PlainNursing
CMS Nursing Home Compare · August 2026

Holton Health Care Center

1121 W 7th Street, Holton, KS 66436

Holton Health Care Center, a 45-bed for profit - limited liability company nursing facility in Holton, KS, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #291 of 294 rated homes in KS on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 7 inspection findings 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: 7853284636

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1 / 5
Much below average · CMS overall · nat'l 3.0
#291 of 294
In-state rank among rated KS homes
2.82
Well below average · nurse hrs/day · nat'l 3.86
50
Inspection findings · 7 serious

The verdict

Holton Health Care Center, a 45-bed for profit - limited liability company nursing facility in Holton, KS, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #291 of 294 rated homes in KS on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 7 inspection findings reached the actual-harm or immediate-jeopardy level.

1 / 5
CMS overall · national 3.0
#291 of 294
In-state rank among rated KS homes
2.82
Nurse hrs/resident-day · national 3.86
50
Inspection findings · 7 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 296 KS 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

1/5

Staffing

1/5

Quality Measures

2/5

Long-Stay Quality

2/5

Facility Information

Provider Number
175435
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
45
Residents
37
In Hospital
No
County
Jackson
Last Inspection
Aug 26, 2025
Special Focus
SFF Candidate

Staffing Data

How the 2.82 total nursing hours per resident-day are staffed:

RN Hours
0.32 (nat'l avg: 0.69)
LPN Hours
0.48
CNA Hours
2.02
Total Nursing Hours
2.82 (nat'l avg: 3.86)
PT Hours
0.03

What the CMS Record Reveals About Holton Health Care Center

According to CMS Nursing Home Compare, Holton Health Care Center ranks #291 of 294 rated nursing homes in KS on overall stars (tie-broken by health+staffing+quality, then fewer fines). Holton Health Care Center operates 45 certified beds in Holton, KS with approximately 37 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 1★ · quality 2★).

The inspection file contains 50 deficiency records from recent surveys, of which 7 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 4 penalties totaling $206K against this provider. Reported nurse staffing runs 2.82 total hours per resident day (national average 3.86); RN hours specifically are 0.32 per resident day. This facility is flagged as an SFF Candidate, a larger pool of providers eligible for the Special Focus Facility program but not currently selected (states have a limited number of active SFF slots); it remains under normal, not enhanced, oversight.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Holton Health Care Center falls into a category where comparative context matters.

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 (50 most recent)

C - Widespread - No harm Aug 26, 2025 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 3, 2025

D - Isolated - Minimal harm Aug 26, 2025 Tag: 0849

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.

Category: Administration Deficiencies

Corrected: Oct 3, 2025

D - Isolated - Minimal harm Aug 26, 2025 Tag: 0699

Provide care or services that was trauma informed and/or culturally competent.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 3, 2025

D - Isolated - Minimal harm Aug 26, 2025 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 3, 2025

D - Isolated - Minimal harm Aug 26, 2025 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 3, 2025

D - Isolated - Minimal harm Aug 26, 2025 Tag: 0676

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 3, 2025

D - Isolated - Minimal harm Aug 26, 2025 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 3, 2025

D - Isolated - Minimal harm Aug 26, 2025 Tag: 0656

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: Oct 3, 2025

D - Isolated - Minimal harm Aug 26, 2025 Tag: 0582

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category: Resident Rights Deficiencies

Corrected: Oct 3, 2025

D - Isolated - Minimal harm Aug 26, 2025 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Oct 3, 2025

E - Pattern - Minimal harm Aug 26, 2025 Tag: 0925

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category: Environmental Deficiencies

Corrected: Oct 3, 2025

E - Pattern - Minimal harm Aug 26, 2025 Tag: 0887

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.

Category: Infection Control Deficiencies

Corrected: Oct 3, 2025

E - Pattern - Minimal harm Aug 26, 2025 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Oct 3, 2025

E - Pattern - Minimal harm Aug 26, 2025 Tag: 0802

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 3, 2025

E - Pattern - Minimal harm Aug 26, 2025 Tag: 0761

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: Oct 3, 2025

E - Pattern - Minimal harm Aug 26, 2025 Tag: 0756

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: Oct 3, 2025

E - Pattern - Minimal harm Aug 26, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 3, 2025

E - Pattern - Minimal harm Aug 26, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 3, 2025

E - Pattern - Minimal harm Aug 26, 2025 Tag: 0605

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 3, 2025

E - Pattern - Minimal harm Aug 26, 2025 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Oct 3, 2025

F - Widespread - Minimal harm Aug 26, 2025 Tag: 0947

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 3, 2025

F - Widespread - Minimal harm Aug 26, 2025 Tag: 0881

Implement a program that monitors antibiotic use.

