Holland Lake Rehabilitation And Wellness Center

Inspection findings

1. Apr 12, 2026 Health · 2 findings
   • Not serious Scope/severity E Complaint

     F0656 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.

     Corrected Apr 15, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0755 Pharmacy Service Deficiencies

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

     Corrected Apr 15, 2026 · CMS health inspection

2. Jan 8, 2026 Fire Safety · 5 findings
   • Not serious Scope/severity F

     E0041 Emergency Preparedness Deficiencies

     Implement emergency and standby power systems.

     Corrected Jan 27, 2026 · CMS fire safety

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Feb 10, 2026 · CMS health inspection

   • Not serious Scope/severity E

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Jan 12, 2026 · CMS fire safety

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Feb 10, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

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

     Corrected Jan 27, 2026 · CMS fire safety

3. Dec 3, 2025 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Dec 5, 2025 · CMS health inspection

4. Mar 26, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Mar 27, 2025 · CMS health inspection

5. Jan 2, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0761 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.

     Corrected Jan 4, 2025 · CMS health inspection

6. Oct 17, 2024 Fire Safety · 6 findings
   • Not serious Scope/severity F

     E0041 Emergency Preparedness Deficiencies

     Implement emergency and standby power systems.

     Corrected Oct 31, 2024 · CMS fire safety

   • Not serious Scope/severity D Complaint

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected Oct 18, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Oct 31, 2024 · CMS fire safety

   • Not serious Scope/severity D

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Nov 4, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Nov 4, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

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

     Corrected Oct 31, 2024 · CMS fire safety

7. Aug 31, 2023 Health · 9 findings
   • Not serious Scope/severity E

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Sep 4, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0657 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.

     Corrected Sep 4, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Sep 4, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0688 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.

     Corrected Sep 4, 2023 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Sep 4, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Sep 4, 2023 · CMS health inspection

   • Not serious Scope/severity D

     K0222 Egress Deficiencies

     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 Sep 26, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Sep 26, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Sep 15, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• BALSAMO, KRYSTAL — adp of the snf, NOT APPLICABLE, since 04/01/2021
• CULP, ROLAND — adp of the snf, NOT APPLICABLE, since 04/01/2021
• CULP, ROLAND — operational/managerial control, NOT APPLICABLE, since 04/01/2021
• DASPIT, LAURENCE — operational/managerial control, NOT APPLICABLE, since 04/01/2021
• DASPIT, LAURENCE — adp of the snf, NOT APPLICABLE, since 04/01/2021
• DOHN, WILLIAM — operational/managerial control, NOT APPLICABLE, since 04/01/2021
• DOHN, WILLIAM — adp of the snf, NOT APPLICABLE, since 04/01/2021
• EDWARDS, RHONDA — operational/managerial control, NOT APPLICABLE, since 12/01/2015
• JACKSON, HELEN — operational/managerial control, NOT APPLICABLE, since 04/10/2019
• MURRELL, EDWARD — corporate officer, NOT APPLICABLE, since 11/01/2012
• MURRELL, EDWARD — operational/managerial control, NOT APPLICABLE, since 04/01/2018
• PICO, ANA — adp of the snf, NOT APPLICABLE, since 04/01/2021
• PICO, ANA — operational/managerial control, NOT APPLICABLE, since 04/01/2021
• PRINCE, DEREK — adp of the snf, NOT APPLICABLE, since 04/01/2021
• PRINCE, DEREK — operational/managerial control, NOT APPLICABLE, since 04/01/2021
• PRINCE, DEREK — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 07/29/2025
• REINARZ, CHRISTIAN — operational/managerial control, NOT APPLICABLE, since 04/01/2021
• REINARZ, CHRISTIAN — adp of the snf, NOT APPLICABLE, since 04/01/2021
• ROLLO, JEFFERY — operational/managerial control, NOT APPLICABLE, since 04/01/2021
• ROLLO, JEFFERY — corporate officer, NOT APPLICABLE, since 11/01/2012
• STANBRIDGE, NORMA — adp of the snf, NOT APPLICABLE, since 04/01/2021
• STRAMECKI, ANTHONY — operational/managerial control, NOT APPLICABLE, since 04/01/2021
• STRAMECKI, ANTHONY — corporate director, NOT APPLICABLE, since 11/01/2016
• TILLMAN, DONNA — adp of the snf, NOT APPLICABLE, since 11/24/2015
• TILLMAN, DONNA — operational/managerial control, NOT APPLICABLE, since 11/24/2015
• VRATIS, KACEY — operational/managerial control, NOT APPLICABLE, since 04/01/2021
• VRATIS, KACEY — corporate director, NOT APPLICABLE, since 11/01/2020
• WAY, GEORGE — corporate director, NOT APPLICABLE, since 01/01/2013
• WAY, GEORGE — operational/managerial control, NOT APPLICABLE, since 04/01/2021
• WAY, GEORGE — corporate officer, NOT APPLICABLE, since 01/01/2013
• CIBC BANK USA — adp of the snf, NOT APPLICABLE, since 04/01/2021
• FORVIS MAZARS, LLP — adp of the snf, NOT APPLICABLE, since 07/29/2025
• HMG PARK MANOR OF HOLLAND LAKE, LLC — operational/managerial control, NOT APPLICABLE, since 10/01/2021
• WINNIE-STOWELL HOSPITAL DISTRICT — operational/managerial control, NOT APPLICABLE, since 10/01/2021
• ZIONS BANCORPORATION — adp of the snf, NOT APPLICABLE, since 04/01/2021