All citations for Holmes Lake Rehabilitation & Care 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 Holmes Lake Rehabilitation & Care Center

Last standard health inspection on record

April 9, 2026

Showing 1 to 25 of 27 citations

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

    Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.

    Widespread (many residents). CMS level F.

    Health citation F-0844, Administration Deficiencies. Inspection of June 10, 2025. Found during a complaint inspection.

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

  2. 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 October 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 20, 2024).

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

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of October 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 20, 2024).

  4. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of October 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 20, 2024).

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

    Meet other general requirements.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0100, Construction Deficiencies. Inspection of October 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 20, 2024).

  6. 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 October 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 20, 2024).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of October 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 20, 2024).

  8. 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 October 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 20, 2024).

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

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of October 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 20, 2024).

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

    Meet other general requirements that are deficient.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0500, Services Deficiencies. Inspection of October 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 20, 2024).

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

    Provide a written emergency evacuation plan.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of October 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 20, 2024).

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

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of October 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 20, 2024).

  13. 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 October 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 20, 2024).

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

    Honor each resident's preferences, choices, values and beliefs.

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

    Health citation F-0675, Quality of Life and Care Deficiencies. Inspection of June 10, 2025. Found during a complaint inspection.

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

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of October 8, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 20, 2024).

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of October 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 20, 2024).

  17. 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 October 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 20, 2024).

  18. 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 October 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 20, 2024).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 20, 2024).

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

    Respond appropriately to all alleged violations.

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

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of June 10, 2025. Found during a complaint inspection.

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

  21. 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.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of January 13, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 24, 2025).

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

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of January 13, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 24, 2025).

  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 January 13, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 24, 2025).

  24. 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 October 21, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 20, 2024).

  25. 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.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of October 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 20, 2024).

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.