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Nursing homeFAID #4676

Holton Health Care Center

1121 W 7TH STREET, HOLTON, KS, 66436
(785) 328-4636
45 licensed beds

CMS rates Holton Health Care Center 1 out of 5 overall. Federal inspectors issued 92 citations across 10 inspections in the last three years, with $190,397 in fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing3/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
45
State license
N043001
CMS facility ID
175435
Care type
Nursing home
Facility name
Holton Health Care Center
Legal entity
Holton Health Care Center
Street address
1121 W 7TH STREET
City / state / ZIP
Holton, KS 66436
Phone
(785) 328-4636
State license #
N043001

About this facility — Holton Health Care Center

Holton Health Care Center is a Medicare/Medicaid-certified skilled nursing facility in Holton, Kansas. It is licensed for 45 beds — close to the median for skilled nursing facilities in Kansas (52 beds).

It is one of 7 senior care facilities in Holton and 296 skilled nursing facilities across Kansas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Reliant Care Management, a group of 35 facilities on this site.

Federal inspectors have cited Holton Health Care Center 92 times across 10 inspections in the last three years, including 4 food-safety citations, and CMS has imposed $190,397 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Reliant Care Management
Ownership type
For profit - Limited Liability company
Administrator
Pamela J Hall

Registered owners & officers

Bahr-slocum, Jennifer
Operational control · Additional disclosable party — since 2025
Destefane, Richard
Indirect owner · Officer · Additional disclosable party — since 2025
Holton Associates, L.l.c.
Additional disclosable party — since 2025
Manzer, Jonathan
Operational control · Additional disclosable party — since 2025
Rcg Inc
Indirect owner — since 2025
Reliant Care Group Llc
Direct owner — since 2025
Reliant Care Management Company Llc
Operational control · Additional disclosable party — since 2025
Richard J. Destefane Revocable Living Trust
Indirect owner · Additional disclosable party — since 2025
Tlg Ii Llp
Additional disclosable party — since 2025

Regulatory standing

Federal court records
6 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
2007-04-01
CMS overall rating
1 of 5 stars
Health deficiencies
27 at the last standard inspection
Federal fines
$190,397 total
Last standard inspection
2025-08-26
Nurse staffing
2.4 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$248 per day (≈ $7,540/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
0% Medicaid · 6% Medicare · 94% private/other
Occupancy
56% (fiscal year 2023)
Vs. state median
20% below the KS median of $309/day — full state cost breakdown

Services & coverage

Licensed beds
45
Licensed as
Nursing Facility
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.
2025-08-26Health inspection27 citations
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-10-03
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-10-03
F-0584
E · No harm found
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.
Corrected 2025-10-03
F-0605
E · No harm found
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-10-03
F-0641
E · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-10-03
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-10-03
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-10-03
F-0676
D · No harm found
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2025-10-03
F-0689
E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-10-03
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-10-03
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-10-03
F-0699
D · No harm found
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-10-03
F-0725
F · No harm found
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-10-03
F-0730
F · No harm found
Observe each nurse aide's job performance and give regular training.
Corrected 2025-10-03
F-0732
C · No harm found
Post nurse staffing information every day.
Corrected 2025-10-03
F-0756
E · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-10-03
F-0761
E · No harm found
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 2025-10-03
F-0801
F · No harm foundFood safety
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.
Corrected 2025-10-03
F-0802
E · No harm foundFood safety
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2025-10-03
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-10-03
F-0849
D · No harm found
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.
Corrected 2025-10-03
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-10-03
F-0881
F · No harm found
Implement a program that monitors antibiotic use.
Corrected 2025-10-03
F-0883
E · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-10-03
F-0887
E · No harm found
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.
Corrected 2025-10-03
F-0925
E · No harm found
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-10-03
F-0947
F · No harm found
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2025-10-03
2024-12-30Health inspectionComplaint-triggered1 citation
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-20
7 earlier / fire-safety inspections (64 citations)
2024-08-19Health inspectionComplaint-triggered3 citations
F-0677
G · Actual harmFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-09-05
F-0684
J · Immediate jeopardyFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-09-05
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-05
2024-01-29Health inspectionComplaint-triggered18 citations
F-0550
E · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-02-26
F-0553
D · No harm foundFrom a complaint
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2024-02-26
F-0582
D · No harm foundFrom a complaint
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-02-26
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2024-02-26
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-02-26
F-0689
E · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-02-26
F-0699
J · Immediate jeopardyFrom a complaint
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-02-26
F-0727
F · No harm foundFrom a complaint
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.
Corrected 2024-02-26
F-0742
J · Immediate jeopardyFrom a complaint
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.
Corrected 2024-02-26
F-0756
D · No harm foundFrom a complaint
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-02-26
F-0758
D · No harm foundFrom a complaint
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.
Corrected 2024-02-26
F-0835
F · No harm foundFrom a complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2024-02-26
F-0841
F · No harm foundFrom a complaint
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Corrected 2024-02-26
F-0851
F · No harm foundFrom a complaint
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2024-02-26
F-0865
F · No harm foundFrom a complaint
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2024-02-26
F-0868
F · No harm foundFrom a complaint
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2024-02-26
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-02-26
F-0883
E · No harm foundFrom a complaint
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-02-26
2023-10-16Health inspectionComplaint-triggered1 citation
F-0609
J · Immediate jeopardyFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-10-09
2022-08-10Health inspection10 citations
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2022-09-16
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2022-09-16
F-0756
D · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2022-09-16
F-0758
D · No harm found
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.
Corrected 2022-09-16
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-09-16
F-0761
D · No harm found
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 2022-09-16
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-09-16
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2022-09-16
F-0882
F · No harm found
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2022-09-16
F-0921
E · No harm found
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2022-09-16
2025-08-26Fire-safety inspection12 citations
K-0222
F · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2026-01-30
K-0324
E · No harm found
Provide properly protected cooking facilities.
Corrected 2026-01-30
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2026-01-30
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-01-30
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2026-01-30
K-0511
E · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2026-01-30
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2026-01-30
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2026-01-30
K-0901
F · No harm found
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2026-01-30
K-0914
F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2026-01-30
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-01-30
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2026-01-30
2024-01-29Fire-safety inspection12 citations
E-0004
F · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-03-15
K-0222
E · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2024-03-15
K-0291
E · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-03-15
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-03-15
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-03-15
K-0354
F · No harm found
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-03-15
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-03-15
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-03-15
K-0374
E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-03-15
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-03-15
K-0901
F · No harm found
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2024-03-15
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-03-15
2022-08-10Fire-safety inspection8 citations
K-0161
E · No harm found
Use approved construction type or materials.
Corrected 2022-10-26
K-0211
F · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-10-26
K-0321
F · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2022-10-26
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-10-26
K-0363
F · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2022-10-26
K-0372
F · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-10-26
K-0511
F · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2022-10-26
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2022-10-26

