HOLLY MANOR CENTER

📍 84 COLD HILL ROAD, mendham, NJ 07945 📞 9735432500 🛏️ 124 beds

Overall Rating

⭐⭐⭐⭐⭐
5/5

Health Inspection

⭐⭐⭐⭐
4/5

Staffing

⭐⭐⭐
3/5

Quality Measures

⭐⭐⭐⭐⭐
5/5

Inspection History Overview

29
Total Violations
6 years of data
$14,770
Total Fines
2 penalties
5
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2025 9 violations

Tag 0656 D Feb 11, 2025

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Mar 15, 2025
Tag 0755 E Feb 11, 2025

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Mar 15, 2025
Tag 0756 E Feb 11, 2025

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: Mar 15, 2025
Tag 0758 E Feb 11, 2025

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.

✓ Corrected: Mar 15, 2025
Tag 0761 D Feb 11, 2025

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Mar 15, 2025
Tag 0812 F Feb 11, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Mar 15, 2025
Tag 0814 F Feb 11, 2025

Dispose of garbage and refuse properly.

✓ Corrected: Mar 15, 2025
Tag 0842 D Feb 11, 2025

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Mar 15, 2025
Tag 0880 E Feb 11, 2025

Provide and implement an infection prevention and control program.

✓ Corrected: Mar 15, 2025

2023 12 violations

Tag 0604 D Jun 2, 2023

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

✓ Corrected: Jun 23, 2023
Tag 0622 D Jun 2, 2023

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

✓ Corrected: Jun 23, 2023
Tag 0842 D Jun 2, 2023

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Jun 23, 2023
Tag 0558 D Jan 27, 2023

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Mar 3, 2023
Tag 0561 D Jan 27, 2023

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

✓ Corrected: Mar 3, 2023
Tag 0582 D Jan 27, 2023

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: Feb 17, 2023
Tag 0690 D Jan 27, 2023

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Mar 3, 2023
Tag 0692 G Jan 27, 2023

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Mar 3, 2023
Tag 0725 E Jan 27, 2023

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Mar 3, 2023
Tag 0758 D Jan 27, 2023

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.

✓ Corrected: Mar 3, 2023
Tag 0804 E Jan 27, 2023

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Mar 3, 2023
Tag 0812 F Jan 27, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Mar 13, 2023

2021 3 violations

Tag 0837 D Jul 13, 2021

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

✓ Corrected: Jul 16, 2021
Tag 0755 D Feb 5, 2021

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Mar 22, 2021
Tag 0880 D Feb 5, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Mar 23, 2021

2020 1 violations

Tag 0880 D Apr 27, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: May 22, 2020

2019 3 violations

Tag 0689 D Oct 7, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Oct 25, 2019
Tag 0812 E Oct 7, 2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Oct 25, 2019
Tag 0842 D Oct 7, 2019

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Oct 25, 2019

2017 1 violations

Tag 0315 D Sep 27, 2017

Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.

✓ Corrected: Oct 15, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2023 1 penalties totaling $9,770

$9,770
Fine
January 27, 2023
Average: $9,770 | Range: $9,770 - $9,770

2021 1 penalties totaling $5,000

$5,000
Fine
February 5, 2021
Average: $5,000 | Range: $5,000 - $5,000

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

June 2, 2023
0.00

Health

January 27, 2023
0.00

Health

July 13, 2021
0.00

Health

February 5, 2021
0.00

Health

October 7, 2019
0.00

Quality Measures

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Short Stay

Quality Measure

Short Stay

Quality Measure

Short Stay

Quality Measure

Short Stay

Quality Measure

Short Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Short Stay

Ownership Information

For profit - Corporation
Independent (Not part of a chain)
315143
315143
9735432500
Morris

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Organization
August 25, 2025
Organization