Special Focus candidateAbuse citationGovernment-run
★★★★★1 of 5 overall
A Holly Patterson Extended Care Facility has a 1-star overall rating, with a 1-star health inspection rating, 3-star staffing, and 4-star quality measures. It is an SFF Candidate/special focus facility, had $127,449 in fines in the last 24 months, and reported nurse staffing of 3.01 hours per resident per day versus the 4.1 federal benchmark.
Last inspection: September 30, 2025Penalties, last 24 months: $127,449special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.007.
Staffing detail
Registered nurses
0.66
Licensed practical nurses
0.32
Nurse aides
2.03
Weekend nursing
2.55
Hours per resident per day.
Total staff turnover: 15%
Registered nurse turnover: 19%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
9.8%9.2%Improving
Residents with a fall causing major injury
1.4%1.9%Worsening
Residents with pressure ulcers (bedsores)
7.9%5.7%Improving
Residents with a urinary tract infection
0.7%1%No change
Residents who lost too much weight
4.4%4.1%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
13.9%16.3%Worsening
Residents whose ability to walk got worse
13.3%14.2%Worsening
Long-stay residents on antianxiety or sleep medication
4.4%2.6%Improving
Short-stay residents newly given an antipsychotic
0%2.1%Worsening
Residents with a long-term catheter
0%0.5%No change
Residents with new or worsening incontinence
7.8%5%Improving
Residents with depressive symptoms
1.5%0.5%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—98.7%—
Long-stay residents given the pneumonia vaccine
97.4%97.8%No change
Short-stay residents given the seasonal flu vaccine
—93.3%—
Short-stay residents given the pneumonia vaccine
90.8%79.4%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2022 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
The nursing home failed to ensure residents received the behavioral health care and services they needed. Cited March 2022 — limited pattern, immediate jeopardy to residents.
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F-Tag 740 — 42 CFR §483.40 — S/S: K
The nursing home failed to protect residents from abuse and neglect by others. Cited May 2025 — isolated incident, immediate jeopardy to residents.
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F-Tag 600 — 42 CFR §483.12 — S/S: J
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited May 2025 — isolated incident, immediate jeopardy to residents.
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F-Tag 607 — 42 CFR §483.12 — S/S: J
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited April 2024 — limited pattern, potential for harm.
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F-Tag 755 — 42 CFR §483.45 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
PENALTY
A federal fine of $14,777 was recorded.
INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $112,672 was recorded.
INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
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Penalties & enforcement
On record with Medicare: 3 fines · $140,797 in total fines · 1 payment denial.
Federal fine
Sep 30, 2025
$14,777
Federal fine
May 23, 2025
$112,672
Medicare/Medicaid payment denial
Apr 2, 2024
92 days
Federal fine
Apr 2, 2024
$13,348
Operator & ownership
Ownership
Government - State
Occupancy
426.3 residents on an average day (72% of 589 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 59 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.