Holly Care Center
320 N 8th St., Holly, CO 81047 · Prowers County · (719) 537-6555
45 certified beds, about 32 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1996
Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 065351 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 28, 2024, inspectors cited 3 health deficiencies (the Colorado average is 8.7, the national average 9.2).
None of its 10 health citations since December 2021 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 2.93 hours per resident per day, against 3.72 across Colorado and 3.86 nationally. Registered nurses accounted for 0.58 of those hours.
45.8% of nursing staff left within the year CMS measured (Colorado average 47.1%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
212/21
503/23
308/24
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 10 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
6D
2E
2F
Potential for minimal harm
0A
0B
0C
August 28, 2024Standard inspection · 3 citations
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, record review and interviews, the facility failed to provide a safe, functional, sanitary and comfortable environment for residents, staff and the public. Specifically, the facility failed to: -Ensure housekeeping staff followed appropriate infection control practices when cleaning resident rooms; -Ensure nursing staff followed appropriate infection control practices when providing wound care; and, -Ensure clean items, such as medications and body soap, were stored in a sanitary manner.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observations, record review and interviews, the facility failed to develop and implement a comprehensive centered care plan that included measurable objectives and timeframes to meet a resident's medical, nursing, mental and psychosocial needs for two (#23 and #25) of six residents out of 16 sample residents. Specifically, the facility to: -Ensure a care plan and interventions were developed for Resident #23's use of a hypertensive medication; and, -Ensure a care plan and interventions were developed for Resident #25's use of insulin, an anticoagulant medication and for dialysis treatments.
- D Provide or obtain dental services for each resident.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure one (#3) of two residents reviewed for ancillary services out of 16 sample residents received routine dental care and 24-hour emergency dental care. Specifically, the facility failed to ensure Resident #3 was provided dental services for timely replacement of her upper denture.
March 30, 2023Standard inspection · 5 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, record review and staff interviews, the facility failed to ensure food was stored, prepared, and served under sanitary conditions in one kitchen. Specifically, the facility failed to ensure: -Appropriate hand hygiene by food service staff; and, -Food was stored and labeled properly
- F Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation and staff interview, the facility failed to provide a safe, functional and comfortable environment for residents, staff and the public. Specifically, the facility failed to ensure a backflow prevention device was installed on a hose in the kitchen maintenance closet and on the hand held shower on the west hall shower, increasing the risk of contamination to the facility's main water supply.
- E Honor 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.
Inspectors wroteBased on observations and staff interviews, the facility failed to maintain a sanitary, orderly, and comfortable environment for residents in 14 of 25 resident rooms in two hallways. Specifically, the facility failed to ensure walls, halls, ceilings, floors, and doors were repaired, painted and properly maintained.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure the resident environment remained as free of accident hazards as possible; and each resident received adequate supervision and assistance devices to prevent accidents for two (#1 and #26) of three residents reviewed for accidents/hazards out of 15 sample residents. Specifically, the facility: -Failed to ensure a medication in Resident #1's room had a current order and was not kept at bedside; -Failed to ensure Resident #26 had fall interventions in place; and, -Failed to ensure an oxygen concentrator was plugged into an appropriate electrical supply.
- D Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspectors wroteBased on record review and interviews, the facility failed to ensure licensed nurses were able to demonstrate competencies in skills and techniques necessary to care for residents' needs, as identified through resident assessments, and described in the plan of care. Specifically, the facility failed to ensure nursing staff had completed competencies in the past 12 months prior to providing skilled services as described in the plan of care for two out of two registered nurses (RN) and one out of one licensed practical nurses (LPN) reviewed for competencies.
December 16, 2021Standard inspection · 2 citations
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure residents who needed respiratory care were provided such care, consistent with professional standards of practice for two (#23 and #15) of three residents reviewed for oxygen therapy out of 16 sample residents. Specifically, the facility failed to ensure oxygen was administered according to physician orders for Residents #23 and #15.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure as needed (PRN) orders for psychotropic drugs were evaluated by a physician within 14 days for use and duration for one (#8) of five residents reviewed for unnecessary medication use out of 16 sample residents. Specifically, the facility: -Failed to re-evaluate the use of PRN psychotropic medication by a physician within 14 days; and, -Failed to have individualized person centered interventions to utilize prior to the administration of PRN psychotropic medication. I. Facility policy The Psychopharmacological policy, revised 1/10/19, was provided by the director of nursing (DON) on 12/14/21 at 3:35 p.m. included, The licensed nurse or Social Services Director will initiate behavior monitoring within the first twenty-four hours of admission. [...]
Fire safety inspections
5 fire safety citations on file: 3 on March 30, 2023, 2 on December 16, 2021.
Every fire safety citation5 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- D Provide properly protected cooking facilities.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Have generator or other power source capable of supplying service within 10 seconds.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Colorado | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 2.93 | 3.72 | 3.86 |
| Registered nurses | 0.58 | 0.82 | 0.69 |
| All nursing staff on weekends | 2.73 | 3.29 | 3.42 |
| Nurse aides | 1.63 | ||
| Licensed practical nurses | 0.71 | ||
| Nursing staff turnover (share who left in a year) | 45.8% | 47.1% | 45.8% |
| Registered nurse turnover | 50.0% | 44.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.26 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.01 on weekdays and 2.73 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.34 in April to June 2025 to 2.93 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 2.93 | 0.58 | 3.01 | 2.73 | 0.0% | 0 of 90 | 32 |
| Oct to Dec 2025 | 3.04 | 0.79 | 3.16 | 2.73 | 0.0% | 0 of 92 | 28 |
| Jul to Sep 2025 | 3.16 | 0.82 | 3.30 | 2.82 | 0.0% | 0 of 92 | 28 |
| Apr to Jun 2025 | 3.34 | 0.85 | 3.47 | 3.03 | 0.0% | 0 of 91 | 28 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Colorado, Jan to Mar 2026 | 3.59 | 0.76 | 3.75 | 3.18 | 5.9% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Colorado | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 4.3 | 13.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 3.4 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.4 | 13.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.1 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.9 | 20.0 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.4 | 1.4 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 1.7 | 1.8 |
Owners and operators
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on August 28, 2024: "Provide or obtain dental services for each resident."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on August 28, 2024: "Provide and implement an infection prevention and control program."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on August 28, 2024: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on March 30, 2023: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.73 hours per resident per day, below the Colorado average of 3.29.
Colorado contacts for a concern about a nursing home
These are the official offices in Colorado. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Colorado Department of Public Health and Environment, Health Facilities and Emergency Medical Services Division, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Colorado State Long-Term Care Ombudsman Program, 303-862-3524. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Find and compare facilities, where Colorado publishes its own records on licensed homes.
Common questions
- What is Holly Care Center's Medicare star rating?
- CMS rates Holly Care Center 5 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Holly Care Center get at its last inspection?
- 3 health deficiencies at the standard inspection on August 28, 2024. The Colorado average is 8.7.
- Has Holly Care Center been fined?
- CMS lists no fines in the last three years.
- Does Holly Care Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Holly Care Center?
- CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.