All citations for Hollymead

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 Hollymead

Last standard health inspection on record

April 24, 2025

Showing 1 to 25 of 44 citations

  1. Harm to a resident

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

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

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of January 2, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 27, 2025).

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

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of March 21, 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

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0916, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 21, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 2, 2024).

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

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 21, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 2, 2024).

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

    Establish staff and initial training requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of February 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 2, 2023).

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

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

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

    Health citation F-0925, Environmental Deficiencies. Inspection of June 6, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 9, 2026).

  7. 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.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of April 3, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 7, 2026).

  8. 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 April 24, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 19, 2025).

  9. 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.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of April 24, 2025. Found during a standard inspection and a complaint inspection.

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

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

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

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

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of April 24, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 18, 2025).

  11. 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 April 24, 2025. Found during a standard inspection and a complaint inspection.

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

  12. 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 April 24, 2025. Found during a standard inspection and a complaint inspection.

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

  13. 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 March 21, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 22, 2024).

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

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

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

    Fire safety citation K-0223, Egress Deficiencies. Inspection of March 21, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 22, 2024).

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

    Have horizontal exits used in accordance with safety requirements.

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

    Fire safety citation K-0226, Egress Deficiencies. Inspection of March 21, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 2, 2024).

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

    Have properly spaced exits within rooms.

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

    Fire safety citation K-0261, Egress Deficiencies. Inspection of March 21, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 2, 2024).

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

    Install a fire alarm system that can be heard throughout the facility.

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

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of March 21, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 2, 2024).

  18. 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 February 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 10, 2023).

  19. 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 February 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 10, 2023).

  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 February 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 9, 2023).

  21. 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 February 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 9, 2023).

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

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

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

    Health citation F-0627, Resident Rights Deficiencies. Inspection of June 17, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 18, 2026).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of April 3, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 7, 2026).

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

    Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

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

    Health citation F-0635, Resident Assessment and Care Planning Deficiencies. Inspection of April 24, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 2, 2025).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of April 24, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 19, 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.