All citations for Holden Manor Health & Rehabilitation

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 Holden Manor Health & Rehabilitation

Last standard health inspection on record

August 2, 2024

This is more than 2 years ago. Newer inspection results may not be on record yet, so the results below may not describe the home today. Ask the home for its most recent inspection report.

Showing 26 to 50 of 66 citations

  1. 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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of August 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 15, 2024).

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

    Ensure 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.

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

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of August 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 15, 2024).

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of August 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 15, 2024).

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

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

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

    Health citation F-0805, Nutrition and Dietary Deficiencies. Inspection of August 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 15, 2024).

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

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

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

    Health citation F-0813, Nutrition and Dietary Deficiencies. Inspection of August 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 15, 2024).

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

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

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

    Health citation F-0883, Infection Control Deficiencies. Inspection of August 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 15, 2024).

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

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

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

    Health citation F-0925, Environmental Deficiencies. Inspection of August 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 15, 2024).

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of August 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 15, 2024).

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

    Provide at least two remote exits on each floor or fire section of the building.

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

    Fire safety citation K-0252, Egress Deficiencies. Inspection of January 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2023).

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

    Meet other general requirements that are deficient.

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

    Fire safety citation K-0300, Egress Deficiencies. Inspection of January 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2023).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of January 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2023).

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

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

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

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of January 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2023).

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

    Meet requirements for the use of electrical equipment.

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

    Fire safety citation K-0919, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2023).

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

    Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

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

    Fire safety citation K-0343, Smoke Deficiencies. Inspection of November 13, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2020).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of November 13, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 4, 2020).

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

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

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

    Health citation F-0557, Resident Rights Deficiencies. Inspection of January 22, 2026. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (January 19, 2026).

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

    Honor the resident's right to manage his or her financial affairs.

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

    Health citation F-0567, Resident Rights Deficiencies. Inspection of August 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 15, 2024).

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

    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

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

    Health citation F-0569, Resident Rights Deficiencies. Inspection of August 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 15, 2024).

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

    Honor 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.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of August 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 15, 2024).

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

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

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

    Health citation F-0636, Resident Assessment and Care Planning Deficiencies. Inspection of August 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 15, 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 August 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 15, 2024).

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

    Provide care and assistance to perform activities of daily living for any resident who is unable.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of August 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 15, 2024).

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

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

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

    Health citation F-0740, Quality of Life and Care Deficiencies. Inspection of August 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 15, 2024).

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

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of August 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 15, 2024).

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

    Implement 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.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of August 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 15, 2024).

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.