint
Mar 26, 2024F760Ensure that residents are free from significant medication errors.DComplaint
Mar 26, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Jan 30, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jan 30, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jan 30, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint
Dec 28, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint
Sep 25, 2023F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.DComplaint
Sep 25, 2023F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint
Sep 25, 2023F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.DComplaint
Sep 25, 2023F554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint
Apr 10, 2023F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.DComplaint
Mar 1, 2023F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.FStandard
Mar 1, 2023F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard
Mar 1, 2023F881Implement a program that monitors antibiotic use.FStandard
Mar 1, 2023F693Ensure 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.DStandard

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $57,824 .

DateTypeFinePayment denial
Mar 26, 2024Fine$57,824—
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.

Concerned about care at Holly Hill House?

An attorney who focuses on nursing-home abuse and neglect can review the facility's record with you — citation patterns, scope/severity levels, complaint-driven findings — and tell you whether the law recognizes what happened.

  • Consultation is free and confidential
  • You pay nothing unless there is a recovery
  • Your note is shared only with vetted plaintiff attorneys
Free · Confidential · Nationwide network
Free Consultation Request
Tell us about your family's situation
A plaintiff attorney will review your note and respond within one business day.