Holton Home Health LLC
A home health agency in Holton, Kansas 66436
103 W. 4th Street, Holton, Kansas 66436. (785) 364-9617.
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The short answer
Record last released by CMS on Oct 21, 2026.
- 3of 5 quality of patient care rating
- 4of 5 patient survey rating
- 2 deficiencies cited in the last three years
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on Sep 25, 2024: a recertification inspection.
2 deficiencies cited in the last three years.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
2 deficiencies in 1 month of the last 36. Last cited Sep 2024. Most serious: Standard-level. The last 3 years, to Oct 24, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Nov | Dec | ||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
Sep 25, 2024: recertification inspection2 deficiencies
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Hha Comprehensive Assessment In Disaster
The inspectors’ words, 326 words
“HHA Comprehensive Assessment in Disaster CFR(s): 484.102(b)(1) §484.102(b)(1) Condition for Participation: [(b) Policies and procedures. The HHA must develop and implement emergency preparedness policies and procedures, based on the emergency plan set forth in paragraph (a) of this section, risk assessment at paragraph (a)(1) of this section, and the communication plan at paragraph (c) of this section. The policies and procedures must be reviewed and updated at least every 2 years. At a minimum, the policies and procedures must address the following:] (1) The plans for the HHA’s patients during a natural or man-made disaster. Individual plans for each patient must be included as part of the comprehensive patient assessment, which must be conducted according to the provisions at §484.55. This Standard is not met as evidenced by: Based on record review, observation, document review and interview, the Home Health Agency (HHA) failed to develop and implement an individual Emergency Preparedness Plan (EPP) for each patient, as a part of the comprehensive assessment for 7 (Patients 1-7) of 7 sample patients reviewed. This failure to develop individual EPP plans for each patient placed all patients at risk for harm during an emergency situation. Findings Include: Observations during three home visits on 09/25/24, between 10:00AM and 11:45 AM, showed there were no individualized plans documented for the patients. Review of agency documentation provided to patients and discussion of emergency preparedness plans confirmed there were no individualized developed and implemented found for patients. Review of Patient records 1 through 7 showed the agency lacked documented evidence by agency professional staff of an individual emergency preparedness plan developed as part of the comprehensive assessment for each patient. Review of the agency’s Emergency Preparedness Program showed the agency failed to include plans for individual patients during a natural or man-made disaster. During an interview on 09/25/24 at 4:05 PM, Staff A, Administrator, confirmed there were no individualized emergency preparedness plans for patients, based upon the comprehensive assessment of the patients.”
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Only As Ordered By A Physician
The inspectors’ words, 307 words
“Only as ordered by a physician CFR(s): 484.60(b)(1) Drugs, services, and treatments are administered only as ordered by a physician or allowed practitioner. This Element is not met as evidenced by: Based on record review and staff interview, the Home Health Agency (HHA) failed to obtain physician orders, prior to providing wound care treatments for 1 (Patient 1) of 7 sample patients reviewed. This deficient practice placed all patients at risk for adverse outcomes due to provision of treatments without physician orders. Findings Include: Review of Patient 1’s clinical record showed the, “Home Health Certification and Plan of Care,” (POC), with a Start of Care date of 09/06/24 and a certification period from 09/06/24 to 11/04/24. The principal diagnosis showed: spinal stenosis with orders for Skilled Nursing one time per week for three weeks. The POC showed Physical Therapy one time per week for four weeks and Occupational Therapy two times per week for one week, then three times per week for two weeks, and then two times per week for one week. There were no orders found for Skilled Nursing to provide wound care. Review of the start of care note from Staff B, Registered Nurse (RN), showed wound care had been provided to a small pressure sore. Staff B documented, “Patient has small pressure sore on coccyx, cleansed with his pressure sore cleanser and cream applied.” Review of the patient medications listed on the Plan of Care lacked documentation of cleansers or creams, ordered to be used on the patient. There was no documentation to support Staff B spoke with a physician to clarify the need for wound care, prior to performing the wound care treatment. During an interview on 09/25/24 at 3:50 PM, Staff A, Administrator confirmed that no order had been obtained from the physician, prior to providing wound care for the patient.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Sep 25, 2024 | Recertification inspection | 2 deficiencies cited |
Is it certified?
