Holmes Lake Rehabilitation & Care Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 24 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)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (10 vs median 5)
- High staff turnover (78%)
- High RN turnover (83%)
Bottom 25% in NE · Critically understaffed (RN) · Very high staff turnover · $3,174 in fines
What this means for your family
While some families report positive interactions with staff, the recent, consistent reports of neglect and delayed response times are deeply concerning. If you consider this facility, we strongly recommend unannounced visits and asking for specific protocols regarding call-light response times and medication administration oversight.
Google Reviews
Google Reviews
24 reviews on Google“Holmes Lake Rehabilitation & Care Center receives deeply polarized feedback, with recent reviews highlighting severe concerns regarding neglect, poor communication, and inadequate staffing. While some visitors praise the facility's cleanliness and the kindness of specific staff members, multiple families have reported distressing experiences involving delayed response times, lack of basic care, and administrative failures.”
Quality Themes
Tap a score for detailsStrengths
- Clean and well-maintained facility
- Welcoming and kind individual staff members
- Pleasant outdoor environment and amenities
Concerns
- Severe neglect and slow response times to basic patient needs (mentioned by 4 reviewers)
- Chronic understaffing leading to poor quality of care (mentioned by 3 reviewers)
- Rude or dismissive staff behavior toward residents and families (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 28 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1I noticed some families have mentioned how clean and well-maintained the facility is; how does your team ensure the living areas stay so pleasant for the residents?
- 2With the recent inspections, what specific steps has the facility taken to improve staffing levels and ensure residents' needs are met promptly?
- 3How does the nursing team manage medication administration to ensure everything is accurate and handled with care?
- 4In the event of a medical emergency during the night, what is the protocol for getting immediate assistance for a resident?
- 5What kind of daily activities or social outings are available to help residents enjoy the outdoor amenities you have here?
- 6How do you encourage open and frequent communication between the care staff and family members to keep us updated on our loved one's well-being?
Personalized based on this facility's data
Key Review Excerpts
“I suffered from extreme pain and had to call the nurse multiple times for medication only to receive Tylenol when I had a narcotic ordered. I had a bad fungal rash and never received the cream that was ordered.”
“The facility was very clean and the staff was helpful,friendly and kind. I've seen a lot of skilled care, so I can tell you that this one is far better than most out there.”
“Our mother was brought into the facility put in her room, sat for over an hour and a half without even an acknowledgment of her presence! Sat in her wheelchair the entire time no greeting no nothing!”
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
3
measures
10
measures
4
measures
Residents vaccinated for the flu
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
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
Holmes Lake Rehabilitation & Care Center has concerning patterns including 12 complaint-triggered deficiencies, indicating families have filed reports about care issues. The most recurring problems are fire safety and electrical systems, infection control, and accident prevention/resident safety. While the facility has corrected all cited deficiencies, the repeated issues across multiple surveys suggest ongoing operational challenges that families should investigate further during visits.
Jun 10, 2025Complaint3
Administration Deficiencies
Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
Quality of Life and Care Deficiencies
Honor each resident's preferences, choices, values and beliefs.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Jan 13, 2025Complaint3
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Oct 21, 2024Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Oct 8, 2024Routine18
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Construction Deficiencies
Meet other general requirements.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Services Deficiencies
Meet other general requirements that are deficient.
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Oct 8, 2024Complaint2
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service Deficiencies
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.
Mar 13, 2024Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ownership & Operations
Who Operates This Facility
Holmes Lake Rehabilitation & Care Center
for profit
Ownership & Management
Owners
Holmes Lake Opco Holdings LLC
Owner · Organization
Segal, Caryn
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
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
24 reviews from families & visitors
Medicare data downloads
Original nursing home datasets
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