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Nursing homesKansas › Holton Health Care Center

Holton Health Care Center

1121 W 7Th Street, Holton, KS 66436 · 7853284636 · 45 certified beds

Overall★☆☆☆☆ 1/5
Health inspections★☆☆☆☆ 1/5
Staffing★☆☆☆☆ 1/5
Quality measures★★☆☆☆ 2/5
Special Focus: CMS lists this facility as SFF Candidate — among the facilities with the most serious ongoing compliance problems in the country.

Ownership group

Per CMS filings, this facility is affiliated with Reliant Care Management, a group operating 33 facilities in 2 states. Group record: average rating 1.2/5, 14 abuse citation icons, 8 facilities on the Special Focus list, $4,513,946 in federal fines. This facility rates below its group average (1.2/5).

See all 33 facilities in this group →

Staffing (hours per resident per day)

Total nurse staffing: 2.82 (Kansas median: 3.94). RN hours: 0.32. Weekend total: 2.55.

Inspection deficiencies

All-time on record: 60 deficiency citations, including 4 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2025-08-26Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. FHealthcorrected 2025-10-03
2025-08-26Observe each nurse aide's job performance and give regular training. FHealthcorrected 2025-10-03
2025-08-26Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. FHealthcorrected 2025-10-03
2025-08-26Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. FHealthcorrected 2025-10-03
2025-08-26Provide and implement an infection prevention and control program. FHealthcorrected 2025-10-03
2025-08-26Implement a program that monitors antibiotic use. FHealthcorrected 2025-10-03
2025-08-26Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. FHealthcorrected 2025-10-03
2025-08-26Honor 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. EHealthcorrected 2025-10-03
2025-08-26Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. EHealthcorrected 2025-10-03
2025-08-26Ensure each resident receives an accurate assessment. EHealthcorrected 2025-10-03
2025-08-26Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. EHealthcorrected 2025-10-03
2025-08-26Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. EHealthcorrected 2025-10-03
2025-08-26Ensure 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. EHealthcorrected 2025-10-03
2025-08-26Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. EHealthcorrected 2025-10-03
2025-08-26Develop and implement policies and procedures for flu and pneumonia vaccinations. EHealthcorrected 2025-10-03
2025-08-26Educate 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. EHealthcorrected 2025-10-03
2025-08-26Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. EHealthcorrected 2025-10-03
2025-08-26Reasonably accommodate the needs and preferences of each resident. DHealthcorrected 2025-10-03
2025-08-26Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. DHealthcorrected 2025-10-03
2025-08-26Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. DHealthcorrected 2025-10-03
2025-08-26Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. DHealthcorrected 2025-10-03
2025-08-26Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. DHealthcorrected 2025-10-03
2025-08-26Provide safe and appropriate respiratory care for a resident when needed. DHealthcorrected 2025-10-03
2025-08-26Provide safe, appropriate dialysis care/services for a resident who requires such services. DHealthcorrected 2025-10-03
2025-08-26Provide care or services that was trauma informed and/or culturally competent. DHealthcorrected 2025-10-03
2025-08-26Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. DHealthcorrected 2025-10-03
2025-08-26Post nurse staffing information every day. CHealthcorrected 2025-10-03
2024-12-30Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Gcomplaintcorrected 2024-12-20
2024-08-19Provide appropriate treatment and care according to orders, resident’s preferences and goals. Jcomplaintcorrected 2024-09-05
2024-08-19Provide care and assistance to perform activities of daily living for any resident who is unable. Gcomplaintcorrected 2024-09-05
2024-08-19Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Gcomplaintcorrected 2024-09-05
2024-01-29Provide care or services that was trauma informed and/or culturally competent. Jcomplaintcorrected 2024-02-26
2024-01-29Provide 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. Jcomplaintcorrected 2024-02-26
2024-01-29Have 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. Fcomplaintcorrected 2024-02-26
2024-01-29Administer the facility in a manner that enables it to use its resources effectively and efficiently. Fcomplaintcorrected 2024-02-26
2024-01-29Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. Fcomplaintcorrected 2024-02-26
2024-01-29Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Fcomplaintcorrected 2024-02-26
2024-01-29Have a plan that describes the process for conducting QAPI and QAA activities. Fcomplaintcorrected 2024-02-26
2024-01-29Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Fcomplaintcorrected 2024-02-26
2024-01-29Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Ecomplaintcorrected 2024-02-26

Federal penalties

DateTypeAmount
2024-12-30Fine$14,672
2024-08-19Fine$126,089
2024-01-29Fine$44,922
2023-10-16Fine$15,931

Ownership & control records (CMS filings)

NameRoleType%Since
RELIANT CARE GROUP LLCDirect Ownership InterestOrganizationNOT APPLICABLEsince 01/25/2025
RCG INCIndirect Ownership InterestOrganizationNOT APPLICABLEsince 01/25/2025
RICHARD J. DESTEFANE REVOCABLE LIVING TRUSTIndirect Ownership InterestOrganizationNOT APPLICABLEsince 01/25/2025
DESTEFANE, RICHARDIndirect Ownership InterestIndividualNOT APPLICABLEsince 01/25/2025
DESTEFANE, RICHARDCorporate OfficerIndividualNOT APPLICABLEsince 01/25/2025
RELIANT CARE MANAGEMENT COMPANY LLCOperational/Managerial ControlOrganizationNOT APPLICABLEsince 01/25/2025
BAHR-SLOCUM, JENNIFEROperational/Managerial ControlIndividualNOT APPLICABLEsince 01/25/2025
MANZER, JONATHANOperational/Managerial ControlIndividualNOT APPLICABLEsince 01/25/2025

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 175435. Corrections: data@carerecords.org.