Kansas › Jackson County › Holton
Holton Health Care Center
1121 W 7th Street, Holton, KS 66436
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.
Holton Health Care Center, in Holton, Kansas, is certified for 45 beds under for-profit, limited liability company ownership and belongs to the Reliant Care Management chain.
CMS gives it 1 of 5 stars overall, below the Kansas median of 3; the health inspection rating is 1, staffing 1 and quality measures 2.
Inspectors recorded 60 health deficiencies across the three most recent survey cycles (27, 22, 11 by cycle, most recent first), 7 of them at the actual-harm or immediate-jeopardy level. That is 133.3 per 100 beds, more than the state median of 44.4.
CMS lists 4 penalties in the period covered: fines totalling $206K.
Reported nurse staffing is 2.8 hours per resident per day (0.3 RN), below the Kansas median of 3.9.
CMS flags that the facility is a Special Focus Facility candidate.
Compared with county, state and nation
| Measure | This facility | Jackson Co. median | Kansas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 60 | 60 | 24 | 28.7 |
| Citations per 100 beds | 133.3 | 133.3 | 44.4 | 26.8 |
| Total nurse hours per resident day | 2.8 | 2.8 | 3.9 | 3.9 |
| RN hours per resident day | 0.3 | 0.3 | 0.6 | 0.7 |
| Nursing staff turnover | — | — | 47.4% | 45.8% |
| Fines listed | $206,328 | $206,328 | $7,960 | — |
County and state figures are medians across facilities (1 in the county, 296 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: Kansas average per facility for the same cycle, as published by CMS. Standard health survey dates: 26 Aug 2025, 29 Jan 2024.
Severity mix: J ×4 G ×3 D ×22 E ×15 F ×15 C ×1
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 |
|---|---|---|---|---|---|
| 26 Aug 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard survey | 3 Oct 2025 |
| 26 Aug 2025 | F0730 | Observe each nurse aide's job performance and give regular training. | F | Standard survey | 3 Oct 2025 |
| 26 Aug 2025 | F0801 | 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. | F | Standard survey | 3 Oct 2025 |
| 26 Aug 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 | 3 Oct 2025 |
| 26 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 3 Oct 2025 |
| 26 Aug 2025 | F0881 | Implement a program that monitors antibiotic use. | F | Standard survey | 3 Oct 2025 |
| 26 Aug 2025 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | Standard survey | 3 Oct 2025 |
| 26 Aug 2025 | F0584 | 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. | E | Standard survey | 3 Oct 2025 |
| 26 Aug 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | Standard survey | 3 Oct 2025 |
| 26 Aug 2025 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 3 Oct 2025 |
| 26 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 3 Oct 2025 |
| 26 Aug 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 | 3 Oct 2025 |
| 26 Aug 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. | E | Standard survey | 3 Oct 2025 |
| 26 Aug 2025 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Standard survey | 3 Oct 2025 |
| 26 Aug 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 3 Oct 2025 |
| 26 Aug 2025 | F0887 | 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. | E | Standard survey | 3 Oct 2025 |
| 26 Aug 2025 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 3 Oct 2025 |
| 26 Aug 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 3 Oct 2025 |
| 26 Aug 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 3 Oct 2025 |
| 26 Aug 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 | 3 Oct 2025 |
| 26 Aug 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 3 Oct 2025 |
| 26 Aug 2025 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 3 Oct 2025 |
| 26 Aug 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 3 Oct 2025 |
| 26 Aug 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 3 Oct 2025 |
| 26 Aug 2025 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 3 Oct 2025 |
| 26 Aug 2025 | F0849 | 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. | D | Standard survey | 3 Oct 2025 |
| 26 Aug 2025 | F0732 | Post nurse staffing information every day. | C | Standard survey | 3 Oct 2025 |
| 30 Dec 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 20 Dec 2024 |
| 19 Aug 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 5 Sep 2024 |
| 19 Aug 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | G | Complaint investigation | 5 Sep 2024 |
| 19 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 5 Sep 2024 |
| 29 Jan 2024 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | J | Complaint investigation | 26 Feb 2024 |
| 29 Jan 2024 | F0742 | 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. | J | Complaint investigation | 26 Feb 2024 |
