HOLLY MANOR CENTER
84 COLD HILL ROAD, MENDHAM, NJ 07945 · CCN 315143
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 124
- Avg residents/day
- 86.3
- Phone
- 9735432500
Inspection history vs New Jersey & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | New Jersey avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-02-11 | 9 | 8.6 | 9.5 | +0.4 worse |
| 2 | 2023-01-27 | 9 | 8.0 | 9.8 | +1.0 worse |
| 3 | 2021-02-05 | 5 | 4.9 | 9.3 | +0.1 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Resident assessment and care planning | 2 |
| Nutrition and dietary | 2 |
| Pharmacy service | 4 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.18 | 36.4% |
| RN staffing (reported) | 0.65 | 43.8% |
| Total nurse staffing (adjusted) | 3.26 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- GENESIS HEALTHCARE
- Facilities in chain
- 193
- Chain avg overall
- 2.40 / 5
Inspection citations (23)1 actual harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-02-11 · Health · corrected 2025-03-15
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-02-11 · Health · corrected 2025-03-15
Potential for more than minimal harm
- EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-02-11 · Health · corrected 2025-03-15
Potential for more than minimal harm
- EF0758Implement 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.2025-02-11 · Health · corrected 2025-03-15
Potential for more than minimal harm
- DF0761Ensure 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.2025-02-11 · Health · corrected 2025-03-15
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-02-11 · Health · corrected 2025-03-15
Potential for more than minimal harm
- FF0814Dispose of garbage and refuse properly.2025-02-11 · Health · corrected 2025-03-15
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-02-11 · Health · corrected 2025-03-15
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-02-11 · Health · corrected 2025-03-15
Potential for more than minimal harm
- DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2023-06-02 · Health · corrected 2023-06-23
Potential for more than minimal harm
- DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2023-06-02 · Health · corrected 2023-06-23
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-06-02 · Health · corrected 2023-06-23
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2023-01-27 · Health · corrected 2023-03-03
Potential for more than minimal harm
- DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-01-27 · Health · corrected 2023-03-03
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-01-27 · Health · corrected 2023-02-17
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-01-27 · Health · corrected 2023-03-03
Potential for more than minimal harm
- GF0692Provide enough food/fluids to maintain a resident's health.2023-01-27 · Health · corrected 2023-03-03
Actual harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-01-27 · Health · corrected 2023-03-03
Potential for more than minimal harm
- DF0758Implement 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.2023-01-27 · Health · corrected 2023-03-03
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-01-27 · Health · corrected 2023-03-03
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-01-27 · Health · corrected 2023-03-13
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2021-02-05 · Health · corrected 2021-03-22
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2021-02-05 · Health · corrected 2021-03-23
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| GENESIS NJ HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2011-04-01 |
| BERG, MICHAEL | Individual | CORPORATE OFFICER | — | 2015-03-02 |
| FC-GEN OPERATIONS INVESTMENT LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2011-04-01 |
| GEN OPERATIONS I LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2011-04-01 |
| GEN OPERATIONS II LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2011-04-01 |
| GENESIS HEALTHCARE INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-02-02 |
| GENESIS HEALTHCARE LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2011-04-01 |
| GENESIS HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-02-02 |
| GENESIS OPERATIONS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2011-04-01 |
| GHC HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2011-04-01 |
| HCCF MANAGEMENT GROUP XI LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2011-12-31 |
| SUN HEALTHCARE GROUP INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-02-02 |
| SUNDANCE REHABILITATION HOLDCO INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2016-01-01 |
| WELLTOWER OP LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-01-01 |
| ZAC PROPERTIES XI LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2011-12-31 |
| FISHMAN, STEVEN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-02-02 |
| WHITMAN, ARNOLD | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-02-02 |
| MARTIRANO, GLORIANA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 |
| BRIDGEFORD, LAURA | Individual | CORPORATE OFFICER | — | 2024-04-01 |
| SHROFF, SHILPA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-05-01 |
| MENDELSON, AVI | Individual | CORPORATE OFFICER | — | 2024-04-01 |
Other facilities in MENDHAM
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.