Holly Springs Rehabilitation and Healthcare Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 67 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Above-median deficiencies (10 vs median 6)
Bottom 25% in MS · Below recommended RN staffing · Worst in NEXION HEALTH chain · $8,278 in fines
What this means for your family
This facility is highly regarded for its short-term rehabilitation and activity programs, which are frequently praised. However, families of long-term residents, particularly those with dementia, should exercise caution and conduct frequent, unannounced visits, as recent reports indicate significant concerns regarding nursing staff professionalism and resident neglect.
Google Reviews
Google Reviews
67 reviews analyzed“Holly Springs Rehabilitation and Healthcare Center receives polarized feedback, with many families praising the therapy department and administrative staff for their professionalism and kindness. However, significant concerns have been raised regarding the quality of long-term nursing care, specifically regarding dementia patient management, staff professionalism, and allegations of neglect. Families should carefully weigh the facility's strong reputation for short-term rehab against the serious complaints regarding long-term care oversight.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective therapy department
- Clean and well-maintained facility
- Professional and helpful administrative staff
- Engaging activities and birthday celebrations
Concerns
- Negligent or unprofessional nursing care for long-term residents (mentioned by 3 reviewers)
- Poor management of dementia patients (mentioned by 2 reviewers)
- Lack of responsiveness or accountability from nursing leadership (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1Given the facility's strong reputation for therapy, how do you ensure that same level of dedicated, professional care is consistently applied to long-term nursing needs?
- 2I noticed some feedback regarding the dining experience; what steps are you currently taking to improve the quality and variety of the meals served to residents?
- 3Since you have a 4-star staffing rating, how do you deploy that staff to ensure residents receive prompt attention and consistent communication from nursing leadership?
- 4For residents who require memory support, what specialized training or specific protocols do you have in place to ensure their safety and engagement?
- 5I see you host wonderful birthday celebrations and activities; how do you ensure these social opportunities are inclusive for residents with varying levels of mobility or cognitive needs?
- 6In the event of a medical emergency, what is your specific protocol for notifying family members and ensuring they are kept informed throughout the process?
Personalized based on this facility's data
Key Review Excerpts
“The family of Mrs.Ida Foster Wilson would like to express our gratitude for the 11 birthday celebrations that the activities director, Ms. Michelle King made unbelievably memorable moments for both my Aunt and my family.”
“The 2 stars is for the FEW good people who work here...the administrator who is now gone and administration staff. However the nursing staff (not rehab) the nurses themselves minus about 3 or 4 are extremely unprofessional, vindictive, negligent, and rude.”
“The therapy department at HSRH is awesome! Their bedside manners are fantastic and they really care about their patients.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
10
measures
5
measures
2
measures
Residents whose walking got worse
Residents needing more daily help over time
Residents on antipsychotic medication
Residents with depression symptoms
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed multiple complaints triggering inspections, indicating ongoing concerns about care quality and safety. The facility shows persistent problems with care planning, accident prevention, and daily care assistance, with these issues recurring across multiple surveys from 2024 through 2025. While all deficiencies show correction dates, the pattern of repeated violations in core care areas suggests systemic challenges that families should carefully evaluate.
Nov 24, 2025Complaint2
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Jun 19, 2025Routine8
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jan 27, 2025Complaint2
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Sep 9, 2024Complaint2
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jun 19, 2024Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Jan 4, 2024Routine9
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Nutrition and Dietary Deficiencies
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Federal Penalties
Fine
Nov 24, 2025
$14,800
Fine
Jan 27, 2025
$4,139
Fine
Jan 27, 2025
$4,139
Ownership & Operations
Who Operates This Facility
Holly Springs Rehabilitation and Healthcare Center
for profit
Chain Affiliation
Nexion Health
52 facilities nationwide
Chain avg rating: 2.3/5 · Rank 38 of 51 (Worst)
Ownership & Management
Owners
Nexion Health of Ohi INC
Owner · Organization
Nexion Health Leasing, INC.
Owner (parent company) · Organization
Nexion Health, INC.
Owner (parent company) · Organization
Bolt, Bretton
Owner (parent company)
Kirley, Francis
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
67 reviews from families & visitors
Official Website
Visit nexion-health.com
Medicare data downloads
Original nursing home datasets
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