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Nursing HomeMedicaid Top Rated

Holt Senior Care and Rehab Center

Strong Medicare quality ratings; families often praise engaged and kind nursing staff (in select cases). Still worth an in-person visit.

5091 Willoughby Road, Holt, MI 48842101 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
3.6/5

based on 63 Google reviews

5
4
3
2
1
Holt Senior Care and Rehab Center Nursing Home in Holt, MI — Street View
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What this means for your family

While some families report positive rehab outcomes, the recent trend of reviews is highly concerning due to reports of neglect and medication errors. If you choose this facility, I strongly recommend daily, unannounced visits to monitor your loved one's care and to ensure that dietary and medication orders are being strictly followed.

Google Reviews

Google Reviews

63 reviews on Google
Holt Senior Care and Rehab Center receives highly polarized feedback, with some families praising the staff's kindness and rehab outcomes, while others report severe concerns regarding neglect, poor hygiene, and unprofessional conduct. Recent reviews from 2024 and 2025 highlight significant issues with understaffing, medication errors, and a lack of responsiveness to patient needs. While some long-term residents report positive experiences, the frequency of complaints regarding basic care standards and administrative mismanagement is concerning.

Quality Themes

Tap a score for details
Food3.0Staff4.0Clean2.0Activities2.0Meds1.0Memory2.0Comms3.0ValueN/A

Strengths

  • Engaged and kind nursing staff (in select cases)
  • Effective post-surgery rehab therapy
  • Professional and patient care team members

Concerns

  • Severe understaffing and slow response times (mentioned by 6 reviewers)
  • Poor facility cleanliness and hygiene standards (mentioned by 4 reviewers)
  • Unprofessional or rude staff behavior (mentioned by 5 reviewers)
  • Medication errors and poor dietary management (mentioned by 3 reviewers)
  • Small, uncomfortable, or poorly equipped rooms (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

234'16(4)'18(11)'20(1)'22(5)'24(9)'26(1)

Distribution · 66 analyzed

5
35
4
7
3
3
2
5
1
16

How They Respond to Reviews

73%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1We've heard wonderful things about the kindness of your nursing staff; how do you ensure that level of personal care remains consistent across all shifts?
  • 2With the high staffing rating from CMS, how do you manage call button response times during the busier evening or night hours?
  • 3Could you walk us through your daily routine for meal service and how you ensure dietary needs and nutritional variety are met for each resident?
  • 4What specific protocols are in place to ensure medication accuracy and to prevent any errors during administration?
  • 5What kind of daily activities or social events are planned to keep residents engaged and connected with one another?
  • 6How do you maintain high standards of cleanliness and hygiene within the resident rooms and common areas?

Personalized based on this facility's data


Key Review Excerpts

There are no recliners or chairs residents are only given wheelchairs and that’s what they have to sit in all day. Med errors on the first day. No supervision.

Memory care family member · 2024☆☆☆☆

Took hrs sometimes to get pain medicine. Place was so loud you couldn't sleep, never changed your sheets and Place was filthy and mismanaged

Rehab patient · 2024★★★★★

My Dad was there for about 2 1/2 weeks, and received excellent care. The whole staff was so friendly, caring, and was always right there to meet his every need.

Long-term resident's family · 2022★★★★★
Source: 63 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.74hrs
99%
Registered nurses for medical care
Total Nursing
3.89hrs
95%
All nurses + aides combined
Staff Turnover
28%
Lower is better (< 30% = good)
RN Turnover
11%
Lower is better (< 30% = good)

Both 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

Medicare Rating
5/ 5
Better Than Avg

17

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility11.7%
Better than Avg
Here
11.7%
US
19.4%
MI
20.2%
Ingham
25.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.3%
Better than Avg
Here
0.3%
US
12.1%
MI
4.2%
Ingham
3.3%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility3.6%
Better than Avg
Here
3.6%
US
14.4%
MI
11.2%
Ingham
7.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility5.1%
Better than Avg
Here
5.1%
US
15.3%
MI
13.1%
Ingham
12.2%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
MI
95.0%
Ingham
91.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.7%
Better than Avg
Here
99.7%
US
93.4%
MI
95.2%
Ingham
95.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility93.7%
Better than Avg
Here
93.7%
US
81.8%
MI
83.0%
Ingham
73.6%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility90.6%
Better than Avg
Here
90.6%
US
79.7%
MI
79.5%
Ingham
74.6%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
MI
1.2%
Ingham
1.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
Near state avg (9.8)
1 complaint-triggered

Holt Senior Care shows recurring problems across multiple areas, with 36 deficiencies found in four surveys, including one complaint filed by a family about laboratory services. The facility has persistent issues with fire safety systems, resident assessments and care planning, and electrical/building safety that appear across multiple inspections. While all deficiencies show correction dates, the pattern of repeated violations in similar areas suggests ongoing operational challenges that families should discuss during visits.

Jan 15, 2025Routine
9
0232Potential for harm · WidespreadCorrected

Egress Deficiencies

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0521Potential for harm · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0637Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

0640Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

Aug 22, 2024Complaint
1
0770Potential for harm · IsolatedCorrected

Administration Deficiencies

Provide timely, quality laboratory services/tests to meet the needs of residents.

Dec 20, 2023Routine
10
0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0341Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Sep 23, 2022Routine
16
0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0223Potential for harm · PatternCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0291Potential for harm · PatternCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0341Potential for harm · PatternCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0912Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0656Potential for harm · IsolatedCorrected

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.

0657Potential for harm · IsolatedCorrected

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.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0710Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Holt Senior Care and Rehab Center

Organization Type

for profit

Chain Affiliation

Chain Name

Nexcare Health Systems

Chain Size

20 facilities nationwide

Chain avg rating: 3.6/5 · Rank 3 of 20 (Best)

Ownership & Management

Owners

Nexcare Holdings, LLC

Owner · Organization

100%

Key personnel

Patrick, MarieW-2 Managing EmployeeSangster, ToddOfficer / DirectorNexcare Health Systems, LLCManagerPerry, MichaelManager
Source: Medicare provider data

Contact

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References & Resources

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