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D
Poor

Holton Health Care Center

1121 W 7TH STREET · HOLTON, KS 66436

7853284636 · For profit - Limited Liability company

45 beds33.1 residents52 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
D
Poor
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Holton Health Care Center receives an overall staffing grade of D (Poor). With 2.8127 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.3896 HPRD, below the recommended 0.75. It is 1.08 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 13.82% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.8127 HPRD — needs 0.67 more hours per resident per day.
⚠️RN staffing (0.3896 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
2.8127hrs/resident/day▼ 1.08
CMS benchmark: 3.48
RN HPRD
0.3896hrs/resident/day▼ 0.29
Recommended: 0.75
Weekend Drop-off
13.82%
2.927 weekday → 2.5224 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.2437hrs/resident/day
Direct care aides
LPN HPRD
0.5292hrs/resident/day
Licensed practical nurses
Consistency
0.4574std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Jackson County Average+0.00 HPRD
2.81
02.81 HPRD
vs. Kansas State Average-1.27 HPRD
4.08
02.81 HPRD
vs. National Average-1.08 HPRD
3.90
02.81 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Holton Health Care Center ★
HOLTON · This facility
—
D
2.81270.3896★☆☆☆☆
ONAGA OPERATOR, LLC
ONAGA
22.7 mi
D
3.53150.3499★★☆☆☆
ANEW HEALTHCARE
NORTONVILLE
23.1 mi
D
3.4890.3031★☆☆☆☆
ROSSVILLE HEALTHCARE & REHAB CENTER
ROSSVILLE
25.1 mi
D
3.32310.382★☆☆☆☆
EASTRIDGE
CENTRALIA
26.7 mi
A+
6.11981.1148★★★★★
TOPEKA PRESBYTERIAN MANOR
TOPEKA
28.3 mi
B
4.81350.5517★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

6
Inspections
60
Total Deficiencies
$199,317
Fines Assessed
Aug 26, 2025Health
27 deficiencies cited
▼
Dec 30, 2024Health
1 deficiency cited· Includes actual harm
▼
Aug 19, 2024Health
3 deficiencies cited· Includes actual harm
▼
Jan 29, 2024Health
18 deficiencies cited· Includes actual harm
▼
Oct 16, 2023Health
1 deficiency cited· Includes actual harm
▼
Aug 10, 2022Health
10 deficiencies cited
▼

Penalty History

Dec 30, 2024Fine
$14,672
Aug 19, 2024Fine
$123,792
Jan 29, 2024Fine
$44,922
Oct 16, 2023Fine
$15,931
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.