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.
based on 63 Google reviews

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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 detailsStrengths
- 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
Distribution · 66 analyzed
How They Respond to Reviews
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.”
“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”
“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.”
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
17
measures
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents whose walking got worse
Residents vaccinated for the flu
Residents vaccinated for pneumonia
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2025Routine9
Egress Deficiencies
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
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
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Aug 22, 2024Complaint1
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Dec 20, 2023Routine10
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
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.
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.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
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, 2022Routine16
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
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.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Gas, Vacuum, and Electrical Systems Deficiencies
Have power receptacles that are properly grounded.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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
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.
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.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Nursing and Physician Services Deficiencies
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
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
Holt Senior Care and Rehab Center
for profit
Chain Affiliation
Nexcare Health Systems
20 facilities nationwide
Chain avg rating: 3.6/5 · Rank 3 of 20 (Best)
Ownership & Management
Owners
Nexcare Holdings, LLC
Owner · Organization
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
63 reviews from families & visitors
Official Website
Visit holtnr.org
Medicare data downloads
Original nursing home datasets
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