Federal inspection record · CMS data as of October 1, 2026

Holland Center For Rehabilitation And Nursing

280 Middle Holland Road, Holland, PA · (215) 322-6100

CMS overall rating

3 of 5

Compare with a nearby home →
Certified beds
66
Residents per day
42
Ownership
For-Profit
Chain
Lme Family Holdings
Medicare / Medicaid
Medicare
Certified since
June 1, 1979

1

How this home got 3 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Pennsylvania.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Pennsylvania homes

Holland Center For Rehabilitation And Nursing carries 75.75 inspection points. That is fewer than 36% of Pennsylvania's 652 rated homes.

5★4★3★2★1★+20 homes above 288.505102550100200inspection points → fewer is better on the leftThis home · 75.75 pts · 2★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Pennsylvania: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–8 pts
  • 4★ 8–33 pts
  • 3★ 33–65 pts
  • 2★ 65–128 pts
  • 1★ over 128 pts

Bars show every rated home in Pennsylvania by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

41 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 1 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 32 4 pts
E 6 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 1 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (2)

  1. G

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

    January 29, 2026 · Complaint inspection · Quality of Life and Care · F689 · Corrected February 24, 2026

  2. J

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    July 12, 2024 · Complaint inspection · Quality of Life and Care · F684 · Corrected August 27, 2024

Everything else, by area of care

Quality of Life and Care10E
  1. D

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    August 13, 2026 · Complaint · F676 · Corrected September 22, 2026

  2. D

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

    May 1, 2026 · Standard · F689 · Corrected June 9, 2026

  3. D

    Provide safe, appropriate pain management for a resident who requires such services.

    May 1, 2026 · Standard · F697 · Corrected June 9, 2026

  4. D

    Provide care or services that was trauma informed and/or culturally competent.

    May 1, 2026 · Standard · F699 · Corrected June 9, 2026

  5. D

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

    December 11, 2025 · Complaint · F689 · Corrected December 12, 2025

  6. D

    Provide safe and appropriate respiratory care for a resident when needed.

    May 16, 2025 · Standard · F695 · Corrected July 1, 2025

  7. D

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

    May 16, 2025 · Standard · F742 · Corrected July 1, 2025

  8. E

    Provide safe, appropriate pain management for a resident who requires such services.

    July 12, 2024 · Standard · F697 · Corrected August 27, 2024

  9. D

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    July 12, 2024 · Standard · F700 · Corrected August 27, 2024

  10. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    April 22, 2024 · Complaint · F684 · Corrected May 28, 2024

Resident Assessment and Care Planning9E
  1. D

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

    May 1, 2026 · Standard · F842 · Corrected June 9, 2026

  2. D

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    May 16, 2025 · Standard · F655 · Corrected July 1, 2025

  3. D

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

    May 16, 2025 · Standard · F656 · Corrected July 1, 2025

  4. E

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

    September 25, 2024 · Complaint · F842 · Corrected October 29, 2024

  5. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    August 13, 2024 · Complaint · F658 · Corrected September 3, 2024

  6. D

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    July 12, 2024 · Standard · F655 · Corrected August 27, 2024

  7. D

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

    July 12, 2024 · Standard · F656 · Corrected August 27, 2024

  8. D

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

    July 12, 2024 · Standard · F842 · Corrected August 27, 2024

  9. D

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    April 22, 2024 · Complaint · F655 · Corrected May 28, 2024

Freedom from Abuse, Neglect, and Exploitation4D
  1. D

    Respond appropriately to all alleged violations.

    June 1, 2026 · Complaint · F610 · Corrected June 24, 2026

  2. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    May 1, 2026 · Standard · F609 · Corrected June 9, 2026

  3. D

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    May 16, 2025 · Standard · F607 · Corrected July 1, 2025

  4. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    May 16, 2025 · Standard · F609 · Corrected July 1, 2025

Infection Control4E
  1. E

    Implement a program that monitors antibiotic use.

    July 12, 2024 · Standard · F881 · Corrected August 27, 2024

  2. E

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    July 12, 2024 · Standard · F883 · Corrected August 27, 2024

  3. D

    Provide and implement an infection prevention and control program.

    July 12, 2024 · Standard · F880 · Corrected August 27, 2024

  4. D

    Provide and implement an infection prevention and control program.

    February 8, 2024 · Complaint · F880 · Corrected March 12, 2024

Pharmacy Service3E
  1. D

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

    May 16, 2025 · Standard · F755 · Corrected July 1, 2025

  2. D

    Ensure medication error rates are not 5 percent or greater.

    May 16, 2025 · Standard · F759 · Corrected July 1, 2025

  3. E

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

    July 12, 2024 · Standard · F756 · Corrected August 27, 2024

Administration3E
  1. E

    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

    July 12, 2024 · Standard · F836 · Corrected August 27, 2024

  2. D

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    July 12, 2024 · Standard · F770 · Corrected August 27, 2024

  3. D

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    July 12, 2024 · Standard · F944 · Corrected August 27, 2024

Nursing and Physician Services2D
  1. 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.

    May 1, 2026 · Standard · F726 · Corrected June 9, 2026

  2. D

    Observe each nurse aide's job performance and give regular training.

    May 16, 2025 · Standard · F730 · Corrected July 1, 2025

Resident Rights2D
  1. B

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    May 16, 2025 · Standard · F577 · Corrected July 1, 2025

  2. D

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    July 12, 2024 · Standard · F578 · Corrected August 27, 2024

Nutrition and Dietary2D
  1. D

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

    July 12, 2024 · Standard · F812 · Corrected August 27, 2024

  2. D

    Dispose of garbage and refuse properly.

