CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Holly Manor Center
View the most recent health deficiencies and inspection results for Holly Manor Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Holly Manor Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2025-02-11 | 2025-03-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-02-11 | 2025-03-15 | N |
| Dispose of garbage and refuse properly. | Health | 2025-02-11 | 2025-03-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-02-11 | 2025-03-15 | N |
| 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. | Health | 2025-02-11 | 2025-03-15 | 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 | 2025-02-11 | 2025-03-15 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-02-11 | 2025-03-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-02-11 | 2025-03-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-02-11 | 2025-03-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-02-11 | 2025-03-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-02-11 | 2025-03-11 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-02-11 | 2025-03-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-02-11 | 2025-03-07 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-02-11 | 2025-03-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-02-11 | 2025-02-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-02-11 | 2025-02-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-02-11 | 2025-02-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-02 | 2023-06-23 | Y |
| 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. | Health | 2023-06-02 | 2023-06-23 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-06-02 | 2023-06-23 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-01-27 | 2023-04-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-27 | 2023-03-17 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-01-27 | 2023-03-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-27 | 2023-03-13 | N |
| 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 | 2023-01-27 | 2023-03-03 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-01-27 | 2023-03-03 | 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 | 2023-01-27 | 2023-03-03 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-01-27 | 2023-03-03 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-27 | 2023-03-03 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-01-27 | 2023-03-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-01-27 | 2023-03-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-01-27 | 2023-03-03 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-01-27 | 2023-02-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-27 | 2023-01-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-02-05 | 2021-03-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-02-05 | 2021-03-22 | N |