| 29 Jan 2024 | F0727 | 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. | F | Complaint investigation | 26 Feb 2024 |
| 29 Jan 2024 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Complaint investigation | 26 Feb 2024 |
| 29 Jan 2024 | F0841 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | F | Complaint investigation | 26 Feb 2024 |
| 29 Jan 2024 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Complaint investigation | 26 Feb 2024 |
| 29 Jan 2024 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Complaint investigation | 26 Feb 2024 |
| 29 Jan 2024 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Complaint investigation | 26 Feb 2024 |
| 29 Jan 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 26 Feb 2024 |
| 29 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 26 Feb 2024 |
| 29 Jan 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Complaint investigation | 26 Feb 2024 |
| 29 Jan 2024 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Complaint investigation | 26 Feb 2024 |
| 29 Jan 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Complaint investigation | 26 Feb 2024 |
| 29 Jan 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 26 Feb 2024 |
| 29 Jan 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 26 Feb 2024 |
| 29 Jan 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Complaint investigation | 26 Feb 2024 |
| 29 Jan 2024 | 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 | Complaint investigation | 26 Feb 2024 |
| 29 Jan 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 26 Feb 2024 |
| 16 Oct 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | J | Complaint investigation | 9 Oct 2023 |
| 10 Aug 2022 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 16 Sep 2022 |
| 10 Aug 2022 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard survey | 16 Sep 2022 |
| 10 Aug 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 16 Sep 2022 |
| 10 Aug 2022 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 16 Sep 2022 |
| 10 Aug 2022 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 16 Sep 2022 |
| 10 Aug 2022 | 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 | 16 Sep 2022 |
| 10 Aug 2022 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 16 Sep 2022 |
| 10 Aug 2022 | 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 | 16 Sep 2022 |
| 10 Aug 2022 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 16 Sep 2022 |
| 10 Aug 2022 | 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 | 16 Sep 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 30 Dec 2024 | Fine | $14,672 | |
| 19 Aug 2024 | Fine | $126,089 | |
| 29 Jan 2024 | Fine | $49,636 | |
| 16 Oct 2023 | Fine | $15,931 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Kansas average. Turnover: nursing staff —, RNs —; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Kansas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 33.3% | 17.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.1% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.6% | 2.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 3.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 24.7% | 15.5% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.7% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 30.4% | 15.4% | 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: Holton Health Care Center Llc. Chain: Reliant Care Management (34 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Reliant Care Group LLC | Direct ownership interest | NOT APPLICABLE | 01/25/2025 |
| Rcg Inc | Indirect ownership interest | NOT APPLICABLE | 01/25/2025 |
| Reliant Care Management Company LLC | Operational/managerial control | NOT APPLICABLE | 01/25/2025 |
| Holton Associates, L.L.C. | Adp of the snf | NOT APPLICABLE | 01/25/2025 |
| Reliant Care Management Company LLC | Adp of the snf | NOT APPLICABLE | 02/05/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has Holton Health Care Center been cited for?
60 health deficiencies across the three most recent survey cycles, 7 at the actual-harm or immediate-jeopardy level. The Kansas median is 24 per facility.
Has Holton Health Care Center been fined?
Yes. CMS lists fines totalling $206K in the period covered.
How does staffing at Holton Health Care Center compare?
Reported total nurse staffing is 2.8 hours per resident per day against a Kansas median of 3.9 and a national average of 3.9.
Who operates Holton Health Care Center?
It is part of the Reliant Care Management chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Reliant Care Group LLC, Rcg Inc and Reliant Care Management Company LLC. Individual owners and managers are not listed on this site.
When was Holton Health Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 26 Aug 2025; the most recent standard health survey was 26 Aug 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.