All citations for Holton Health 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 Holton Health Care Center

Last standard health inspection on record

August 26, 2025

Showing 1 to 19 of 19 citations

  1. Immediate jeopardy to resident health or safety

    Provide care or services that was trauma informed and/or culturally competent.

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

    Health citation F-0699, Quality of Life and Care Deficiencies. Inspection of January 29, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 26, 2024).

  2. Immediate jeopardy to resident health or safety

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

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

    Health citation F-0742, Quality of Life and Care Deficiencies. Inspection of January 29, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 26, 2024).

  3. Harm to a resident

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of December 30, 2024. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (December 20, 2024).

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

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Widespread (many residents). CMS level F.

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of January 29, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 26, 2024).

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

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Widespread (many residents). CMS level F.

    Health citation F-0835, Administration Deficiencies. Inspection of January 29, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 26, 2024).

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

    Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

    Widespread (many residents). CMS level F.

    Health citation F-0841, Nursing and Physician Services Deficiencies. Inspection of January 29, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 26, 2024).

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

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Widespread (many residents). CMS level F.

    Health citation F-0851, Administration Deficiencies. Inspection of January 29, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 26, 2024).

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

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Widespread (many residents). CMS level F.

    Health citation F-0865, Administration Deficiencies. Inspection of January 29, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 26, 2024).

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

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Widespread (many residents). CMS level F.

    Health citation F-0868, Administration Deficiencies. Inspection of January 29, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 26, 2024).

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of January 29, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 26, 2024).

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

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of January 29, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 26, 2024).

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

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

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

    Health citation F-0883, Infection Control Deficiencies. Inspection of January 29, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 26, 2024).

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

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

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

    Health citation F-0553, Resident Rights Deficiencies. Inspection of January 29, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 26, 2024).

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

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

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

    Health citation F-0582, Resident Rights Deficiencies. Inspection of January 29, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 26, 2024).

  15. 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 January 29, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 26, 2024).

  16. 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.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of January 29, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 26, 2024).

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

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of January 29, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 26, 2024).

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

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of January 29, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 26, 2024).

  19. 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 29, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 26, 2024).

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.