Holmes Lake Rehabilitation & Care Center has a 1-star overall rating, with 1-star health inspection and staffing scores and a 2-star quality rating. It reports 3.61 nurse staffing hours per resident per day versus the 4.1 federal benchmark, has no fines in the last 24 months, and is flagged for the lowest overall rating.
Last inspection: June 10, 2025Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6081.
Staffing detail
Registered nurses
0.42
Licensed practical nurses
0.55
Nurse aides
2.65
Weekend nursing
3.40
Hours per resident per day.
Total staff turnover: 78%
Registered nurse turnover: 71%
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
15.6%20.8%Worsening
Residents with a fall causing major injury
4.2%6.4%Worsening
Residents with pressure ulcers (bedsores)
1.5%5.3%Worsening
Residents with a urinary tract infection
2.2%2.2%No change
Residents who lost too much weight
0%3.2%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
14.6%15.6%Worsening
Residents whose ability to walk got worse
—19.9%—
Long-stay residents on antianxiety or sleep medication
7.3%15.6%Worsening
Short-stay residents newly given an antipsychotic
4%2.9%Improving
Residents with a long-term catheter
3.4%2.6%Improving
Residents with new or worsening incontinence
38.9%30.3%Improving
Residents with depressive symptoms
11.1%6.4%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
—69.4%—
Long-stay residents given the pneumonia vaccine
72.9%70.2%Worsening
Short-stay residents given the seasonal flu vaccine
—32%—
Short-stay residents given the pneumonia vaccine
55.3%60.9%Improving
What the inspectors found
The nursing home failed to properly report ownership or management changes to the state agency and follow required disclosure rules. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 844 — 42 CFR §483.70 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited October 2024 — widespread issue, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited October 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to ensure nurse aides had the skills and training needed to care for residents safely, including dementia care and abuse prevention. Cited October 2024 — widespread issue, potential for harm.
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F-Tag 947 — 42 CFR §483.95 — S/S: F
The nursing home failed to post its nurse staffing information every day, so families could not easily see daily staffing levels. Cited November 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 732 — 42 CFR §483.35(i) — S/S: F
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
Ownership
For profit - Corporation
Occupancy
52.5 residents on an average day (54% of 97 beds)
Resident voice
Resident council
Medicare history
Certified for 30 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.