Holly Manor Center

Certification

Medicare-certified.

Ratings

Inspection history (23)

Records from February 2021 to February 2025.

• February 11, 2025

  Tag F0755

  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 15, 2025.

• February 11, 2025

  Tag F0656

  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 15, 2025.

• February 11, 2025

  Tag F0756

  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 15, 2025.

• February 11, 2025

  Tag F0842

  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 15, 2025.

• February 11, 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 March 15, 2025.

• February 11, 2025

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 15, 2025.

• February 11, 2025

  Tag F0814

  Dispose of garbage and refuse properly.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected March 15, 2025.

• February 11, 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 15, 2025.

• February 11, 2025

  Tag F0758

  Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is l….

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 15, 2025.

• June 2, 2023

  Tag F0622

  Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 23, 2023.

• June 2, 2023

  Tag F0604

  Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 23, 2023.

• June 2, 2023

  Tag F0842

  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 23, 2023.

• January 27, 2023

  Tag F0758

  Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is l….

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 3, 2023.

• January 27, 2023

  Tag F0582

  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 17, 2023.

• January 27, 2023

  Tag F0690

  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 3, 2023.

• January 27, 2023

  Tag F0725

  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 3, 2023.

• January 27, 2023

  Tag F0561

  Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 3, 2023.

• January 27, 2023

  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 13, 2023.

• January 27, 2023

  Tag F0558

  Reasonably accommodate the needs and preferences of each resident.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 3, 2023.

• January 27, 2023

  Tag F0692

  Provide enough food/fluids to maintain a resident's health.

  Severity G: isolated, actual harm. Corrected March 3, 2023.

Penalties

CMS lists no fines or payment denials for this nursing home in the last three years.

Staffing

3.35 nurse hours per resident per day in Q2 2026, up from 3.16 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit