HOLTON HEALTH CARE CENTER
HOLTON HEALTH CARE CENTER is a 45-bed nursing home in HOLTON, Kansas. CMS has certified it for Medicare and Medicaid since 2007-04-01. It averages 36.8 residents a day.
What harm was found in the violations cited at HOLTON HEALTH CARE CENTER?
CMS lists 60 health-inspection deficiencies for HOLTON HEALTH CARE CENTER since 2022-08-10, 50 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2025-08-26.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-08-26 | F0725, F0730, F0801, F0812, F0880, F0881, F0947 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Observe each nurse aide's job performance and give regular training. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F |
| 2025-08-26 | F0584, F0605, F0641, F0689, F0756, F0761, F0802, F0883, F0887, F0925 | 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. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Ensure each resident receives an accurate assessment. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E |
| 2025-08-26 | F0558, F0582, F0656, F0657, F0676, F0695, F0698, F0699, F0849 | Reasonably accommodate the needs and preferences of each resident. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide care or services that was trauma informed and/or culturally competent. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D |
| 2025-08-26 | F0732 | Post nurse staffing information every day. | C |
| 2024-12-30 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2024-08-19 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J |
| 2024-08-19 | F0677, F0689 | Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2024-01-29 | F0699, F0742 | Provide care or services that was trauma informed and/or culturally competent. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | J |
| 2024-01-29 | F0727, F0835, F0841, F0851, F0865, F0868 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. / Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. / Have a plan that describes the process for conducting QAPI and QAA activities. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F |
| 2024-01-29 | F0550, F0689, F0883 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | E |
| 2024-01-29 | F0553, F0582, F0610, F0656, F0756, F0758, F0880 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Respond appropriately to all alleged violations. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / Provide and implement an infection prevention and control program. | D |
| 2023-10-16 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | J |
| 2022-08-10 | F0880, F0882 | Provide and implement an infection prevention and control program. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F |
| 2022-08-10 | F0812, F0921 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E |
| 2022-08-10 | F0657, F0690, F0756, F0758, F0759, F0761 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / Ensure medication error rates are not 5 percent or greater. / 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. | D |
Why was HOLTON HEALTH CARE CENTER fined 4 times?
| Date | Type | Amount |
|---|---|---|
| 2024-12-30 | Fine | $14,672 |
| 2024-08-19 | Fine | $126,089 |
| 2024-01-29 | Fine | $49,636 |
| 2023-10-16 | Fine | $15,931 |
How is HOLTON HEALTH CARE CENTER staffed relative to the KS average?
| Measure | This facility | KS average |
|---|---|---|
| Total nurse staffing hours per resident per day | 2.81766 | 4.06686 |
| Average number of residents per day | 36.8 | 50.5 |
Who owns HOLTON HEALTH CARE CENTER, and what chain is it in?
HOLTON HEALTH CARE CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name HOLTON HEALTH CARE CENTER LLC and belongs to the RELIANT CARE MANAGEMENT chain.
| Role | Owner | Association date |
|---|---|---|
| DIRECT OWNERSHIP INTEREST | RELIANT CARE GROUP LLC | since 01/25/2025 |
| INDIRECT OWNERSHIP INTEREST | RCG INC, RICHARD J. DESTEFANE REVOCABLE LIVING TRUST, DESTEFANE, RICHARD | since 01/25/2025 |
| CORPORATE OFFICER | DESTEFANE, RICHARD | since 01/25/2025 |
| OPERATIONAL/MANAGERIAL CONTROL | RELIANT CARE MANAGEMENT COMPANY LLC, BAHR-SLOCUM, JENNIFER, MANZER, JONATHAN | since 01/25/2025 |
| ADP OF THE SNF | HOLTON ASSOCIATES, L.L.C., RELIANT CARE MANAGEMENT COMPANY LLC, RICHARD J. DESTEFANE REVOCABLE LIVING TRUST, TLG II LLP, BAHR-SLOCUM, JENNIFER, DESTEFANE, RICHARD, MANZER, JONATHAN | since 01/25/2025 |
Were you or a family member harmed at HOLTON HEALTH CARE CENTER?