Holt Senior Care and Rehab Center
5091 Willoughby Road · Holt, MI · 48842 · 5176942144
101 certified beds For profit - Corporation Chain: Nexcare Health Systems
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.89 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.74 | 0.55–0.75 |
| Weekend hours / resident-day | 3.52 | ≈ weekday level |
| Nursing turnover / year | 28% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (20 in the current record)
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Potential for harm · D January 15, 2025
Assess the resident when there is a significant change in condition
Corrected February 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 15, 2025
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected February 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 15, 2025
Ensure each resident receives an accurate assessment.
Corrected February 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 15, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected February 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · E January 15, 2025
Provide and implement an infection prevention and control program.
Corrected February 4, 2025 · Infection Control
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Potential for harm · D August 22, 2024 · found via complaint
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected September 5, 2024 · Administration
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Potential for harm · D December 20, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 11, 2024 · Quality of Life and Care
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Potential for harm · D December 20, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 11, 2024 · Quality of Life and Care
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Potential for harm · D December 20, 2023
Provide enough food/fluids to maintain a resident's health.
Corrected January 11, 2024 · Quality of Life and Care
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Potential for harm · D December 20, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 11, 2024 · Pharmacy Service
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Potential for harm · D September 23, 2022
Ensure each resident receives an accurate assessment.
Corrected October 28, 2022 · Resident Assessment and Care Planning
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Potential for harm · D September 23, 2022
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected October 28, 2022 · Resident Assessment and Care Planning
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Potential for harm · D September 23, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 28, 2022 · Resident Assessment and Care Planning
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Potential for harm · D September 23, 2022
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 28, 2022 · Resident Assessment and Care Planning
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Potential for harm · D September 23, 2022
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 28, 2022 · Quality of Life and Care
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Potential for harm · E September 23, 2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 28, 2022 · Quality of Life and Care
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Potential for harm · D September 23, 2022
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected October 28, 2022 · Quality of Life and Care
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Potential for harm · D September 23, 2022
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected October 28, 2022 · Nursing and Physician Services
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Potential for harm · D September 23, 2022
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.
Corrected October 28, 2022 · Pharmacy Service
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Potential for harm · E September 23, 2022
Provide and implement an infection prevention and control program.
Corrected October 28, 2022 · Infection Control
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235279 · certified since January 1, 1976. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.