Holton Health Care Center, Holton, Kansas
- 60
- Citations from health inspectionsKansas average: 28 a home
- 7
- Residents harmed or put in dangerKansas average: 1.6 a home
- $206,328
- Fines from the federal governmentKansas average: $20,430 a home
- 1 out of 5
- Overall rating in starsKansas average: 3.1
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
Six inspection visits produced 60 citations. Residents were in immediate danger in four findings. Residents were found hurt in three cases. Federal fines came to $206,328 (four fines).
A candidate for Special Focus. For its list of nursing homes with past poor inspection results, CMS has named this home a candidate.
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- The home's overall star rating
- 1 out of 5
- Rating for health inspections
- 1 out of 5
- Rating for staffing
- 1 out of 5
- Rating for quality of care
- 2 out of 5
- Nurse time for each resident
- 2.82 hours each dayThe Kansas average is 4.07 hours
- Time from registered nurses
- 0.32 hours each dayThe Kansas average is 0.71 hours
- Nursing staff who left during one year
- Not sent to CMS
- Beds that are certified
- 45
- Ownership
- Limited Liability company (for profit)
- Chain
- Reliant Care Management, with 34 homes
- Street address
- 1121 W 7th Street, Holton, Kansas 66436
- County
- Jackson
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
27 citations dated Aug. 26, 2025
- F947 Nurse Aide Skills, Dementia, and Abuse Training: risk of harm, no one found hurt, widespread.
- F925 Pest Control Program: risk of harm, no one found hurt, a pattern, several residents.
- F887 Coronavirus Vaccine Education, Offering, and Records: risk of harm, no one found hurt, a pattern, several residents.
- F883 Flu and Pneumonia Vaccines: risk of harm, no one found hurt, a pattern, several residents.
- F881 Antibiotic Use Monitoring Program: risk of harm, no one found hurt, widespread.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, widespread.
- F849 Arrange Hospice Care When Needed: risk of harm, no one found hurt, one or a few residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
- F802 Enough Kitchen Support Staff: risk of harm, no one found hurt, a pattern, several residents.
- F801 Qualified Kitchen and Dietitian Staff: risk of harm, no one found hurt, widespread.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
- F756 Monthly Drug Regimen Review: risk of harm, no one found hurt, a pattern, several residents.
- F732 Post Daily Nurse Staffing Information: minimal risk to residents, widespread.
- F730 Review Nurse Aide Performance and Training: risk of harm, no one found hurt, widespread.
- F725 Enough Nursing Staff: risk of harm, no one found hurt, widespread.
- F699 Trauma Informed and Culturally Respectful Care: risk of harm, no one found hurt, one or a few residents.
- F698 Dialysis Care: risk of harm, no one found hurt, one or a few residents.
- F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, a pattern, several residents.
- F676 Help Residents Keep Daily Living Abilities: risk of harm, no one found hurt, one or a few residents.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
- F641 Accurate Resident Assessments: risk of harm, no one found hurt, a pattern, several residents.
- F605 Avoid Unnecessary Sedating or Psychiatric Drugs: risk of harm, no one found hurt, a pattern, several residents.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents.
- F582 Notice of Medicare and Medicaid Coverage and Costs: risk of harm, no one found hurt, one or a few residents.
- F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, one or a few residents.
One citation dated Dec. 30, 2024
- F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.
Three citations dated Aug. 19, 2024
- F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.
- F684 Quality of Care: immediate danger to residents, one or a few residents, found on a complaint visit.
- F677 Help With Daily Living: residents were harmed, one or a few residents, found on a complaint visit.
18 citations dated Jan. 29, 2024
- F883 Flu and Pneumonia Vaccines: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F868 Quality Group Membership and Quarterly Meetings: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F865 Written Quality Improvement Plan: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F851 Submit Accurate Staffing Data to Federal Government: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F841 Physician Medical Director: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F835 Run the Facility Effectively: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F758 Psychotropic Drugs and PRN Orders: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F756 Monthly Drug Regimen Review: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F742 Mental Health and Trauma Treatment: immediate danger to residents, one or a few residents, found on a complaint visit.
- F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F699 Trauma Informed and Culturally Respectful Care: immediate danger to residents, one or a few residents, found on a complaint visit.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F582 Notice of Medicare and Medicaid Coverage and Costs: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F553 Resident Involvement in Care Planning: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
One citation dated Oct. 16, 2023
- F609 Reporting Suspected Abuse: immediate danger to residents, one or a few residents, found on a complaint visit.
10 citations dated Aug. 10, 2022
- F921 A Safe, Clean Building: risk of harm, no one found hurt, a pattern, several residents.
- F882 Qualified Infection Prevention Leader: risk of harm, no one found hurt, widespread.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, widespread.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
- F759 Medication Error Rate of 5 Percent or More: risk of harm, no one found hurt, one or a few residents.
- F758 Psychotropic Drugs and PRN Orders: risk of harm, no one found hurt, one or a few residents.
- F756 Monthly Drug Regimen Review: risk of harm, no one found hurt, one or a few residents.
- F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| Dec. 30, 2024 | Fine | $14,672 |
| Aug. 19, 2024 | Fine | $126,089 |
| Jan. 29, 2024 | Fine | $49,636 |
| Oct. 16, 2023 | Fine | $15,931 |
Ownership and Management of the Home
- The home is run by Reliant Care Management Company LLC (operational or managerial control).
- The direct owner is Reliant Care Group LLC.
- Owns a share through another company: Rcg Inc..
- Owns a share through another company: Richard J. Destefane Revocable Living Trust.
One person with an ownership stake is also listed by CMS.
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 175435. Other homes in Kansas.