All citations for Holly Hill Healthcare Center

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 Hill Healthcare Center

Last standard health inspection on record

October 14, 2025

Showing 1 to 25 of 46 citations

  1. Harm to a resident

    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 G.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of August 1, 2025. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection.

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

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Widespread (many residents). CMS level F.

    Health citation F-0801, Nutrition and Dietary Deficiencies. Inspection of March 5, 2024. Found during a standard inspection.

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

  3. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of March 5, 2024. Found during a standard inspection.

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

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

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of March 5, 2024. Found during a standard inspection.

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

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

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of March 5, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2024).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of March 5, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2024).

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

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of March 5, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2024).

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

    Ensure that smoke control systems are tested and documented in accordance with established engineering principles.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0771, Miscellaneous Deficiencies. Inspection of March 5, 2024. Found during a standard inspection.

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

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of March 5, 2024. Found during a standard inspection.

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

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

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of March 5, 2024. Found during a standard inspection.

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

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

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

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

    Health citation F-0625, Resident Rights Deficiencies. Inspection of March 5, 2024. Found during a standard inspection.

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

  12. 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.

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

    Health citation F-0636, Resident Assessment and Care Planning Deficiencies. Inspection of March 5, 2024. Found during a standard inspection.

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

  13. 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.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of March 5, 2024. Found during a standard inspection.

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

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

    Provide activities to meet all resident's needs.

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

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of March 5, 2024. Found during a standard inspection and a complaint inspection.

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

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of March 5, 2024. Found during a standard inspection and a complaint inspection.

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

  16. 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.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of March 5, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2024).

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

    Install proper backup exit lighting.

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

    Fire safety citation K-0281, Egress Deficiencies. Inspection of March 5, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2024).

  18. 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 March 5, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2024).

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

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

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

    Fire safety citation K-0362, Smoke Deficiencies. Inspection of March 5, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2024).

  20. 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 March 5, 2024. Found during a standard inspection.

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

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

    Meet requirements for the installation and maintenance of electrical systems.

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

    Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 5, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2024).

  22. 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 March 5, 2024. Found during a standard inspection.

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

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

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

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

    Health citation F-0582, Resident Rights Deficiencies. Inspection of March 5, 2024. Found during a standard inspection.

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

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

    Respond appropriately to all alleged violations.

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

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 5, 2024. Found during a standard inspection and a complaint inspection.

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

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

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

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

    Health citation F-0622, Resident Rights Deficiencies. Inspection of March 5, 2024. Found during a standard inspection.

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

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.