Holt Senior Care and Rehab CenterCMS ratings, inspections and fines
- Address
- 5091 Willoughby Road, Holt, MI 48842
- CCN
- 235279
- Ownership type
- For-profit, limited liability company
- Certified beds
- 101
- Residents per day
- 95
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Holt Senior Care and Rehab Center an overall rating of 5 of 5 stars. The last standard survey was on 9 Apr 2026. The latest survey cycle has 6 health citations. The median for nursing homes in Michigan is 8. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Ingham County median | Michigan median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 5 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 4 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 4 | 4.0 | 4.0 | 2.9 |
| Quality measure rating | 5 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 9 homes in the county, 422 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Michigan median |
|---|---|---|---|
| Cycle 1 (latest) | 9 Apr 2026 | 6 | 8 |
| Cycle 2 | 15 Jan 2025 | 6 | 9 |
| Cycle 3 | No date | 4 | 10 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 6 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 9 Apr 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 29 Apr 2026 |
| 9 Apr 2026 | 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 | 29 Apr 2026 |
| 9 Apr 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 29 Apr 2026 |
| 9 Apr 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 29 Apr 2026 |
| 9 Apr 2026 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 29 Apr 2026 |
| 9 Apr 2026 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 29 Apr 2026 |
Survey cycle 2: 6 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 15 Jan 2025 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 4 Feb 2025 |
| 15 Jan 2025 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 4 Feb 2025 |
| 15 Jan 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 4 Feb 2025 |
| 15 Jan 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 4 Feb 2025 |
| 15 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 4 Feb 2025 |
| 22 Aug 2024 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Complaint investigation | 5 Sep 2024 |
Survey cycle 3: 4 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 20 Dec 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 11 Jan 2024 |
| 20 Dec 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 11 Jan 2024 |
| 20 Dec 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 11 Jan 2024 |
| 20 Dec 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 11 Jan 2024 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Michigan median | Michigan average (CMS) |
|---|---|---|---|
| All nurse staff | 3.90 | 3.80 | 3.99 |
| Registered nurses (RN) | 0.73 | 0.70 | 0.78 |
| Licensed practical nurses (LPN) | 0.79 | 0.88 | |
| Nurse aides | 2.38 | 2.33 | |
| All nurse staff, weekends | 3.53 | 3.30 | 3.50 |
- Nurse staff turnover in a year
- 21.8%
- Nurse staff turnover, Michigan median
- 44.6%
- RN turnover in a year
- 5.9%
- Administrators who left in a year
- 2
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Michigan median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 4.1% | 9.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.3% | 2.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 3.8% | 10.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.5% | 4.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.2% | 13.5% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Holt Senior Care and Rehab Center, LLC
- Chain
- Nexcare Health Systems (20 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Nexcare Holdings, LLC | 5% or greater direct ownership interest | 100% | 1 Nov 2013 |
| Nexcare Health Systems, LLC | Operational/managerial control | 1 Jan 2009 |
The site shows organisations only. It does not show the names of persons.
Other homes in Ingham County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Aria Nursing and Rehabilitation | Lansing | 1 of 5 | 13 | $75,834 | 15 May 2025 | |
| Medilodge of Capital Area | Lansing | 2 of 5 | 13 | $22,710 | 6 Aug 2025 | |
| Medilodge of Campus Area | East Lansing | 3 of 5 | 6 | $0 | 30 Apr 2026 | |
| Ingham County Medical Care Facility | Okemos | 4 of 5 | 16 | $0 | 15 Dec 2025 | |
| Burcham Hills Retirement Center | East Lansing | 1 of 5 | 16 | $37,557 | 15 May 2025 | |
| Medilodge of East Lansing | East Lansing | 2 of 5 | 14 | $0 | 9 Jan 2026 | |
| The Willows at Okemos | Okemos | 5 of 5 | 7 | $0 | 16 Apr 2026 | |
| Medilodge of Okemos | Okemos | 4 of 5 | 7 | $0 | 5 Sep 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Holt Senior Care and Rehab Center (CCN 235279). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/holt-senior-care-and-rehab-center-holt-mi-235279/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Holt Senior Care and Rehab Center last inspected?
- The latest inspection with a citation in the CMS record was on 9 Apr 2026. It was a standard survey. It gave 6 citations. The standard survey before the last one was on 15 Jan 2025.
- Who operates Holt Senior Care and Rehab Center?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Nexcare Health Systems. The CMS ownership file names Nexcare Health Systems, LLC for operational or managerial control. This site does not show the names of persons.
- Is Holt Senior Care and Rehab Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in Michigan as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.