Nursing home · Top rated by CMS
Holt Senior Care and Rehab Center
5091 Willoughby Road, Holt, MI 48842 · Map
For profit - Corporation · Part of Nexcare Health Systems (20 facilities) · 101 certified beds
Holt Senior Care and Rehab Center is a Medicare-certified nursing home in Holt, Michigan. CMS rates it 5 out of 5 stars overall (5/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.89 hours per resident per day, below the Michigan average of 4.03. Its most recent inspection on Jan 15, 2025 cited 5 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Holt Senior Care and Rehab Center compares
This facility vs. the Michigan and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Michigan avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.89 | 4.03 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.78 | 0.77 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.41 | 2.38 | 2.34 | above avg |
| Nursing staff turnover | 28.4% | 44.4% | 46.4% | below avg |
| Deficiencies cited, last inspection | 5.0 | 9.8 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Holt Senior Care and Rehab Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jan 15, 2025 · Full report (PDF) - Potential for harm
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Jan 15, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Jan 15, 2025 · Full report (PDF) - Potential for harm
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · Jan 15, 2025 · Full report (PDF) - Potential for harm
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies · Jan 15, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration Deficiencies · Aug 22, 2024 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Dec 20, 2023 · Full report (PDF) - Potential for harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Dec 20, 2023 · Full report (PDF) - Potential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Dec 20, 2023 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Dec 20, 2023 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Sep 23, 2022 - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Sep 23, 2022
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 5091 Willoughby Road
Holt, MI 48842 - CMS certification #
- 235279
- Ownership
- For profit - Corporation
- Certified beds
- 101
- Avg residents/day
- 95.8
- Provider type
- Medicare and Medicaid
- First certified
- 1976-01-01
- Chain
- Nexcare Health Systems (20 facilities)
- Setting
- Urban
Part of Nexcare Health Systems
Nexcare Health Systems operates 20 nursing facilities across the United States. View all Nexcare Health Systems facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Holt Senior Care and Rehab Center using Google Maps.
Other public records
- Staff pay 1 federal wage case with violations found, since 2015
Full public records, with dates and sources
Care and services
From the community’s website
What Holt Senior Care and Rehab Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Apartment types named: private room.
Private Suites Available
(page, checked Oct 12, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Nov 1, 2015 to Mar 1, 2016. Violations found: Family and medical leave. Back wages: $1,828 owed to 1 employee. Employer as DOL recorded it: Holt Senior Care and Rehab Center (Holt Senior Care and Rehab Center, LLC). Case 1780963.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Mclaren Greater Lansing, Lansing. 4.2 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Aria Nursing and Rehabilitation, Lansing. 1.8 miles away, straight line.
- Nearest home health agency office
- Americare Home Health Services, Lansing. 2.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 0.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 48842 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fmc - Lansing, Lansing, 1.7 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Lansing Dialysis Of Fmc, Lansing, 3.5 miles away, straight line (CMS rating 1 of 5 stars)
Davita Spartan Dialysis, East Lansing, 6.1 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars) - Hospice
- 17 Medicare hospices tell CMS they serve ZIP code 48842.
Hospice Of Lansing, office in Lansing, 3.4 miles away, straight line (CMS family survey rating 5 of 5 stars)
Compassus - Lansing, office in Lansing, 5.6 miles away, straight line (CMS family survey rating 4 of 5 stars)
Sparrow Hospice Services, office in Lansing, 6.0 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Msu Health Care Inc., Holt. 0.0 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane very low, inland flooding relatively moderate, wildfire very low, tornado relatively moderate, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Holt Senior Care and Rehab Center a good nursing home?
CMS gives Holt Senior Care and Rehab Center an overall rating of 5 out of 5 stars, including 5/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Holt Senior Care and Rehab Center staffed?
Holt Senior Care and Rehab Center reports 3.89 total nurse hours per resident per day, compared with the Michigan average of 4.03.
Has Holt Senior Care and Rehab Center had inspection problems?
Its most recent CMS inspection cited 5 deficiencies.
How many beds does Holt Senior Care and Rehab Center have?
Holt Senior Care and Rehab Center is certified for 101 beds.