All citations for Holly Manor 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 Manor Center

Last standard health inspection on record

February 11, 2025

Showing 1 to 25 of 33 citations

Harm to a resident
Provide enough food/fluids to maintain a resident's health.
Isolated (one or a few residents). CMS level G.
Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of January 27, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 3, 2023).
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 February 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 15, 2025).
No harm, with potential for more than minimal harm
Dispose of garbage and refuse properly.
Widespread (many residents). CMS level F.
Health citation F-0814, Nutrition and Dietary Deficiencies. Inspection of February 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 15, 2025).
No harm, with potential for more than minimal harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Widespread (many residents). CMS level F.
Fire safety citation K-0211, Egress Deficiencies. Inspection of February 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 13, 2025).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of February 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 11, 2025).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of February 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 11, 2025).
No harm, with potential for more than minimal harm
Properly select, install, inspect, or maintain portable fire extinguishes.
Widespread (many residents). CMS level F.
Fire safety citation K-0355, Smoke Deficiencies. Inspection of February 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 11, 2025).
No harm, with potential for more than minimal harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Widespread (many residents). CMS level F.
Fire safety citation K-0521, Services Deficiencies. Inspection of February 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 7, 2025).
No harm, with potential for more than minimal harm
Ensure that testing and maintenance of electrical equipment is performed.
Widespread (many residents). CMS level F.
Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 3, 2025).
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 January 27, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 13, 2023).
No harm, with potential for more than minimal harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Widespread (many residents). CMS level F.
Fire safety citation K-0211, Egress Deficiencies. Inspection of January 27, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 3, 2023).
No harm, with potential for more than minimal harm
Install a fire alarm system that can be heard throughout the facility.
Widespread (many residents). CMS level F.
Fire safety citation K-0341, Smoke Deficiencies. Inspection of January 27, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 17, 2023).
No harm, with potential for more than minimal harm
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Widespread (many residents). CMS level F.
Fire safety citation K-0374, Smoke Deficiencies. Inspection of January 27, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (April 26, 2023).
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 February 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 15, 2025).
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.
Pattern (more than a few residents). CMS level E.
Health citation F-0756, Pharmacy Service Deficiencies. Inspection of February 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 15, 2025).
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.
Pattern (more than a few residents). CMS level E.
Health citation F-0758, Pharmacy Service Deficiencies. Inspection of February 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 15, 2025).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Pattern (more than a few residents). CMS level E.
Health citation F-0880, Infection Control Deficiencies. Inspection of February 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 15, 2025).
No harm, with potential for more than minimal harm
Ensure proper usage of power strips and extension cords.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 11, 2025).
No harm, with potential for more than minimal harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Pattern (more than a few residents). CMS level E.
Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of January 27, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 3, 2023).
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 January 27, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 3, 2023).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of January 27, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 17, 2023).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0511, Services Deficiencies. Inspection of January 27, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (January 30, 2023).
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 February 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 15, 2025).
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 February 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 15, 2025).
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.
Isolated (one or a few residents). CMS level D.
Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of February 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 15, 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.