Holton Health Care Center
1121 W 7th Street · Holton, KS · 66436 · 7853284636
45 certified beds For profit - Limited Liability company Chain: Reliant Care Management
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $140,761 in fines in the last 24 months.
- 3 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
4 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
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.
$140,761 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
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: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.07 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.45 | 0.55–0.75 |
| Weekend hours / resident-day | 2.88 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 4 · $201,614 |
Inspection citations (60 in the current record)
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Potential for harm · D August 26, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected October 3, 2025 · Resident Rights
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Potential for harm · D August 26, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected October 3, 2025 · Resident Rights
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Potential for harm · E August 26, 2025
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.
Corrected October 3, 2025 · Resident Rights
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Potential for harm · E August 26, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected October 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E August 26, 2025
Ensure each resident receives an accurate assessment.
Corrected October 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 26, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 26, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 26, 2025
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected October 3, 2025 · Quality of Life and Care
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Potential for harm · E August 26, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 3, 2025 · Quality of Life and Care
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Potential for harm · D August 26, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected October 3, 2025 · Quality of Life and Care
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Potential for harm · D August 26, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected October 3, 2025 · Quality of Life and Care
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Potential for harm · D August 26, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected October 3, 2025 · Quality of Life and Care
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Potential for harm · F August 26, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected October 3, 2025 · Nursing and Physician Services
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Potential for harm · F August 26, 2025
Observe each nurse aide's job performance and give regular training.
Corrected October 3, 2025 · Nursing and Physician Services
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Potential for harm · E August 26, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected October 3, 2025 · Pharmacy Service
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Potential for harm · E August 26, 2025
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 October 3, 2025 · Pharmacy Service
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Potential for harm · F August 26, 2025
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.
Corrected October 3, 2025 · Nutrition and Dietary
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Potential for harm · E August 26, 2025
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected October 3, 2025 · Nutrition and Dietary
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Potential for harm · F August 26, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 3, 2025 · Nutrition and Dietary
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Potential for harm · D August 26, 2025
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.
Corrected October 3, 2025 · Administration
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Potential for harm · F August 26, 2025
Provide and implement an infection prevention and control program.
Corrected October 3, 2025 · Infection Control
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Potential for harm · F August 26, 2025
Implement a program that monitors antibiotic use.
Corrected October 3, 2025 · Infection Control
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Potential for harm · E August 26, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected October 3, 2025 · Infection Control
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Potential for harm · E August 26, 2025
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.
Corrected October 3, 2025 · Infection Control
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Potential for harm · E August 26, 2025
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected October 3, 2025 · Environmental
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 30, 2024 | Fine | $14,672 |
| August 19, 2024 | Fine | $126,089 |
| January 29, 2024 | Fine | $44,922 |
| October 16, 2023 | Fine | $15,931 |
Better-scoring options nearby
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 175435 · certified since April 1, 2007. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.