All citations for A Holly Patterson Extended Care Facility

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to A Holly Patterson Extended Care Facility

Last standard health inspection on record

September 30, 2025

Showing 1 to 24 of 24 citations

  1. Immediate jeopardy to resident health or safety

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Pattern (more than a few residents). CMS level K.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of March 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2022).

  2. Immediate jeopardy to resident health or safety

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Pattern (more than a few residents). CMS level K.

    Health citation F-0740, Quality of Life and Care Deficiencies. Inspection of March 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2022).

  3. Immediate jeopardy to resident health or safety

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of June 30, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 11, 2026).

    The home is disputing this citation.

  4. Immediate jeopardy to resident health or safety

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 23, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 2, 2025).

  5. Immediate jeopardy to resident health or safety

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 23, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 2, 2025).

  6. Harm to a resident

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of September 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 14, 2025).

  7. Harm to a resident

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of April 2, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 25, 2024).

  8. No harm, with potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of April 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2024).

  9. No harm, with potential for more than minimal harm

    Ensure services provided by the nursing facility meet professional standards of quality.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of July 3, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 18, 2026).

  10. No harm, with potential for more than minimal harm

    Ensure that residents are free from significant medication errors.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of July 3, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 18, 2026).

    The home is disputing this citation.

  11. No harm, with potential for more than minimal harm

    Allow residents to self-administer drugs if determined clinically appropriate.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0554, Resident Rights Deficiencies. Inspection of September 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 14, 2025).

  12. No harm, with potential for more than minimal harm

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of September 30, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 14, 2025).

  13. No harm, with potential for more than minimal harm

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of September 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 14, 2025).

  14. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of September 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 14, 2025).

  15. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of September 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 14, 2025).

  16. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of September 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2025).

  17. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of September 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2025).

  18. No harm, with potential for more than minimal harm

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 22, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 9, 2024).

  19. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of April 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 22, 2024).

  20. No harm, with potential for more than minimal harm

    Reasonably accommodate the needs and preferences of each resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0558, Resident Rights Deficiencies. Inspection of April 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 17, 2024).

  21. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of April 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2024).

  22. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0693, Quality of Life and Care Deficiencies. Inspection of April 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 22, 2024).

  23. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of April 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 14, 2024).

  24. No harm, with potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of March 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2022).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.