Holland Home - Raybrook Manor

Certification

Medicare-certified.

Ratings

Inspection history (24)

Records from January 2023 to March 2026.

• March 12, 2026

  Tag F0584

  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.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 14, 2026.

• December 23, 2025

  Tag F0761

  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 27, 2026.

• December 23, 2025

  Tag F0600

  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 27, 2026.

• February 5, 2025

  Tag F0810

  Provide special eating equipment and utensils for residents who need them and appropriate assistance.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 11, 2025.

• February 5, 2025

  Tag F0585

  Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 11, 2025.

• February 5, 2025

  Tag F0812

  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected March 11, 2025.

• February 5, 2025

  Tag F0550

  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 11, 2025.

• February 5, 2025

  Tag F0689

  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity G: isolated, actual harm. Corrected March 11, 2025.

• February 5, 2025

  Tag F0583

  Keep residents' personal and medical records private and confidential.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected March 11, 2025.

• February 5, 2025

  Tag F0609

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 11, 2025.

• February 5, 2025

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 11, 2025.

• February 5, 2025

  Tag F0657

  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 11, 2025.

• January 26, 2024

  Tag F0883

  Develop and implement policies and procedures for flu and pneumonia vaccinations.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 27, 2024.

• January 26, 2024

  Tag F0658

  Ensure services provided by the nursing facility meet professional standards of quality.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 27, 2024.

• January 26, 2024

  Tag F0644

  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 27, 2024.

• January 26, 2024

  Tag F0761

  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 27, 2024.

• January 26, 2024

  Tag F0600

  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 2, 2024.

• January 26, 2024

  Tag F0726

  Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

  Severity B: pattern, no actual harm, potential for minimal harm. Corrected February 27, 2024.

• November 29, 2023

  Tag F0684

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 18, 2024.

• November 29, 2023

  Tag F0610

  Respond appropriately to all alleged violations.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 2, 2024.

Penalties (1)

• February 5, 2025 · Payment Denial

  CMS recorded a Medicare/Medicaid payment denial for new admissions starting March 1, 2025, lasting 10 days (triggered by inspection on February 5, 2025).

Staffing

4.84 nurse hours per resident per day in Q2 2026, up from 4.71 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

Non profit

• Parent company: Christian Living Services