- Medicare-certified home health agency since Nov 9, 1994.
- Ownership: proprietary (for profit).
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
CMS, Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
Has anything been proven against it?
- CMS doesn’t publish fines or other penalties for home health agencies, so none are shown.
- 0 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
Who does the caring?
- Offers nursing care, physical therapy, occupational therapy, speech pathology, medical social services and home health aide services.
- CMS doesn’t publish staffing levels for home health agencies.
CMS, Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
Who owns it?
- Rural Health Resources of Jackson Co Inc. runs it.
- 12 owners or officers are people: Marilyn Watkins (corporate director); Daniel Allen Brenner (corporate officer); Daniel Allen Brenner (corporate director, 0%); Chad Bontrager (corporate director); Bobbi J Ambrosio (corporate officer); Bobbi J Ambrosio (corporate director); Mark Aeschliman (corporate director); Carrie L Lutz (corporate officer, 0%); Carrie L Lutz (runs it (operational or managerial control)); Heather Schrick (corporate director); Gloria Stavropoulos (corporate director); Clint M Colberg (corporate director).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Home Health Agency All Owners and Home Health Agency Enrollments. Released Sep 29, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Rural Health Resources of Jackson Co Inc. | Runs it (operational or managerial control) | 100% | Apr 17, 1997 |
How do patients fare?
- CMS rates its quality of patient care 3 of 5.
- Patients rate it 4 of 5 in CMS’s patient survey (57 surveys completed): 89% rated it 9 or 10 out of 10, and 89% would definitely recommend it.
- CMS compares it with the national rate: discharged to the community, the same; potentially preventable hospital stays, the same; potentially preventable readmissions after discharge, the same.
CMS, Home Health Care Agencies and Home Health Patient Survey. Released Oct 21, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Quality of patient care ratingCMS star rating, 1 to 5 in half stars | 3 of 5 |
| Patient survey ratingCMS star rating from its survey of the agency’s patients, 1 to 5 | 4 of 5 |
| Discharged to the communityCMS’s risk-adjusted rate, compared with the national rate | 85.07% (same as the national rate) |
| Potentially preventable hospital staysCMS’s risk-adjusted rate, compared with the national rate | 11.56% (same as the national rate) |
| Potentially preventable readmissions after dischargeCMS’s risk-adjusted rate, compared with the national rate | 3.71% (same as the national rate) |
How does it compare nearby?
- Of the 10 agencies CMS’s data show serving patients in ZIP code 66436, where this agency’s office is, 9 have a quality of patient care rating; the middle one is 3 of 5, and this one is rated 3 of 5.
CMS, Home Health ZIP Codes and Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
| Place | Quality rating |
|---|---|
| Health Connect Home Care | Not given |
| Holton Home Health LLC This home health agency | 3 |
| Jefferson County Home Health Agency | 2.5 |
| Community Homehealth | 3 |
| Elara Caring | 5 |
| Enhabit Home Health | 3.5 |
| Phoenix Home Care | 4.5 |
| Midland Care Home Health | 2.5 |
| Interim Healthcare of Topeka | 3 |
| Faith Home Health | 3 |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for home health agencies, so none are shown.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- QCOR says some of its home health reports are accurate or available only through May 19, 2021, because of a systems migration.
- Many home health agencies are inspected by a private accrediting organisation instead of the state, and QCOR’s home health file doesn’t appear to include those inspections: no inspection on record here doesn’t mean none took place.
Sources
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Centers for Medicare & Medicaid Services, Home Health Care Agencies (6jpm-sxkc).
Released Oct 21, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health Patient Survey (ccn4-8vby).
Released Oct 21, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR home health inspection reports (HHA_2567s_2018_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 24, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health Agency All Owners (fc009b2d-7846-44b1-b4a1-692f0c143879).
Released Sep 29, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health Agency Enrollments (15f64ab4-3172-4a27-b589-ebd67a6d28aa).
Released Sep 29, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health ZIP Codes (m5eg-upu5).
Released Oct 21, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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This copy of the record was made on Oct 24, 2026.
From the agency
The public record above comes first. Anything the agency adds will appear here, below it, and say who wrote it.
Replies
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Paid listing
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