All citations for Holton Manor

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 Manor

Last standard health inspection on record

May 6, 2026

Showing 1 to 25 of 34 citations

  1. Harm to a resident

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of May 6, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 25, 2026).

  2. 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 May 6, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2026).

  3. Harm to a resident

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of October 4, 2023. Found during a complaint inspection.

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

  4. 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 May 6, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 25, 2026).

  5. 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 May 6, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2026).

  6. 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 May 6, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2026).

  7. 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 May 6, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2026).

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

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0521, Services Deficiencies. Inspection of November 27, 2024. Found during a standard inspection.

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

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

    Meet requirements for the installation and maintenance of electrical systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 10, 2025).

  10. 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 August 24, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 30, 2023).

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of May 6, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 17, 2026).

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

    Have exits that are accessible at all times.

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

    Fire safety citation K-0271, Egress Deficiencies. Inspection of May 6, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2026).

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

    Have restrictions on the use of highly flammable decorations.

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

    Fire safety citation K-0753, Miscellaneous Deficiencies. Inspection of May 6, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2026).

  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.

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

    Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of March 20, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 20, 2025).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of November 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 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 November 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 3, 2024).

  17. 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 February 1, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 23, 2024).

  18. 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 August 24, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 30, 2023).

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

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

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

    Fire safety citation K-0521, Services Deficiencies. Inspection of August 24, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 8, 2023).

  20. 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 August 24, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 28, 2023).

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

    PASARR screening for Mental disorders or Intellectual Disabilities

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

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of May 6, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2026).

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

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

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

    Health citation F-0676, Quality of Life and Care Deficiencies. Inspection of May 6, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2026).

  23. 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.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of May 6, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2026).

  24. 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.

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

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of May 6, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2026).

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

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

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

    Health citation F-0693, Quality of Life and Care Deficiencies. Inspection of May 6, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2026).

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.