All citations for Holly Heights Care and 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 Holly Heights Care and Rehabilitation

Last standard health inspection on record

August 21, 2025

Showing 26 to 45 of 45 citations

  1. 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 21, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 19, 2025).

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

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

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

    Health citation F-0605, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of August 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2025).

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of August 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2025).

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

    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 D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of August 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2025).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of August 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2025).

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

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

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

    Health citation F-0742, Quality of Life and Care Deficiencies. Inspection of August 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2025).

  7. 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 August 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2025).

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of August 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 18, 2025).

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

    Have properly installed hallway dispensers for alcohol-based hand rub.

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

    Fire safety citation K-0325, Smoke Deficiencies. Inspection of August 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 18, 2025).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of August 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 18, 2025).

  11. 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 October 28, 2024. Found during a complaint inspection.

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

  12. 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 January 9, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 10, 2024).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of January 9, 2024. Found during a standard inspection and a complaint inspection.

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

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

    Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

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

    Health citation F-0728, Nursing and Physician Services Deficiencies. Inspection of January 9, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 5, 2024).

  15. 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 September 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 7, 2022).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of September 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 19, 2022).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of September 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2022).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of September 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 5, 2022).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

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

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of September 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 21, 2022).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of September 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 13, 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.