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 37 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

    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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

  13. 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).

  14. 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).

  15. 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).

  16. 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).

  17. 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).

  18. 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).

  19. 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).

  20. 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).

  21. 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).

  22. 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).

  23. 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).

  24. 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).

  25. 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).

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.