Category: Infection Control Deficiencies

Corrected: Oct 3, 2025

F - Widespread - Minimal harm Aug 26, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 3, 2025

F - Widespread - Minimal harm Aug 26, 2025 Tag: 0812

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: Oct 3, 2025

F - Widespread - Minimal harm Aug 26, 2025 Tag: 0801

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.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 3, 2025

F - Widespread - Minimal harm Aug 26, 2025 Tag: 0730

Observe each nurse aide's job performance and give regular training.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 3, 2025

F - Widespread - Minimal harm Aug 26, 2025 Tag: 0725

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: Oct 3, 2025

G - Isolated - Actual harm Dec 30, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 20, 2024

G - Isolated - Actual harm Aug 19, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 5, 2024

G - Isolated - Actual harm Aug 19, 2024 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 5, 2024

J - Isolated - Jeopardy Aug 19, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 5, 2024

D - Isolated - Minimal harm Jan 29, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Feb 26, 2024

D - Isolated - Minimal harm Jan 29, 2024 Tag: 0758

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: Feb 26, 2024

D - Isolated - Minimal harm Jan 29, 2024 Tag: 0756

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: Feb 26, 2024

D - Isolated - Minimal harm Jan 29, 2024 Tag: 0656

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: Feb 26, 2024

D - Isolated - Minimal harm Jan 29, 2024 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Feb 26, 2024

D - Isolated - Minimal harm Jan 29, 2024 Tag: 0582

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category: Resident Rights Deficiencies

Corrected: Feb 26, 2024

D - Isolated - Minimal harm Jan 29, 2024 Tag: 0553

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Category: Resident Rights Deficiencies

Corrected: Feb 26, 2024

E - Pattern - Minimal harm Jan 29, 2024 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Feb 26, 2024

E - Pattern - Minimal harm Jan 29, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 26, 2024

E - Pattern - Minimal harm Jan 29, 2024 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Feb 26, 2024

F - Widespread - Minimal harm Jan 29, 2024 Tag: 0868

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Category: Administration Deficiencies

Corrected: Feb 26, 2024

F - Widespread - Minimal harm Jan 29, 2024 Tag: 0865

Have a plan that describes the process for conducting QAPI and QAA activities.

Category: Administration Deficiencies

Corrected: Feb 26, 2024

F - Widespread - Minimal harm Jan 29, 2024 Tag: 0851

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Category: Administration Deficiencies

Corrected: Feb 26, 2024

F - Widespread - Minimal harm Jan 29, 2024 Tag: 0841

Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

Category: Nursing and Physician Services Deficiencies

Corrected: Feb 26, 2024

F - Widespread - Minimal harm Jan 29, 2024 Tag: 0835

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Category: Administration Deficiencies

Corrected: Feb 26, 2024

F - Widespread - Minimal harm Jan 29, 2024 Tag: 0727

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Category: Nursing and Physician Services Deficiencies

Corrected: Feb 26, 2024

J - Isolated - Jeopardy Jan 29, 2024 Tag: 0742

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 26, 2024

J - Isolated - Jeopardy Jan 29, 2024 Tag: 0699

Provide care or services that was trauma informed and/or culturally competent.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 26, 2024

J - Isolated - Jeopardy Oct 16, 2023 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 9, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 33.3% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 2.1% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.6% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 24.7% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 3.7% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 30.4% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 0.0% No
Percentage of long-stay residents who have depressive symptoms Long Stay 77.4% 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 1.6% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 16.8% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 86.2% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 28.2% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 2.6% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 4.3% No

Penalty History 4 penalties totaling $206K

Date Type Amount
Dec 30, 2024 Fine $15K
Aug 19, 2024 Fine $126K
Jan 29, 2024 Fine $50K
Oct 16, 2023 Fine $16K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Holton Health Care Center, both outside KS so the neighborhoods are not the same-state geography list below.

What the CMS records show for Holton Health Care 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 KS registry aggregates state averages and the highest-rated homes in this cohort. View KS registry
  • Peer homes near 45 beds show how CMS stars vary at a similar scale in KS. 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 Holton Health Care Center?
Holton Health Care Center has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (1★), and quality measures (2★).
Where does Holton Health Care Center rank among nursing homes in KS?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Holton Health Care Center ranks 291st among 294 rated nursing homes in KS (#291 of 294). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Holton Health Care Center?
Holton Health Care Center reports 2.82 total nursing hours per resident day (national average: 3.86). RN hours are 0.32 per resident day (national average: 0.69).
How many beds does Holton Health Care Center have?
Holton Health Care Center has 45 certified beds with approximately 37 residents. The facility is located at 1121 W 7th Street, Holton, KS 66436.
Does Holton Health Care Center have any deficiencies on record?
Yes, Holton Health Care Center has 50 deficiencies on record from recent inspections. Of these, 7 are classified as causing actual harm or jeopardy.
Has Holton Health Care Center received any fines or penalties?
Yes, Holton Health Care Center has received 4 penalties totaling $206K.
Who owns Holton Health Care Center?
Holton Health Care Center is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Holton Health Care Center last inspected?
The most recent health inspection for Holton Health Care Center was on Aug 26, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Holton Health Care Center?
Holton Health Care Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
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.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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