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 26 to 48 of 48 citations
No harm, with potential for more than minimal harm
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
The home gave a date the problem would be corrected (December 25, 2022).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
The home gave a date the problem would be corrected (December 21, 2022).
No harm, with potential for more than minimal harm
Ensure that residents are fully informed and understand their health status, care and treatments.
The home gave a date the problem would be corrected (August 26, 2025).
No harm, with potential for more than minimal harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
The home gave a date the problem would be corrected (August 26, 2025).
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.
The home gave a date the problem would be corrected (August 26, 2025).
No harm, with potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
The home gave a date the problem would be corrected (August 26, 2025).
No harm, with potential for more than minimal harm
Provide safe and appropriate respiratory care for a resident when needed.
The home gave a date the problem would be corrected (August 26, 2025).
No harm, with potential for more than minimal harm
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
The home gave a date the problem would be corrected (August 26, 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.
The home gave a date the problem would be corrected (August 26, 2025).
No harm, with potential for more than minimal harm
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
The home gave a date the problem would be corrected (December 25, 2022).
No harm, with potential for more than minimal harm
Protect each resident from the wrongful use of the resident's belongings or money.
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 policies and procedures to prevent abuse, neglect, and theft.
The home gave a date the problem would be corrected (December 25, 2022).
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.
The home gave a date the problem would be corrected (December 25, 2022).
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 (December 25, 2022).
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 (December 25, 2022).
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.
The home gave a date the problem would be corrected (December 25, 2022).
No harm, with potential for more than minimal harm
Provide safe and appropriate respiratory care for a resident when needed.
The home gave a date the problem would be corrected (December 25, 2022).
No harm, with potential for more than minimal harm
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
The home gave a date the problem would be corrected (December 25, 2022).
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.
The home gave a date the problem would be corrected (December 25, 2022).
No harm, with potential for more than minimal harm
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
The home gave a date the problem would be corrected (December 25, 2022).
No harm, with potential for minimal harm
Post nurse staffing information every day.
The home gave a date the problem would be corrected (August 26, 2025).
No harm, with potential for minimal harm
Implement a program that monitors antibiotic use.
The home gave a date the problem would be corrected (December 25, 2022).
No harm, with potential for minimal harm
Ensure staff are vaccinated for COVID-19
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.