Holton Health Care Center
Nursing Home · Holton, KS
CMS certification number175435
CMS lists this nursing home as a Special Focus Facility candidate – one of the lowest-performing nursing homes in its state based on inspection history.
Contact & location
1121 W 7TH StreetHolton, KS 66436
Jackson County
- Phone
- (785) 328-4636
- ZIP code
- 66436 – all care providers
Facility details
- Certified beds
- 45
- Residents per day
- 36.8 (82% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Holton Health Care Center LLC
- Chain
- Reliant Care Management (34 facilities, avg 1.2★)
- Medicare certified since
- April 1, 2007
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 2.82 (state 4.07 · U.S. 3.86)
- Registered nurses (RN)
- 0.32 (state 0.71 · U.S. 0.69)
- Licensed practical nurses
- 0.48 (state 0.65 · U.S. 0.86)
- Nurse aides
- 2.02 (state 2.70 · U.S. 2.32)
- Weekend total
- 2.55 (state 3.60 · U.S. 3.42)
- Nursing staff turnover
- —
- RN turnover
- —
Inspections
- Last standard inspection
- August 26, 2025
- Health deficiencies (last cycle)
- 27.0 (state 9.5 · U.S. 9.3)
- From complaints
- 0
- Citations on record (3 years)
- 56 health · 24 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2025-08-26 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-26 | Observe each nurse aide's job performance and give regular training. F0730 · Nursing and Physician Services Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-26 | 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. F0801 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-26 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-26 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-26 | Implement a program that monitors antibiotic use. F0881 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-26 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. F0947 · Nursing and Physician Services Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-26 | 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. F0584 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-26 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-26 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-26 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-26 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-26 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-26 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. F0802 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-26 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-26 | 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. F0887 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-26 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925 · Environmental Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-26 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-26 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-26 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-26 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-26 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-26 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-26 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-26 | Provide care or services that was trauma informed and/or culturally competent. F0699 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-26 | 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. F0849 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-26 | Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies |
C No actual harm, potential for minimal harm |
Corrected 2025-10-03 |
| 2024-12-30 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-12-20 |
| 2024-08-19 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-09-05 |
| 2024-08-19 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-09-05 |
| 2024-08-19 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-09-05 |
| 2024-01-29 | Provide care or services that was trauma informed and/or culturally competent. F0699 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-02-26 |
| 2024-01-29 | 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. F0742 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-02-26 |
| 2024-01-29 | 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. F0727 · Nursing and Physician Services Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-02-26 |
| 2024-01-29 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835 · Administration Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-02-26 |
| 2024-01-29 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. F0841 · Nursing and Physician Services Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-02-26 |
| 2024-01-29 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. F0851 · Administration Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-02-26 |
| 2024-01-29 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865 · Administration Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-02-26 |
| 2024-01-29 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868 · Administration Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-02-26 |
| 2024-01-29 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-26 |
| 2024-01-29 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-26 |
| 2024-01-29 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-26 |
| 2024-01-29 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. F0553 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-26 |
| 2024-01-29 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-26 |
| 2024-01-29 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-26 |
| 2024-01-29 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-26 |
| 2024-01-29 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-26 |
| 2024-01-29 | 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. F0758 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-26 |
| 2024-01-29 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-26 |
| 2023-10-16 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2023-10-09 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
4 penalties in the last three years, including $206,328 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-12-30 | Fine | $14,672 |
| 2024-08-19 | Fine | $126,089 |
| 2024-01-29 | Fine | $49,636 |
| 2023-10-16 | Fine | $15,931 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Bahr-Slocum, Jennifer (individual) | Administrator · NOT APPLICABLE | |
| Destefane, Richard (individual) | Administrator · NOT APPLICABLE | |
| Holton Associates, L.L.C. (organization) | Administrator · NOT APPLICABLE | |
| Manzer, Jonathan (individual) | Administrator · NOT APPLICABLE | |
| Reliant Care Management Company LLC (organization) | Administrator · NOT APPLICABLE | |
| Richard J. Destefane Revocable Living Trust (organization) | Administrator · NOT APPLICABLE | |
| TLG II LLP (organization) | Administrator · NOT APPLICABLE | |
| Destefane, Richard (individual) | Corporate Officer · NOT APPLICABLE | |
| Reliant Care Group LLC (organization) | Direct Ownership Interest · NOT APPLICABLE | |
| Destefane, Richard (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| RCG INC (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Richard J. Destefane Revocable Living Trust (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Bahr-Slocum, Jennifer (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Manzer, Jonathan (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Reliant Care Management Company LLC (organization) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Holton Health Care Center?
Holton Health Care Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Kansas.
How many beds does Holton Health Care Center have?
It has 45 certified beds and cares for about 37 residents per day.
Has Holton Health Care Center been fined?
Yes. CMS lists 4 penalties totaling $206,328 in the last three years.
Who owns Holton Health Care Center?
It is part of Reliant Care Management and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Holton Health Care Center?
(785) 328-4636. The facility is located at 1121 W 7TH Street, Holton, KS 66436.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.