All citations for Holly Manor Rehab and Nursing
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.
Last standard health inspection on record
August 30, 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 1 to 25 of 48 citations
Harm to a resident
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Past non-compliance: already corrected by the time of the inspection (November 11, 2022).
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.
The home gave a date the problem would be corrected (December 25, 2022).
No harm, with potential for more than minimal harm
Have a plan that describes the process for conducting QAPI and QAA activities.
The home gave a date the problem would be corrected (December 25, 2022).
No harm, with potential for more than minimal harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
The home gave a date the problem would be corrected (December 25, 2022).
No harm, with potential for more than minimal harm
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
The home gave a date the problem would be corrected (December 25, 2022).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
The home gave a date the problem would be corrected (December 15, 2022).
No harm, with potential for more than minimal harm
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
The home gave a date the problem would be corrected (December 25, 2022).
No harm, with potential for more than minimal harm
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
The home gave a date the problem would be corrected (August 26, 2025).
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.
The home gave a date the problem would be corrected (August 26, 2025).
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.
The home gave a date the problem would be corrected (August 26, 2025).
No harm, with potential for more than minimal harm
Ensure services provided by the nursing facility meet professional standards of quality.
The home gave a date the problem would be corrected (August 26, 2025).
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.
The home gave a date the problem would be corrected (August 26, 2025).
No harm, with potential for more than minimal harm
Provide safe, appropriate pain management for a resident who requires such services.
The home gave a date the problem would be corrected (August 26, 2025).
No harm, with potential for more than minimal harm
Ensure that residents are free from significant medication errors.
The home gave a date the problem would be corrected (August 26, 2025).
No harm, with potential for more than minimal harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
The home gave a date the problem would be corrected (August 26, 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.
The home gave a date the problem would be corrected (August 26, 2025).
No harm, with potential for more than minimal harm
Reasonably accommodate the needs and preferences of each resident.
The home gave a date the problem would be corrected (December 25, 2022).
No harm, with potential for more than minimal harm
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
The home gave a date the problem would be corrected (December 25, 2022).
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.
The home gave a date the problem would be corrected (December 25, 2022).
No harm, with potential for more than minimal harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
The home gave a date the problem would be corrected (December 25, 2022).
No harm, with potential for more than minimal harm
Observe each nurse aide's job performance and give regular training.
The home gave a date the problem would be corrected (December 25, 2022).
No harm, with potential for more than minimal harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
The home gave a date the problem would be corrected (December 25, 2022).
No harm, with potential for more than minimal harm
Ensure that residents are free from significant medication errors.
The home gave a date the problem would be corrected (December 25, 2022).
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.
The home gave a date the problem would be corrected (December 25, 2022).
No harm, with potential for more than minimal harm
Employ staff that are licensed, certified, or registered in accordance with state laws.
The home gave a date the problem would be corrected (December 25, 2022).
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.