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.

Back to Holly Manor Rehab and Nursing

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 50 of 98 citations

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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of August 30, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (October 30, 2024).

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

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

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of August 30, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (October 30, 2024).

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

    Provide safe, appropriate pain management for a resident who requires such services.

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

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of August 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 30, 2024).

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

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

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

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of August 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 30, 2024).

  5. 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 August 30, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (October 30, 2024).

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

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

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

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of August 30, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (October 30, 2024).

  7. 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 August 30, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (October 30, 2024).

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

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

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

    Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of August 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 30, 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 November 17, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 25, 2022).

  10. 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.

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

    Health citation F-0585, Resident Rights Deficiencies. Inspection of November 17, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 25, 2022).

  11. 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.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of November 17, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 25, 2022).

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

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

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

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of November 17, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 25, 2022).

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

    Observe each nurse aide's job performance and give regular training.

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

    Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of November 17, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 25, 2022).

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

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

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

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of November 17, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 25, 2022).

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

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of November 17, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 25, 2022).

  16. 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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of November 17, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 25, 2022).

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

    Employ staff that are licensed, certified, or registered in accordance with state laws.

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

    Health citation F-0839, Administration Deficiencies. Inspection of November 17, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 25, 2022).

  18. 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.

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

    Health citation F-0943, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 17, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 25, 2022).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of November 17, 2022. Found during a standard inspection.

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

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

    Provide safe, appropriate pain management for a resident who requires such services.

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

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of June 30, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2021).

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

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

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

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of June 30, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2021).

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

    Have exits that are accessible at all times.

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

    Fire safety citation K-0271, Egress Deficiencies. Inspection of June 30, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 27, 2021).

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

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

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of June 30, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 8, 2021).

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

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

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

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 30, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 27, 2021).

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

    Ensure that residents are fully informed and understand their health status, care and treatments.

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

    Health citation F-0552, Resident Rights Deficiencies. Inspection of June 5, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 26, 2025).

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.