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 26 to 50 of 56 citations

No harm, with potential for more than minimal harm
Install a fire alarm system that can be heard throughout the facility.
Widespread (many residents). CMS level F.
Fire safety citation K-0341, Smoke Deficiencies. Inspection of November 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (January 10, 2024).
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 November 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (January 10, 2024).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Widespread (many residents). CMS level F.
Fire safety citation K-0511, Services Deficiencies. Inspection of November 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (January 10, 2024).
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 November 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (January 10, 2024).
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 9, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 18, 2026).
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 April 9, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 29, 2026).
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).
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).
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).
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).
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).
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).
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 November 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (January 10, 2024).
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 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (January 10, 2024).
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 November 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (January 10, 2024).
No harm, with potential for more than minimal harm
Meet requirements for the use of electrical equipment.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0919, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (January 25, 2024).
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 November 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (January 10, 2024).
No harm, with potential for more than minimal harm
Meet requirements for the use and maintenance of medical gas equipment.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0922, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (January 25, 2024).
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 November 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (January 10, 2024).
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 9, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 18, 2026).
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).
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).
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).
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).
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).

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.