Holt Senior Care and Rehab Center

Name: Holt Senior Care and Rehab Center
Address: 5091 Willoughby Road, Holt, MI, 48842, US
Telephone: 5176942144

5091 Willoughby Road, Holt, MI 48842 · Ingham County · 101 certified beds · avg 95 residents/day · certified since Jan 1, 1976

Part of chain: NEXCARE HEALTH SYSTEMS (20 facilities, chain avg rating 3.8★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.39

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

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)

▲ Actual harm, one-off · Apr 9, 2026 · F-0689

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: Apr 29, 2026 (Deficient, Provider has date of correction)

All citations in the current public record (16)

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

Date	Severity	What the facility was cited for
Apr 9, 2026	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Apr 9, 2026	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Apr 9, 2026	D · Potential for harm, one-off	The 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.
Apr 9, 2026	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Apr 9, 2026	D · Potential for harm, one-off	The 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.
Apr 9, 2026	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Jan 15, 2025	E · Potential for harm, repeated	The 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.
Jan 15, 2025	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Jan 15, 2025	D · Potential for harm, one-off	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
Jan 15, 2025	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jan 15, 2025	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Aug 22, 2024	D · Potential for harm, one-off	The facility did not provide timely, quality laboratory tests to meet residents' needs. · from a complaint
Dec 20, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Dec 20, 2023	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Dec 20, 2023	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Dec 20, 2023	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 6).

Year	Citations	Serious (G–L)	Worst severity that year
2023	4	0	D
2024	1	0	D
2025	5	0	E
2026	6	1	G ▲

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)

No fines or payment denials in the published 3-year window.

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

Measure	This facility	Michigan avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.39	4.32	3.95	top 35% in Michigan; top 26% in the U.S.
Registered Nurse hours	0.82	0.84	0.69	top 45% in Michigan; top 26% in the U.S.
Weekend total nurse staffing	3.97	3.79	3.50	top 28% in Michigan; top 24% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.36	0.49	0.48	bottom 39% in Michigan; bottom 45% in the U.S.
Total nursing staff turnover (%)	21.8	44.1	45.8	top 3% in Michigan; top 4% in the U.S.
RN turnover (%)	5.9	39.2	42.9	top 3% in Michigan; top 2% 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 3.90, RN 0.73, weekend 3.53. Staffing rating: 4/5.

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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Nexcare Holdings, LLC	Organization	5% or Greater Direct Ownership Interest	100%	11/01/2013
Nexcare Health Systems, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2009
Patrick, Marie	Individual	W-2 Managing Employee	NOT APPLICABLE	01/01/2009
Perry, Michael	Individual	Operational/Managerial Control	NOT APPLICABLE	08/01/2015
Sangster, Todd	Individual	Corporate Officer	NOT APPLICABLE	11/04/2013

Questions to ask on your visit

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

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you keep residents' medical records accurate, complete, and secure?"
"Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
"Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Aria Nursing and Rehabilitation	1.8 mi	Lansing, MI	★☆☆☆☆	1/5
Medilodge of Capital Area	3.2 mi	Lansing, MI	★★☆☆☆	2/5	abuse
Dimondale Nursing Care Center	4.2 mi	Dimondale, MI	★★★☆☆	2/5
Medilodge of Campus Area	7.0 mi	East Lansing, MI	★★★☆☆	3/5
Ingham County Medical Care Facility	7.6 mi	Okemos, MI	★★★★☆	2/5
Burcham Hills Retirement Center	7.9 mi	East Lansing, MI	★☆☆☆☆	1/5
Medilodge of Lansing	8.0 mi	Lansing, MI	★★★★☆	3/5
Medilodge of East Lansing	8.2 mi	East Lansing, MI	★★☆☆☆	2/5
The Willows at East Lansing	8.4 mi	East Lansing, MI	★★★★★	3/5
The Willows at Okemos	8.5 mi	Okemos, MI	★★★★★	4/5
Medilodge of Okemos	8.9 mi	Okemos, MI	★★★★☆	4/5
Regency at Lansing West	9.0 mi	Lansing, MI	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Holt →

Facility data as of CMS processing date 2026-08-01. CCN 235279.

The Care File

Visit checklist — Holt Senior Care and Rehab Center

5091 Willoughby Road, Holt, MI 48842 · 5176942144

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Most serious findings on record:

▲ Apr 9, 2026 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
☐ "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 235279 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)