Holly Manor Rehab And Nursing

Inspection history (95)

• November 17, 2022 · E

  Citation F0585

  Federal surveyors cited this nursing home on 2022-11-17 under CMS tag F0585 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2022-12-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-17.GOV

• November 17, 2022 · G

  Citation F0689

  Federal surveyors cited this nursing home on 2022-11-17 under CMS tag F0689 (CMS scope/severity G: isolated, actual harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2022-11-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-17.GOV

• November 17, 2022 · F

  Citation F0801

  Federal surveyors cited this nursing home on 2022-11-17 under CMS tag F0801 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. The deficiency was recorded as corrected on 2022-12-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-17.GOV

• November 17, 2022 · F

  Citation F0882

  Federal surveyors cited this nursing home on 2022-11-17 under CMS tag F0882 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. The deficiency was recorded as corrected on 2022-12-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-17.GOV

• November 17, 2022 · D

  Citation F0690

  Federal surveyors cited this nursing home on 2022-11-17 under CMS tag F0690 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2022-12-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-17.GOV

• November 17, 2022 · D

  Citation F0677

  Federal surveyors cited this nursing home on 2022-11-17 under CMS tag F0677 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2022-12-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-17.GOV

• November 17, 2022 · D

  Citation F0658

  Federal surveyors cited this nursing home on 2022-11-17 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2022-12-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-17.GOV

• November 17, 2022 · F

  Citation F0865

  Federal surveyors cited this nursing home on 2022-11-17 under CMS tag F0865 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Have a plan that describes the process for conducting QAPI and QAA activities. The deficiency was recorded as corrected on 2022-12-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-17.GOV

• November 17, 2022 · C

  Citation F0881

  Federal surveyors cited this nursing home on 2022-11-17 under CMS tag F0881 (CMS scope/severity C: widespread, no actual harm, potential for minimal harm) for Implement a program that monitors antibiotic use. The deficiency was recorded as corrected on 2022-12-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-17.GOV

• November 17, 2022 · C

  Citation F0888

  Federal surveyors cited this nursing home on 2022-11-17 under CMS tag F0888 (CMS scope/severity C: widespread, no actual harm, potential for minimal harm) for Ensure staff are vaccinated for COVID-19. The deficiency was recorded as corrected on 2022-12-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-17.GOV

• November 17, 2022 · E

  Citation F0812

  Federal surveyors cited this nursing home on 2022-11-17 under CMS tag F0812 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2022-12-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-17.GOV

• November 17, 2022 · D

  Citation F0657

  Federal surveyors cited this nursing home on 2022-11-17 under CMS tag F0657 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2022-12-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-17.GOV

• November 17, 2022 · D

  Citation F0700

  Federal surveyors cited this nursing home on 2022-11-17 under CMS tag F0700 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. The deficiency was recorded as corrected on 2022-12-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-17.GOV

• November 17, 2022 · F

  Citation F0880

  Federal surveyors cited this nursing home on 2022-11-17 under CMS tag F0880 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2022-12-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-17.GOV

• November 17, 2022 · D

  Citation F0561

  Federal surveyors cited this nursing home on 2022-11-17 under CMS tag F0561 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. The deficiency was recorded as corrected on 2022-12-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-17.GOV

• November 17, 2022 · D

  Citation F0695

  Federal surveyors cited this nursing home on 2022-11-17 under CMS tag F0695 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2022-12-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-17.GOV

• November 17, 2022 · E

  Citation F0730

  Federal surveyors cited this nursing home on 2022-11-17 under CMS tag F0730 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Observe each nurse aide's job performance and give regular training. The deficiency was recorded as corrected on 2022-12-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-17.GOV

• November 17, 2022 · E

  Citation F0760

  Federal surveyors cited this nursing home on 2022-11-17 under CMS tag F0760 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure that residents are free from significant medication errors. The deficiency was recorded as corrected on 2022-12-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-17.GOV

• November 17, 2022 · E

  Citation F0839

  Federal surveyors cited this nursing home on 2022-11-17 under CMS tag F0839 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Employ staff that are licensed, certified, or registered in accordance with state laws. The deficiency was recorded as corrected on 2022-12-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-17.GOV

• November 17, 2022 · E

  Citation F0656

  Federal surveyors cited this nursing home on 2022-11-17 under CMS tag F0656 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2022-12-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-17.GOV

Penalties

Total fines on file: $0

Staffing

Latest: 3.19 nurse staffing hours per resident per day (2026-06-01)

Ownership

For profit - Limited Liability company

1. Parent organization: Holly Manor Snf Operations Holdings LLC

   parent · PAC 5698156685