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 25 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

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

    Fire safety citation K-0372, 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).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of May 25, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 3, 2022).

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

    Have simulated fire drills held at unexpected times.

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

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of May 25, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 3, 2022).

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

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

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

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 25, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 3, 2022).

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

    Have generator or other power source capable of supplying service within 10 seconds.

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 25, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 3, 2022).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of May 25, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 24, 2022).

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

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

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

    Health citation F-0849, Administration Deficiencies. Inspection of May 25, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 24, 2022).

  16. 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.

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

    Fire safety citation K-0223, 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).

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

    Have corridors or aisles that are unobstructed and are at least 8 feet in width.

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

    Fire safety citation K-0232, 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).

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

    Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

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

    Fire safety citation K-0343, 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).

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

    Have elevators that firefighters can control in the event of a fire.

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

    Fire safety citation K-0531, Services Deficiencies. Inspection of May 25, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 3, 2022).

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

    Install properly constructed and protected linen or trash chutes.

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

    Fire safety citation K-0541, Services Deficiencies. Inspection of May 25, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 3, 2022).

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

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

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

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of May 25, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 3, 2022).

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

    Have restrictions on the use of portable space heaters.

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

    Fire safety citation K-0781, Miscellaneous Deficiencies. Inspection of May 25, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 3, 2022).

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

    Have power receptacles that are properly grounded.

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

    Fire safety citation K-0912, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 25, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 3, 2022).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 25, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 3, 2022).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems 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.