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 25 of 60 citations

  1. Immediate jeopardy to resident health or safety

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of August 19, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 5, 2024).

  2. 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).

  3. 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).

  4. Immediate jeopardy to resident health or safety

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of October 16, 2023. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (October 9, 2023).

  5. 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).

  6. Harm to a resident

    Provide care and assistance to perform activities of daily living for any resident who is unable.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of August 19, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 5, 2024).

  7. 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 August 19, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 5, 2024).

  8. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of August 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 3, 2025).

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

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

    Widespread (many residents). CMS level F.

    Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of August 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 3, 2025).

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

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Widespread (many residents). CMS level F.

    Health citation F-0801, Nutrition and Dietary Deficiencies. Inspection of August 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 3, 2025).

  11. 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 August 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 3, 2025).

  12. 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 August 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 3, 2025).

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

    Implement a program that monitors antibiotic use.

    Widespread (many residents). CMS level F.

    Health citation F-0881, Infection Control Deficiencies. Inspection of August 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 3, 2025).

  14. 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 August 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 3, 2025).

  15. 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).

  16. 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).

  17. 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).

  18. 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).

  19. 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).

  20. 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).

  21. 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 August 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 16, 2022).

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

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Widespread (many residents). CMS level F.

    Health citation F-0882, Infection Control Deficiencies. Inspection of August 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 16, 2022).

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

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of August 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 3, 2025).

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

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

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

    Health citation F-0605, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of August 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 3, 2025).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of August 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 3, 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.