Holly Manor Center
84 Cold Hill Road, Mendham, NJ 07945
Holly Manor Center, a 124-bed for profit - limited liability company nursing facility in Mendham, NJ, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #215 of 346 rated homes in NJ on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 9735432500
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- 3 / 5
- Average · CMS overall · nat'l 3.0
- #215 of 346
- In-state rank among rated NJ homes
- 3.17
- Well below average · nurse hrs/day · nat'l 3.86
- 20
- Inspection findings · 1 serious
The verdict
Holly Manor Center, a 124-bed for profit - limited liability company nursing facility in Mendham, NJ, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #215 of 346 rated homes in NJ on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
- 3 / 5
- CMS overall · national 3.0
- #215 of 346
- In-state rank among rated NJ homes
- 3.17
- Nurse hrs/resident-day · national 3.86
- 20
- Inspection findings · 1 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 348 NJ nursing homes split by ownership sector
This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 315143
- Ownership
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Beds
- 124
- Residents
- 92
- In Hospital
- No
- County
- Morris
- Last Inspection
- Feb 11, 2025
Staffing Data
How the 3.17 total nursing hours per resident-day are staffed:
- RN Hours
- 0.58 (nat'l avg: 0.69)
- LPN Hours
- 0.61
- CNA Hours
- 1.98
- Total Nursing Hours
- 3.17 (nat'l avg: 3.86)
- PT Hours
- 0.06
- Nursing Turnover
- 38.6%
- RN Turnover
- 31.3%
What the CMS Record Reveals About Holly Manor Center
According to CMS Nursing Home Compare, Holly Manor Center ranks #215 of 346 rated nursing homes in NJ on overall stars (tie-broken by health+staffing+quality, then fewer fines). Holly Manor Center operates 124 certified beds in Mendham, NJ with approximately 92 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars (health inspection 2★ · staffing 2★ · quality 5★).
The inspection file contains 20 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider. Reported nurse staffing runs 3.17 total hours per resident day (national average 3.86); RN hours specifically are 0.58 per resident day.
Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Holly Manor Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 38.6% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (20 most recent)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Mar 15, 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.
Category: Pharmacy Service Deficiencies
Corrected: Mar 15, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Mar 15, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Mar 15, 2025
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.
Category: Pharmacy Service Deficiencies
Corrected: Mar 15, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Category: Pharmacy Service Deficiencies
Corrected: Mar 15, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category: Pharmacy Service Deficiencies
Corrected: Mar 15, 2025
Dispose of garbage and refuse properly.
Category: Nutrition and Dietary Deficiencies
Corrected: Mar 15, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Mar 15, 2025
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.
Category: Pharmacy Service Deficiencies
Corrected: Mar 3, 2023
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 3, 2023
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Category: Resident Rights Deficiencies
Corrected: Feb 17, 2023
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Category: Resident Rights Deficiencies
Corrected: Mar 3, 2023
Reasonably accommodate the needs and preferences of each resident.
Category: Resident Rights Deficiencies
Corrected: Mar 3, 2023
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Category: Nutrition and Dietary Deficiencies
Corrected: Mar 3, 2023
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Category: Nursing and Physician Services Deficiencies
Corrected: Mar 3, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Mar 13, 2023
Provide enough food/fluids to maintain a resident's health.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 3, 2023
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Mar 23, 2021
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category: Pharmacy Service Deficiencies
Corrected: Mar 22, 2021
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 14.5% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.4% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.4% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.4% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 9.0% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 26.5% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.3% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 4.3% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 6.5% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 99.3% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 5.0% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 22.2% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 94.6% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 98.2% | No |
Penalty History
No penalties on record.
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Holly Manor Center, both outside NJ so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside NJ (124 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside NJ (3.13 here).
Nearby Nursing Homes in NJ
347 other nursing homes are on record in NJ; 6 are shown here.
Abigail House for Nursing & Rehabilitation
Camden, NJ
Abingdon Care & Rehabilitation Center
Green Brook, NJ
Accela Post Acute Care at Hamilton
Hamilton, NJ
Accelerate Skilled Nursing and Rehab Piscataway
Piscataway, NJ
Acclaim Rehabilitation and Nursing Center
Jersey City, NJ
Actors Fund Home
Englewood, NJ
Understanding Nursing Home Data
What the CMS records show for Holly Manor Center
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The NJ registry aggregates state averages and the highest-rated homes in this cohort. View NJ registry
- Peer homes near 124 beds show how CMS stars vary at a similar scale in NJ. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Holly Manor Center?
Where does Holly Manor Center rank among nursing homes in NJ?
What are the staffing levels at Holly Manor Center?
How many beds does Holly Manor Center have?
Does Holly Manor Center have any deficiencies on record?
Has Holly Manor Center received any fines or penalties?
Who owns Holly Manor Center?
When was Holly Manor Center last inspected?
What quality measures are tracked for Holly Manor Center?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
