Holt Senior Care and Rehab Center — nursing home in Holt, MI

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 101 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 94.7 CMS, MDS-derived
CMS Certification Number: 235279
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jan 1, 1976
Ownership type: For profit - Limited Liability company
Operator (legal business name): Holt Senior Care and Rehab Center, LLC
CMS chain: Nexcare Health Systems 20 facilities
Phone: (517) 694-2144
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest Apr 9, 2026

Citations

31

16 health · 15 fire

Harm or worse

1

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D17	E5	F8
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 235279
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 101
First approved: Jan 1, 1976
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Michigan.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Apr 9, 2026	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Apr 9, 2026	Health	Health Standard	6	Actual harm	—	Open →
Jan 15, 2025	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Jan 15, 2025	Health	Health Standard	5	Potential harm	—	Open →
Aug 22, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Dec 20, 2023	Fire safety	Fire Safety Standard	6	Potential harm	—	Open →
Dec 20, 2023	Health	Health Standard	4	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D17	E5	F8
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Apr 9, 2026	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Apr 29, 2026
Apr 9, 2026	K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 29, 2026
Apr 9, 2026	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 29, 2026
Apr 9, 2026	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 29, 2026
Apr 9, 2026	K-0362	Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 29, 2026
Apr 9, 2026	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 29, 2026
Apr 9, 2026	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 29, 2026
Apr 9, 2026	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 29, 2026
Apr 9, 2026	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 29, 2026
Apr 9, 2026	F-0881	Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Apr 29, 2026
Apr 9, 2026	F-0921	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 29, 2026
Jan 15, 2025	K-0232	Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 4, 2025
Jan 15, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 4, 2025
Jan 15, 2025	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 4, 2025
Jan 15, 2025	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 4, 2025
Jan 15, 2025	F-0637	Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 4, 2025
Jan 15, 2025	F-0640	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 4, 2025
Jan 15, 2025	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 4, 2025
Jan 15, 2025	F-0645	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 4, 2025
Jan 15, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Feb 4, 2025
Aug 22, 2024	F-0770	Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected Sep 5, 2024	Complaint
Dec 20, 2023	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jan 11, 2024
Dec 20, 2023	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jan 11, 2024
Dec 20, 2023	K-0341	Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 6, 2024
Dec 20, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 11, 2024
Dec 20, 2023	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jan 11, 2024
Dec 20, 2023	K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jan 11, 2024
Dec 20, 2023	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 11, 2024
Dec 20, 2023	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 11, 2024
Dec 20, 2023	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 11, 2024
Dec 20, 2023	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jan 11, 2024

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.2

Health inspectionsstate 2.8

Staffingstate 3.6

Quality measuresstate 3.9

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.89

State avg 4.03US avg 3.90

Registered nurse (RN)0.71

State avg 0.78US avg 0.69

Licensed practical nurse0.80

State avg 0.89US avg 0.86

Nurse aide2.37

State avg 2.36US avg 2.35

Weekend total nurse3.51

State avg 3.50US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.29 (case-mix index 1.27).

Staff turnover

Total nursing staff turnover21.0%

State avg 44.6%US avg 45.3%

Registered nurse turnover11.1%

State avg 39.2%US avg 42.5%

Administrators who left1

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Apr 9, 2026
Cycle 1 health score: 40
Total weighted score: 37

Operating entity

Holt Senior Care and Rehab Center, LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Nexcare Health Systems

20 facilities in 1 states. CMS chain ID 369.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 4

Ownership disclosures

Disclosures

5

Organizations

2

Individuals

3

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Nexcare Holdings, LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Nov 1, 2013

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Nexcare Holdings, LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Nov 1, 2013
Nexcare Health Systems, LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2009
Michael Perry	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 1, 2015
Todd Sangster	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Nov 4, 2013
Marie Patrick	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Jan 1, 2009

Same chain in Michigan

All 19 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Evergreen Manor Senior Care Center 111 Evergreen, Battle Creek, MI 49015 CCN 235054	91	Apr 2, 2026	32	—
Hoyt Nursing & Rehab Centre 1202 Weiss St, Saginaw, MI 48602 CCN 235056	128	Jul 9, 2026	493 harm	$31k
South Lyon Senior Care and Rehab Center 700 Reynolds Sweet Parkway, South Lyon, MI 48178 CCN 235065	74	Jun 15, 2026	153 harm	—
Wexford Senior Care Center 460 Pearl Street, Cadillac, MI 49601 CCN 235094	131	Jun 22, 2026	31	—
Saginaw Senior Care and Rehabilitation Center, LLC 4322 Mackinaw Road, Saginaw, MI 48603 CCN 235113	71	Dec 4, 2025	403 harm	$68k
Durand Senior Care and Rehab Center 8750 E Monroe Road, Durand, MI 48429 CCN 235123	141	Jun 11, 2026	194 harm	$54k
Oakpointe Senior Care and Rehab Center 18901 Meyers Rd, Detroit, MI 48235 CCN 235207	106	Aug 27, 2026	331 open	—
Dimondale Nursing Care Center 4000 N Michigan Road, Dimondale, MI 48821 CCN 235256	150	Jul 8, 2025	444 harm	$35k

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 5091 Willoughby Road, Holt, MI 48842
ZIP: 48842
County: Ingham County FIPS 26065
State: Michigan
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Aria Nursing and Rehabilitation 707 Armstrong, Lansing, MI 48911 CCN 235561	2.8 km	110	Jul 28, 2026	885 harm3 open	$76k
Medilodge of Capital Area 2100 E Provincial House Drive, Lansing, MI 48910 CCN 235653Abuse icon	5.2 km	120	Jun 26, 2026	541 IJ	$23k
Dimondale Nursing Care Center 4000 N Michigan Road, Dimondale, MI 48821 CCN 235256	6.8 km	150	Jul 8, 2025	444 harm	$35k
Medilodge of Campus Area 2815 Northwind Drive, East Lansing, MI 48823 CCN 235517	11.3 km	102	Apr 30, 2026	541 harm	—
Ingham County Medical Care Facility 3860 Dobie Road, Okemos, MI 48864 CCN 235015	12.3 km	236	Jul 10, 2026	731 harm	—
Burcham Hills Retirement Center 2700 Burcham Drive, East Lansing, MI 48823 CCN 235236	12.7 km	133	Apr 24, 2026	667 harm	$38k
Medilodge of Lansing 731 Starkweather Drive, Lansing, MI 48917 CCN 235285	12.8 km	85	Dec 4, 2025	43	—
Medilodge of East Lansing 1843 N Hagadorn Road, East Lansing, MI 48823 CCN 235283	13.2 km	99	Jan 9, 2026	593 harm	$33k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	235279	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	235279	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 235279

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction