Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

HOLLAND CENTER FOR REHABILITATION AND NURSING

HOLLAND, PA · 66 certified beds · Last Life Safety survey May 1, 2026

CMS Certification Number 395432 · first certified June 1979

Ownership

Operated by LME FAMILY HOLDINGS · For profit - Partnership

  • Ownership changed August 3, 2020 (change of ownership)from LUTHERAN SENIOR SERVICES EAST
19
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
5
Tags cited more than once
Across separate surveys
7
Inspection & testing records
Of the citations on file

Position within PA

19 citations — more than 80% of the 656 certified nursing homes in PA. Compared within PA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 8. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens March 2027 — about 5 months from now. This facility’s last Life Safety survey was May 2026. Facilities in PA are typically surveyed 10–12 months after the last one (median 11), measured over 1,113 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

1 of the 19 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

5 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 19 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in PA, and nationally. Surveyors differ markedly between states, so the PA figure is the meaningful one.

This facility19PA median10National median11
Citations on file over three years, compared
MeasureCitations
This facility19
Median facility in PA10
Median facility nationally11

Survey history

Citations at each Life Safety survey
72024-0792025-0532026-05
Citations at each Life Safety survey
Survey dateCitations
July 12, 20247
May 16, 20259
May 1, 20263

Most-cited tags

Most-cited tags at this facility
K-01312K-03452K-09182K-03552K-09112K-02221K-03631K-09201
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0131Meet requirements for sections of health care facilities separated by fire resistive construction.22025-05-16
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22026-05-01
K-0918Have generator or other power source capable of supplying service within 10 seconds.22025-05-16
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.22025-05-16
K-0911Meet requirements for the installation and maintenance of electrical systems.22026-05-01
K-0222Add 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.12024-07-12
K-0363Install corridor and hallway doors that block smoke.12026-05-01
K-0920Ensure proper usage of power strips and extension cords.12024-07-12

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 6
  • Gas, Vacuum, and Electrical Systems Deficiencies 5
  • Construction Deficiencies 4
  • Egress Deficiencies 3
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies6
Gas, Vacuum, and Electrical Systems Deficiencies5
Construction Deficiencies4
Egress Deficiencies3
Emergency Preparedness Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

May 1, 2026 — 3 citations

Citations issued on May 1, 2026
TagWhat the surveyor checksStatus
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (July 8, 2026)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (July 8, 2026)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (July 8, 2026)

May 16, 2025 — 9 citations

Citations issued on May 16, 2025
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (July 8, 2025)
K-0131Meet requirements for sections of health care facilities separated by fire resistive construction.Deficient, Provider has date of correction (August 7, 2025)
K-0133Install a two-hour-resistant firewall separation.Deficient, Provider has date of correction (July 8, 2025)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (July 8, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (August 7, 2025)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (July 8, 2025)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (July 8, 2025)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (August 7, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (July 8, 2025)

July 12, 2024 — 7 citations

Citations issued on July 12, 2024
TagWhat the surveyor checksStatus
K-0100Meet other general requirements.Deficient, Provider has date of correction (August 20, 2024)
K-0131Meet requirements for sections of health care facilities separated by fire resistive construction.Deficient, Provider has date of correction (August 20, 2024)
K-0222Add 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.Deficient, Provider has date of correction (August 20, 2024)
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (August 20, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (August 20, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (August 20, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (August 20, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.