All citations for Holly Hall

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 Holly Hall

Last standard health inspection on record

October 7, 2025

Showing 1 to 13 of 13 citations

  1. 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.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of October 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 8, 2025).

  2. 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.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of October 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 8, 2025).

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

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of October 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 8, 2025).

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

    Provide enough food/fluids to maintain a resident's health.

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

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of October 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 8, 2025).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of October 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 8, 2025).

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

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of October 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 8, 2025).

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

    Keep signed and dated reports of x-rays and other diagnostic services in the residents record.

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

    Health citation F-0779, Administration Deficiencies. Inspection of October 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 8, 2025).

  8. 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 October 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 8, 2025).

  9. 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 October 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 8, 2025).

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

    Provide timely, quality laboratory services/tests to meet the needs of residents.

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

    Health citation F-0770, Administration Deficiencies. Inspection of October 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 8, 2025).

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

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of October 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 8, 2025).

  12. 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 October 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 8, 2025).

  13. No harm, with potential for minimal harm

    Dispose of garbage and refuse properly.

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

    Health citation F-0814, Nutrition and Dietary Deficiencies. Inspection of October 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 8, 2025).

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.