New Jersey › Morris County › Mendham
Holly Manor Center
84 Cold Hill Road, Mendham, NJ 07945
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Holly Manor Center, in Mendham, New Jersey, is certified for 124 beds under for-profit, limited liability company ownership and belongs to the Genesis Healthcare chain.
CMS gives it 3 of 5 stars overall, below the New Jersey median of 4; the health inspection rating is 2, staffing 2 and quality measures 5.
Inspectors recorded 20 health deficiencies across the three most recent survey cycles (9, 9, 2 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 16.1 per 100 beds, about the same as the state median of 15.2.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.2 hours per resident per day (0.6 RN), close to the New Jersey median of 3.6; nursing staff turnover is 38.6%.
Compared with county, state and nation
| Measure | This facility | Morris Co. median | New Jersey median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 4 | 4 | 3.0 |
| Health citations, 3 cycles | 20 | 20 | 21 | 28.7 |
| Citations per 100 beds | 16.1 | 15.9 | 15.2 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.8 | 3.6 | 3.9 |
| RN hours per resident day | 0.6 | 0.7 | 0.5 | 0.7 |
| Nursing staff turnover | 38.6% | 38.6% | 38.9% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (21 in the county, 348 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: New Jersey average per facility for the same cycle, as published by CMS. Standard health survey dates: 11 Feb 2025, 27 Jan 2023.
Severity mix: G ×1 D ×10 E ×6 F ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 11 Feb 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 15 Mar 2025 |
| 11 Feb 2025 | F0814 | Dispose of garbage and refuse properly. | F | Standard survey | 15 Mar 2025 |
| 11 Feb 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 15 Mar 2025 |
| 11 Feb 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 15 Mar 2025 |
| 11 Feb 2025 | F0758 | 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. | E | Standard survey | 15 Mar 2025 |
| 11 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 15 Mar 2025 |
| 11 Feb 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 15 Mar 2025 |
| 11 Feb 2025 | F0761 | 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. | D | Standard survey | 15 Mar 2025 |
| 11 Feb 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 15 Mar 2025 |
| 27 Jan 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Standard survey | 3 Mar 2023 |
| 27 Jan 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 13 Mar 2023 |
| 27 Jan 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 3 Mar 2023 |
| 27 Jan 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 3 Mar 2023 |
| 27 Jan 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 3 Mar 2023 |
| 27 Jan 2023 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 3 Mar 2023 |
| 27 Jan 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 17 Feb 2023 |
| 27 Jan 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 3 Mar 2023 |
| 27 Jan 2023 | F0758 | 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. | D | Standard survey | 3 Mar 2023 |
| 5 Feb 2021 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 22 Mar 2021 |
| 5 Feb 2021 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 23 Mar 2021 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the New Jersey average. Turnover: nursing staff 38.6%, RNs 31.3%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | New Jersey median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 14.5% | 7.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.2% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.4% | 0.4% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.4% | 2.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.3% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.4% | 6.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 9.0% | 4.8% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 26.5% | 11.8% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: 84 Cold Hill Road Operations Llc. Chain: Genesis Healthcare (184 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Genesis Nj Holdings LLC | 5% or greater direct ownership interest | 100% | 04/01/2011 |
| Fc-Gen Operations Investment LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 04/01/2011 |
| Gen Operations I LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 04/01/2011 |
| Genesis Healthcare Inc | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 02/02/2015 |
| Genesis Healthcare LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 04/01/2011 |
| Genesis Holdings LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 02/02/2015 |
| Genesis Operations LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 04/01/2011 |
| Ghc Holdings LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 04/01/2011 |
| Sun Healthcare Group Inc | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 02/02/2015 |
| Genesis Operations LLC | Adp of the snf | NOT APPLICABLE | 01/03/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Morris County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Cheshire Home | Florham Park | 35 | 5 | 4 | 5 | 15 | 42.9 | — | 8 Jan 2026 |
| Dwelling Place At St Clares | Dover | 28 | 5 | 4 | 3 | 6 | 21.4 | — | 10 Apr 2025 |
| Florham Park Rehabilitation and Healthcare Center | Florham Park | 53 | 5 | 5 | 2 | 3 | 5.7 | — | 12 Mar 2026 |
| Livia Health and Senior Living | East Hanover | 86 | 5 | 4 | 4 | 16 | 18.6 | $25K | 20 Feb 2026 |
| Morristown Post Acute Rehab and Nursing Center | Morristown | 287 | 5 | 4 | 4 | 28 | 9.8 | — | 27 Jun 2025 |
| Pine Acres Rehabilitation and Healthcare | Madison | 102 | 5 | 4 | 2 | 12 | 11.8 | — | 15 Jan 2026 |
| Careone At Parsippany | Parsippany Troy Hill | 118 | 4 | 3 | 3 | 20 | 16.9 | — | 19 Dec 2025 |
| Cedar Crest/Mountainview Gardensabuse icon | Pompton Plains | 113 | 4 | 2 | 5 | 14 | 12.4 | $50K | 29 Jan 2026 |
All 21 facilities in Morris County
Questions and answers
How many deficiencies has Holly Manor Center been cited for?
20 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The New Jersey median is 21 per facility.
Has Holly Manor Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Holly Manor Center compare?
Reported total nurse staffing is 3.2 hours per resident per day against a New Jersey median of 3.6 and a national average of 3.9.
Who operates Holly Manor Center?
It is part of the Genesis Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Genesis Nj Holdings LLC, Fc-Gen Operations Investment LLC and Gen Operations I LLC. Individual owners and managers are not listed on this site.
When was Holly Manor Center last inspected?
The most recent survey or investigation in the CMS record is dated 11 Feb 2025; the most recent standard health survey was 11 Feb 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.