Pennsylvania ›Holland

Holland Center for Rehabilitation and Nursing

280 Middle Holland Road, Holland, PA 18966 · Bucks County · 66 certified beds · avg 52 residents/day · certified since Jun 1, 1979

Part of chain: LME FAMILY HOLDINGS (15 facilities, chain avg rating 2.1★)

3/5
Health inspection rating (on-site)
2
Serious findings on record
$36,186
Fines, last 3 years
3.66
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Jul 12, 2024 · F-0684 · triggered by a complaint

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Aug 27, 2024 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Jan 29, 2026 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Feb 24, 2026 (Deficient, Provider has date of correction)

All citations in the current public record (40)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

DateSeverityWhat the facility was cited for
Jun 1, 2026D · Potential for harm, one-offThe facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
May 1, 2026D · Potential for harm, one-offThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
May 1, 2026D · Potential for harm, one-offThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
May 1, 2026D · Potential for harm, one-offThe facility did not provide safe and appropriate pain management for a resident who needed it.
May 1, 2026D · Potential for harm, one-offThe facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from.
May 1, 2026D · Potential for harm, one-offThe facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
May 1, 2026D · Potential for harm, one-offThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Jan 29, 2026▲ G · Actual harm, one-offThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Dec 11, 2025D · Potential for harm, one-offThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
May 16, 2025D · Potential for harm, one-offThe facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
May 16, 2025D · Potential for harm, one-offThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
May 16, 2025D · Potential for harm, one-offThe facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
May 16, 2025D · Potential for harm, one-offThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
May 16, 2025D · Potential for harm, one-offThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
May 16, 2025D · Potential for harm, one-offThe facility did not observe each nurse aide's job performance or provide regular training as required.
May 16, 2025D · Potential for harm, one-offThe facility did not provide appropriate treatment and services to residents with a mental health condition, difficulty adjusting emotionally, or a history of trauma or post-traumatic stress disorder (PTSD).
May 16, 2025D · Potential for harm, one-offThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
May 16, 2025D · Potential for harm, one-offThe facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
May 16, 2025B · Minimal risk, repeatedThe facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman.
Sep 25, 2024E · Potential for harm, repeatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Aug 13, 2024D · Potential for harm, one-offThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint
Jul 12, 2024▲ J · Immediate jeopardy, one-offThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Jul 12, 2024E · Potential for harm, repeatedThe facility did not provide safe and appropriate pain management for a resident who needed it.
Jul 12, 2024E · Potential for harm, repeatedThe facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Jul 12, 2024E · Potential for harm, repeatedThe facility was not properly licensed, or did not operate in compliance with federal, state, and local laws, regulations, and accepted professional standards.
Jul 12, 2024E · Potential for harm, repeatedThe facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Jul 12, 2024E · Potential for harm, repeatedThe facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Jul 12, 2024D · Potential for harm, one-offThe facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Jul 12, 2024D · Potential for harm, one-offThe facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Jul 12, 2024D · Potential for harm, one-offThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jul 12, 2024D · Potential for harm, one-offThe facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Jul 12, 2024D · Potential for harm, one-offThe facility did not provide timely, quality laboratory tests to meet residents' needs.
Jul 12, 2024D · Potential for harm, one-offThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jul 12, 2024D · Potential for harm, one-offThe facility did not dispose of garbage and refuse properly.
Jul 12, 2024D · Potential for harm, one-offThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Jul 12, 2024D · Potential for harm, one-offThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jul 12, 2024D · Potential for harm, one-offThe facility did not give all staff the required training on its quality improvement program — the internal system for finding problems and making care better.
Apr 22, 2024D · Potential for harm, one-offThe facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint
Apr 22, 2024D · Potential for harm, one-offThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Feb 8, 2024D · Potential for harm, one-offThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (10 → 6).

YearCitationsSerious (G–L)Worst severity that year
2024211J ▲
2025110D
202681G ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $36,186.

DateTypeAmount / length
Jul 12, 2024Fine$36,186

Nurse staffing (from payroll records, adjusted for how much care residents need)

MeasureThis facilityPennsylvania avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.663.943.95bottom 50% in Pennsylvania; bottom 45% in the U.S.
Registered Nurse hours0.840.800.69top 31% in Pennsylvania; top 25% in the U.S.
Weekend total nurse staffing3.413.583.50top 46% in Pennsylvania; top 47% in the U.S.
Weekend RN hours (not acuity-adjusted)0.660.560.48top 26% in Pennsylvania; top 18% in the U.S.
Total nursing staff turnover (%)71.744.545.8bottom 2% in Pennsylvania; bottom 5% in the U.S.
RN turnover (%)64.339.942.9bottom 12% in Pennsylvania; bottom 16% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.01, RN 0.92, weekend 3.73. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 2/5

Who owns this facility

For profit - Partnership

Owner / managerTypeRoleStakeSince
Be Smarts TrOrganization5% or Greater Indirect Ownership Interest—08/03/2020
El Twining LLCOrganization5% or Greater Indirect Ownership Interest—08/03/2020
Lahasky Family TrustOrganization5% or Greater Indirect Ownership Interest—08/03/2020
Twining Managing Member LLCOrganization5% or Greater Indirect Ownership Interest—08/03/2020
Twining Member LLCOrganization5% or Greater Indirect Ownership Interest—08/03/2020
Twining Village Operating Holdings LLCOrganization5% or Greater Direct Ownership Interest100%08/03/2020
Braunstein, BarryIndividualOperational/Managerial ControlNOT APPLICABLE08/03/2020
Feuer, SamuelIndividualOperational/Managerial ControlNOT APPLICABLE08/03/2020
Kasoro, TaiIndividualW-2 Managing EmployeeNOT APPLICABLE08/03/2020
Lahasky, EphramIndividualOperational/Managerial ControlNOT APPLICABLE08/03/2020

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Chandler Hall Health Services1.7 miNewtown, PA★★★★★5/5
Pennswood Village2.0 miNewtown, PA★★★★★4/5
Richboro Rehabilitation & Nursing Center2.2 miRichboro, PA★★★★☆4/5
Crestview Center2.6 miLanghorne, PA★★☆☆☆2/5abuse
Pickering Manor Home2.7 miNewtown, PA★★★☆☆4/5
Oxford Rehabilitation and Healthcare Center3.1 miLanghorne, PA★★★★★4/5
Langhorne Gardens Health & Rehabilitation Center4.3 miLanghorne, PA★★★★★4/5
Willowbrooke Court-Southampton4.9 miSouthampton, PA★★★★★5/5
Juniper Village at Bucks County Rehab and SKD Care5.4 miBensalem, PA★★★★★4/5
Statesman Health & Rehabilitation Center5.5 miLevittown, PA★★★★☆3/5

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Facility data as of CMS processing date 2026-08-01. CCN 395432.