Federal penalties

2024-12-30Fine$14,672
2024-08-19Fine$126,089
2024-01-29Fine$49,636
Total fines$190,397
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 175435.

Quality of care & staffing

How it compares in Kansas.
Inspection citations, 3 years
92
More than 93% of nursing homes in the state
State median: 53
Federal fines, 3 years
$190,397
More than 98% of nursing homes in the state
State median: $0
Nurse staffing, hours per resident per day
2.4
Among the lowest of nursing homes in the state
State median: 4.0
Nursing staff turnover, annual
68%
Higher than 89% of nursing homes in the state
State median: 48%

Resident outcomes

On 18 federal quality measures, this facility does better than the Kansas average on 7 and worse on 7. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased25.7%17.4%13.5%Worse than state
Lose too much weight0.0%4.8%5.1%Better than state
With a catheter inserted and left in their bladder2.1%1.4%0.7%Worse than state
With a urinary tract infection0.8%2.8%1.5%Better than state
Have depressive symptoms87.0%6.6%13.5%Worse than state
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury0.8%4.2%3.2%Better than state
Assessed and appropriately given the pneumococcal vaccine18.5%92.9%93.7%Worse than state
Ability to walk independently worsened14.5%14.5%12.7%Near state average
Received an antianxiety or hypnotic medication22.8%23.4%19.5%Near state average
Assessed and appropriately given the seasonal influenza vaccine37.8%94.9%95.3%Worse than state
With pressure ulcers4.2%4.4%4.5%Near state average
With new or worsened bowel or bladder incontinence21.5%21.6%18.3%Near state average
Received an antipsychotic medication30.4%17.7%15.4%Worse than state
Hospitalizations per 1000 long-stay resident days1.361.691.81Better than state
Outpatient emergency department visits per 1000 long-stay resident days1.462.001.69Better than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine10.3%77.1%82.3%Worse than state
Newly received an antipsychotic medication0.0%1.6%1.5%Better than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0689 4 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0756 3 inspections. Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  • F-0880 3 inspections. Provide and implement an infection prevention and control program.
  • K-0363 3 inspections. Install corridor and hallway doors that block smoke.
  • K-0712 3 inspections. Have simulated fire drills held at unexpected times.
  • F-0582 2 inspections. Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

What its owners also hold

  • Richard J. Destefane Revocable Living Trust has an ownership stake on file at 23 nursing homes, averaging 1.3 of 5 on CMS's overall rating.
  • Rcg Inc has an ownership stake on file at 23 nursing homes, averaging 1.3 of 5 on CMS's overall rating.
  • Reliant Care Group Llc has an ownership stake on file at 21 nursing homes, averaging 1.3 of 5 on CMS's overall rating.
Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Kansas

  • Licensing: Kansas Department for Aging and Disability Services (KDADS)
  • Adult Protective Services: 800-922-5330. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Holton Community Hospital, about 1.0 miles.
  • Community Hospital, Onaga and St Marys Campus, about 23 miles.
  • F W Huston Medical Center, about 27 miles.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 92 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered