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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 495339

Holly Manor Rehab And Nursing

95 federal citations on record .

Record summary

Federal record · Q1 2026
95
Total citations
58
Last 3 years
1
Actual harm+
0
Federal penalties
$0
Total fines
2
Overall ★ rating

Most common violation categories here

Quality of Care24 Care Planning16 Resident Rights12 Medication & Pharmacy10 Nutrition & Dietary9

Most common F-tags at this facility

F6566 F6585 F6954 F8124 F6573

Citation history

95 on record
SurveyF-TagViolationSeveritySource
Jun 5, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint
Jun 5, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint
Jun 5, 2025F760Ensure that residents are free from significant medication errors.EComplaint
Jun 5, 2025F732Post nurse staffing information every day.CComplaint
Jun 5, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DComplaint
Jun 5, 2025F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.DComplaint
Jun 5, 2025F697Provide safe, appropriate pain management for a resident who requires such services.EComplaint
Jun 5, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Jun 5, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jun 5, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Jun 5, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.EComplaint
Jun 5, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Jun 5, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint
Jun 5, 2025F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.EComplaint
Jun 5, 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
Jun 5, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jun 5, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint
Aug 30, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint
Aug 30, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.EComplaint
Aug 30, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Aug 30, 2024F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.DComplaint
Aug 30, 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.DComplaint
Aug 30, 2024F695Provide safe and appropriate respiratory care for a resident when needed.EComplaint
Aug 30, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EComplaint
Aug 30, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Aug 30, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Aug 30, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint
Aug 30, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint
Aug 30, 2024F641Ensure each resident receives an accurate assessment.DComplaint
Aug 30, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Aug 30, 2024F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Aug 30, 2024F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EStandard
Aug 30, 2024F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard
Aug 30, 2024F880Provide and implement an infection prevention and control program.FStandard
Aug 30, 2024F814Dispose of garbage and refuse properly.FStandard
Aug 30, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
Aug 30, 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.DStandard
Aug 30, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Aug 30, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Aug 30, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.EStandard
Aug 30, 2024F697Provide safe, appropriate pain management for a resident who requires such services.EStandard
Aug 30, 2024F692Provide enough food/fluids to maintain a resident's health.DStandard
Aug 30, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Aug 30, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Aug 30, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Aug 30, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard
Aug 30, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Aug 30, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
May 7, 2024F880Provide and implement an infection prevention and control program.DComplaint
May 7, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
May 7, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
May 7, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
May 7, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
May 7, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Sep 12, 2023F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint
Sep 12, 2023F760Ensure that residents are free from significant medication errors.DComplaint
Sep 12, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Sep 12, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Nov 17, 2022F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.EStandard
Nov 17, 2022F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.DStandard
Nov 17, 2022F888Ensure staff are vaccinated for COVID-19CStandard
Nov 17, 2022F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FStandard
Nov 17, 2022F881Implement a program that monitors antibiotic use.CStandard
Nov 17, 2022F880Provide and implement an infection prevention and control program.FStandard
Nov 17, 2022F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFStandard
Nov 17, 2022F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard
Nov 17, 2022F865Have a plan that describes the process for conducting QAPI and QAA activities.FStandard
Nov 17, 2022F839Employ staff that are licensed, certified, or registered in accordance with state laws.EStandard
Nov 17, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Nov 17, 2022F801Employ 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
Nov 17, 2022F760Ensure that residents are free from significant medication errors.EStandard
Nov 17, 2022F757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard
Nov 17, 2022F730Observe each nurse aide's job performance and give regular training.EStandard
Nov 17, 2022F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DStandard
Nov 17, 2022F700Try 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
Nov 17, 2022F698Provide safe, appropriate dialysis care/services for a resident who requires such services.EStandard
Nov 17, 2022F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Nov 17, 2022F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Nov 17, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard
Nov 17, 2022F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Nov 17, 2022F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Nov 17, 2022F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Nov 17, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Nov 17, 2022F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard
Nov 17, 2022F602Protect each resident from the wrongful use of the resident's belongings or money.DStandard
Nov 17, 2022F585Honor 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.EStandard
Nov 17, 2022F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard
Nov 17, 2022F558Reasonably accommodate the needs and preferences of each resident.EStandard
Jun 30, 2021F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
Jun 30, 2021F757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard
Jun 30, 2021F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.BStandard
Jun 30, 2021F697Provide safe, appropriate pain management for a resident who requires such services.EStandard
Jun 30, 2021F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Jun 30, 2021F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Jun 30, 2021F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.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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