All citations for Suites at Holly Creek Care Center, the

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 Suites at Holly Creek Care Center, the

Last standard health inspection on record

November 21, 2024

Showing 1 to 25 of 44 citations

Immediate jeopardy to resident health or safety
Provide properly protected cooking facilities.
Pattern (more than a few residents). CMS level K.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of May 25, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (August 3, 2022).
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 November 21, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 29, 2024).
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 July 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 31, 2023).
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 21, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (December 23, 2024).
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 November 21, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (January 8, 2025).
No harm, with potential for more than minimal harm
Have restrictions on the use of highly flammable decorations.
Widespread (many residents). CMS level F.
Fire safety citation K-0753, Miscellaneous Deficiencies. Inspection of November 21, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (January 6, 2025).
No harm, with potential for more than minimal harm
Install proper backup exit lighting.
Widespread (many residents). CMS level F.
Fire safety citation K-0281, Egress Deficiencies. Inspection of July 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 6, 2023).
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 July 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 6, 2023).
No harm, with potential for more than minimal harm
Have properly located and lighted "Exit" signs.
Widespread (many residents). CMS level F.
Fire safety citation K-0293, Egress Deficiencies. Inspection of July 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 6, 2023).
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 July 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 26, 2023).
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 July 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 26, 2023).
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 July 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 6, 2023).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Pattern (more than a few residents). CMS level E.
Health citation F-0880, Infection Control Deficiencies. Inspection of November 21, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (December 17, 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 November 21, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (January 8, 2025).
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 July 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 26, 2023).
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 July 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 26, 2023).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of July 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 26, 2023).
No harm, with potential for more than minimal harm
Install properly constructed and protected linen or trash chutes.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0541, Services Deficiencies. Inspection of July 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 6, 2023).
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 May 25, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 24, 2022).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0291, Egress Deficiencies. Inspection of May 25, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (August 3, 2022).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of May 25, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (August 3, 2022).
No harm, with potential for more than minimal harm
Install an approved automatic sprinkler system.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0351, Smoke Deficiencies. Inspection of May 25, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (August 3, 2022).
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 May 25, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (August 3, 2022).
No harm, with potential for more than minimal harm
Properly select, install, inspect, or maintain portable fire extinguishes.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0355, Smoke Deficiencies. Inspection of May 25, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (August 3, 2022).
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 May 25, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (August 3, 2022).

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.