The Pines
State licensed725 Iowa Avenue, Holton, KS 66436
Assisted Living
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Prices not published
About Holton Health Care Center
Holton Health Care Center brings skilled nursing and rehabilitation care to Kansas families who need compassionate medical support during recovery. Our experienced team provides personalized treatment plans in Holton, helping patients regain independence and return home stronger.
Community at a glance
Capacity
45 residents
Location
Holton, KS
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
1121 W 7TH STREET, Holton, Kansas 66436
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
- Holton Health Care Center is a candidate for Medicare's Special Focus Facility list, kept for homes with a history of serious quality problems.
At its most recent standard inspection, on August 26, 2025, state inspectors cited 27 health deficiencies (the Kansas average is 9.5).
Nurses and nurse aides spend 2 hours 49 minutes with each resident a day, below the Kansas average of 4 hours 4 minutes.
Medicare fined Holton Health Care Center 3 times in the last three years, $190,397 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 2 hours 49 minutesBelow the Kansas average |
| Registered nurse time per resident, per day | 19 minutesBelow the Kansas average |
Inspections
49 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
August 26, 2025 · Standard inspection · 27 citations
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesCorrected Oct 3, 2025Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesCorrected Oct 3, 2025Implement a program that monitors antibiotic use.
Risk of harm, no one hurt, widespread (level F)Infection ControlCorrected Oct 3, 2025Observe each nurse aide's job performance and give regular training.
Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesCorrected Oct 3, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Oct 3, 2025Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, widespread (level F)Infection ControlCorrected Oct 3, 2025Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Oct 3, 2025Ensure 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.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Oct 3, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Oct 3, 2025Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Oct 3, 2025Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Oct 3, 2025Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Oct 3, 2025Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Oct 3, 2025Develop and implement policies and procedures for flu and pneumonia vaccinations.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Oct 3, 2025Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Oct 3, 2025Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Risk of harm, no one hurt, a pattern (level E)EnvironmentalCorrected Oct 3, 2025Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationCorrected Oct 3, 2025Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Oct 3, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Oct 3, 2025Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Oct 3, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Oct 3, 2025Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Oct 3, 2025Reasonably accommodate the needs and preferences of each resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Oct 3, 2025Provide safe, appropriate dialysis care/services for a resident who requires such services.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Oct 3, 2025Provide care or services that was trauma informed and/or culturally competent.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Oct 3, 2025Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Oct 3, 2025Post nurse staffing information every day.
Minimal harm or risk, widespread (level C)Nursing and Physician ServicesCorrected Oct 3, 2025
December 30, 2024 · Complaint investigation · 1 citation
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintAlready fixed by Dec 20, 2024
August 19, 2024 · Complaint investigation · 3 citations+
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Sep 5, 2024Provide care and assistance to perform activities of daily living for any resident who is unable.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Sep 5, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Sep 5, 2024
January 29, 2024 · Standard inspection · 18 citations+
Provide care or services that was trauma informed and/or culturally competent.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Feb 26, 2024Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Feb 26, 2024Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Risk of harm, no one hurt, widespread (level F)AdministrationFrom a complaintCorrected Feb 26, 2024Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesFrom a complaintCorrected Feb 26, 2024Have a plan that describes the process for conducting QAPI and QAA activities.
Risk of harm, no one hurt, widespread (level F)AdministrationFrom a complaintCorrected Feb 26, 2024Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesFrom a complaintCorrected Feb 26, 2024Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Risk of harm, no one hurt, widespread (level F)AdministrationFrom a complaintCorrected Feb 26, 2024Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Risk of harm, no one hurt, widespread (level F)AdministrationFrom a complaintCorrected Feb 26, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Feb 26, 2024Develop and implement policies and procedures for flu and pneumonia vaccinations.
Risk of harm, no one hurt, a pattern (level E)Infection ControlFrom a complaintCorrected Feb 26, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Feb 26, 2024Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Feb 26, 2024Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Feb 26, 2024Implement 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Feb 26, 2024Respond appropriately to all alleged violations.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Feb 26, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Feb 26, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Feb 26, 2024Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Feb 26, 2024
Fines and payment denials
3 fines totaling $190,397 in the last three years.
- December 30, 2024Fine: $14,672
- August 19, 2024Fine: $126,089
- January 29, 2024Fine: $49,636
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- Holton Health Care Center LLC
- Medicare-certified beds
- 45
- Average residents per day
- 37
- Accepts
- Medicare and Medicaid
- First certified
- April 1, 2007
- Part of a chain
- Reliant Care Management, 34 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 175435
Location
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1121 W 7TH STREETHolton, KS 66436
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Questions about Holton Health Care Center
How did Holton Health Care Center do on its last inspection?+
State inspectors visited on August 26, 2025 and cited 27 health deficiencies. The Kansas average is 9.5.
How much nursing care does each resident get at Holton Health Care Center?+
Nurses and aides spend 2 hours 49 minutes with each resident per day, including 19 minutes from registered nurses.
Has Holton Health Care Center been fined by Medicare?+
Yes. Medicare fined Holton Health Care Center 3 times in the last three years, totaling $190,397.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.