Holly Hill Healthcare Center
531 Stevenson Lane · Towson, MD · 21286 · 4108235310
75 certified beds For profit - Corporation Chain: Communicare Health
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
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Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.48 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.78 | 0.55–0.75 |
| Weekend hours / resident-day | 3.14 | ≈ weekday level |
| Nursing turnover / year | 53% | median 45% |
| Fines (3-yr window) | 1 · $8,278 |
Inspection citations (84 in the current record)
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Actual harm · G August 1, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Past Non-Compliance · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 5, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 15, 2024 · Resident Rights
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Potential for harm · E March 5, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected April 15, 2024 · Resident Rights
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Potential for harm · D March 5, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected April 15, 2024 · Resident Rights
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Potential for harm · D March 5, 2024
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.
Corrected April 15, 2024 · Resident Rights
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Potential for harm · E March 5, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected April 15, 2024 · Resident Rights
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Potential for harm · D March 5, 2024
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected April 15, 2024 · Resident Rights
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Potential for harm · E March 5, 2024
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected April 15, 2024 · Resident Rights
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Potential for harm · E March 5, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected April 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 5, 2024
Ensure each resident receives an accurate assessment.
Corrected April 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 5, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected April 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 5, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected April 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · E March 5, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 5, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 15, 2024 · Quality of Life and Care
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Potential for harm · D March 5, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 15, 2024 · Quality of Life and Care
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Potential for harm · D March 5, 2024
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected April 15, 2024 · Quality of Life and Care
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Potential for harm · D March 5, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 15, 2024 · Quality of Life and Care
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Potential for harm · D March 5, 2024
Provide safe, appropriate pain management for a resident who requires such services.
Corrected April 15, 2024 · Quality of Life and Care
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Potential for harm · D March 5, 2024
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.
Corrected April 15, 2024 · Quality of Life and Care
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Potential for harm · D March 5, 2024
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected April 15, 2024 · Quality of Life and Care
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Potential for harm · D March 5, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 15, 2024 · Pharmacy Service
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Potential for harm · D March 5, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected April 15, 2024 · Pharmacy Service
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Potential for harm · D March 5, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected April 15, 2024 · Pharmacy Service
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Potential for harm · D March 5, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected April 15, 2024 · Pharmacy Service
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Potential for harm · D March 5, 2024
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.
Corrected April 15, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 1, 2025 | Fine | $8,278 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 215204 · certified since June 1, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.