C

HOLLY MANOR CENTER

84 COLD HILL ROAD, MENDHAM, NJ 07945
Score: 61 / 100

With a score of 61 out of 100, Holly Manor Center earns a C grade — placing it near the middle of New Jersey nursing facilities. Families should review the detailed metrics below when considering this Mendham location.

With 3.18 total nurse hours per resident per day, Holly Manor Center falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.

Recent inspections identified 23 deficiencies at Holly Manor Center. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.18 3.8 Below Average
Registered Nurses (RN) 0.65 0.7 Average
Licensed Practical Nurses (LPN) 0.60 0.7 Below Average
Certified Nursing Assistants (CNA) 1.93 2.4 Below Average
Weekend Total Nursing 2.80 3.8 Below Average
Weekend RN Hours 0.38 0.7 Below Average

🔍 Inspection & Deficiency History

23
Total Deficiencies
Feb 10, 2025
Most Recent Inspection
🟠 23 Moderate
View recent deficiencies (5 shown)
  • Tag 0812 Severity F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Feb 10, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0814 Severity F
    Dispose of garbage and refuse properly.
    Feb 10, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0755 Severity E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    Feb 10, 2025 · Pharmacy Service Deficiencies
  • Tag 0756 Severity E
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in develo
    Feb 10, 2025 · Pharmacy Service Deficiencies
  • Tag 0758 Severity E
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psy
    Feb 10, 2025 · Pharmacy Service Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 11.4% 4.5% Worse
Falls with major injury 4.6% 3.0% Worse
On antipsychotic medication 25.3% 14.5% Worse
Urinary tract infections 1.4% 2.5% Better
ADL decline (daily activities) 14.2% 14.0% Average
Excessive weight loss 5.2% 7.5% Better
New/worsened incontinence 22.8% 45.0% Better

How This Grade Was Calculated

This facility's grade of C is based on a score of 61 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
124
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Feb 10, 2025
Deficiencies (Cycle 1)
9