    July 12, 2024 · Standard · F814 · Corrected August 27, 2024

Inspection history

  1. 2026-05-01

    10 health deficiencies · 3 fire-safety deficiencies

    Top issue: Quality of Life and Care (6 deficiencies)

  2. 2025-05-16

    10 health deficiencies · 9 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

  3. 2024-07-12

    21 health deficiencies · 7 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (6 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 52 min of nursing staff time a day, 56 min of it from a registered nurse.

This home

3 h 52 min

Pennsylvania average

3 h 54 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 72% of nursing staff and 58% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$36,186 in federal fines on record over the past three years.

DatePenaltyAmount
2024-07-12Fine$36,186

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine8.3 pts better96.1%87.8%93.7%
Percentage of long-stay residents experiencing one or more falls with major injury3.1 pts better0.0%3.1%3.2%
Percentage of long-stay residents who have depressive symptoms9.4 pts better4.4%13.8%13.5%
Percentage of long-stay residents who lose too much weight0.7 pts worse6.7%6.0%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication6.8 pts better13.3%20.1%19.5%
Percentage of long-stay residents who were physically restrained0.2 pts better0.0%0.2%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased16.4 pts better0.0%16.4%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better0.0%0.6%0.7%
Percentage of long-stay residents with a urinary tract infection1.4 pts better0.0%1.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.3 pts worse26.3%25.0%18.3%
Percentage of long-stay residents with pressure ulcers0.4 pts worse5.1%4.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine20.2 pts better91.0%70.8%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit1.4 pts worse10.9%9.5%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better0.0%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine9.8 pts better80.7%70.9%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission5.5 pts worse27.5%22.0%23.4%

·

Who owns and runs it

10 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Twining Village Operating Holdings LLC5% Or Greater Direct Ownership Interest · Organization100%1 facilities
Be Smarts Tr5% Or Greater Indirect Ownership Interest · Organization0%6 facilities
Braunstein, BarryOperational/Managerial Control · Individual0%13 facilities
El Twining LLC5% Or Greater Indirect Ownership Interest · Organization0%1 facilities
Feuer, SamuelOperational/Managerial Control · Individual0%15 facilities
Kasoro, TaiW-2 Managing Employee · Individual0%1 facilities
Lahasky Family Trust5% Or Greater Indirect Ownership Interest · Organization0%6 facilities
Lahasky, EphramOperational/Managerial Control · Individual0%41 facilities
Twining Managing Member LLC5% Or Greater Indirect Ownership Interest · Organization0%1 facilities
Twining Member LLC5% Or Greater Indirect Ownership Interest · Organization0%1 facilities

·

Fire safety

19 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke6F
  1. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    May 1, 2026 · K345 · Corrected July 8, 2026

  2. E

    Install corridor and hallway doors that block smoke.

    May 1, 2026 · K363 · Corrected July 8, 2026

  3. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    May 16, 2025 · K345 · Corrected August 7, 2025

  4. E

    Properly select, install, inspect, or maintain portable fire extinguishes.

    May 16, 2025 · K355 · Corrected July 8, 2025

  5. E

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    May 16, 2025 · K374 · Corrected July 8, 2025

  6. E

    Properly select, install, inspect, or maintain portable fire extinguishes.

    July 12, 2024 · K355 · Corrected August 20, 2024

Gas, Vacuum, and Electrical Systems5F
  1. E

    Meet requirements for the installation and maintenance of electrical systems.

    May 1, 2026 · K911 · Corrected July 8, 2026

  2. F

    Have generator or other power source capable of supplying service within 10 seconds.

    May 16, 2025 · K918 · Corrected July 8, 2025

  3. E

    Meet requirements for the installation and maintenance of electrical systems.

    May 16, 2025 · K911 · Corrected August 7, 2025

  4. E

    Ensure proper usage of power strips and extension cords.

    July 12, 2024 · K920 · Corrected August 20, 2024

  5. C

    Have generator or other power source capable of supplying service within 10 seconds.

    July 12, 2024 · K918 · Corrected August 20, 2024

Construction4E
  1. E

    Meet requirements for sections of health care facilities separated by fire resistive construction.

    May 16, 2025 · K131 · Corrected August 7, 2025

  2. E

    Install a two-hour-resistant firewall separation.

    May 16, 2025 · K133 · Corrected July 8, 2025

  3. E

    Meet requirements for sections of health care facilities separated by fire resistive construction.

    July 12, 2024 · K131 · Corrected August 20, 2024

  4. C

    Meet other general requirements.

    July 12, 2024 · K100 · Corrected August 20, 2024

Egress3E
  1. E

    Have properly located and lighted "Exit" signs.

    May 16, 2025 · K293 · Corrected July 8, 2025

  2. E

    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.

    July 12, 2024 · K222 · Corrected August 20, 2024

  3. E

    Install proper backup exit lighting.

    July 12, 2024 · K281 · Corrected August 20, 2024

Emergency Preparedness1C
  1. C

    Develop and maintain an Emergency Preparedness Program (EP).

    May 16, 2025 · E4 · Corrected July 8, 2025

·

Other homes nearby

  1. Worst citation, 3 yrs
    D
    Nursing / resident / day
    4 h 29 min
    Fines
    $0
  2. Pennswood Village

    Newtown, PA

    Worst citation, 3 yrs
    J
    Nursing / resident / day
    5 h 43 min
    Fines
    $32,349
  3. Richboro Rehabilitation & Nursing Center

    Richboro, PA · Prestige Healthcare Administrative Services

    Worst citation, 3 yrs
    F
    Nursing / resident / day
    3 h 38 min
    Fines
    $0