Deficiency Records for Holly Nursing Care Center

(Home page)

Updated as of March 01, 2024

A list of the most recent deficiencies for Holly Nursing Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-04-25 2023-06-13 N
Provide properly protected cooking facilities. Fire Safety 2023-04-25 2023-04-26 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-04-25 2023-04-25 N
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. Health 2023-03-30 2023-04-21 N
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. Health 2023-03-30 2023-04-13 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-03-30 2023-04-13 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-03-30 2023-04-13 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-03-30 2023-04-13 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2021-12-29 2022-01-26 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-12-29 2022-01-26 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-12-16 2021-12-20 N
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 limited. Health 2021-12-16 2021-12-20 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-03-11 2021-04-01 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-03-11 2021-04-01 Y
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2021-03-11 2021-04-01 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2021-03-11 2021-04-01 Y
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2021-03-11 2021-04-01 Y
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 limited. Health 2021-03-11 2021-04-01 Y
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2021-03-11 2021-04-01 Y
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 limited. Health 2020-10-01 2020-10-19 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2020-10-01 2020-10-16 N
Provide enough food/fluids to maintain a resident's health. Health 2020-10-01 2020-10-02 N