Holly Manor Rehab And Nursing faces challenges in its CMS ratings, earning a D grade with a score of 40/100. The facility ranks in the 31th percentile among Virginia nursing homes, suggesting significant room for improvement.
With 3.27 total nurse hours per resident per day, Holly Manor Rehab And Nursing falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent inspections identified 95 deficiencies at Holly Manor Rehab And Nursing. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.27 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.62 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.84 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.82 | 2.4 | Below Average |
| Weekend Total Nursing | 2.83 | 3.8 | Below Average |
| Weekend RN Hours | 0.32 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0585 Severity EHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt eJun 4, 2025 · Resident Rights Deficiencies
- Tag 0605 Severity EPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Jun 4, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0656 Severity EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Jun 4, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0658 Severity EEnsure services provided by the nursing facility meet professional standards of quality.Jun 4, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0677 Severity EProvide care and assistance to perform activities of daily living for any resident who is unable.Jun 4, 2025 · Quality of Life and Care 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 | 5.9% | 4.5% | Worse |
| Falls with major injury | 2.7% | 3.0% | Average |
| On antipsychotic medication | 4.9% | 14.5% | Better |
| Urinary tract infections | 1.0% | 2.5% | Better |
| ADL decline (daily activities) | 11.3% | 14.0% | Better |
| Excessive weight loss | 6.9% | 7.5% | Average |
| New/worsened incontinence | 29.5% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of D is based on a score of 40 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 1★ → 4 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
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