CareSentinel

Federal Nursing-Home Survey Record

MISSION CARE AT HOLYOKE

CCN 225480 · 35 HOLY FAMILY ROAD, HOLYOKE, MA, 01040 · Operated within the ICARE HEALTH NETWORK chain

Does MISSION CARE AT HOLYOKE have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), MISSION CARE AT HOLYOKE (CCN 225480), in HOLYOKE, MA, has federal inspection findings on its record. CMS currently displays its federal abuse icon for this facility — a flag CMS assigns under its own published methodology for abuse-related citations (deficiency tag F600 and related). In its current inspection cycle, CMS cited the facility for 15 deficiencies; the most serious carries scope/severity G on CMS's A–L scale, a level CMS classifies as actual harm. The most recent federal survey on file is dated 2025-06-10. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $32,920 in civil money penalties on file against the facility. This page restates the federal record as published by CMS and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

The Federal Record

CMS has flagged this facility with its federal abuse icon.

Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Federal Abuse Icon

Federal abuse icon on file

CMS displays its abuse icon for facilities it has cited for resident abuse under its own published methodology (deficiency tag F600 and related). This is the government's own flag, restated here.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with federal regulators (CMS).

Civil money penalties on file

$32,920

CMS has $32,920 in civil money penalties on file against this facility.

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 2  ·  CMS state average: 3.1

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2025-12-03
CURRENT CYCLE
F580S/S D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2025-12-03
CURRENT CYCLE
F609S/S D

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

2025-11-25
CURRENT CYCLE
F603S/S G

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

2025-11-25
CURRENT CYCLE
F609S/S D

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

2025-11-25
CURRENT CYCLE
F607S/S D

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

2025-06-10
CURRENT CYCLE
F756S/S E

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

2025-06-10
CURRENT CYCLE
F812S/S E

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

2025-06-10
CURRENT CYCLE
F689S/S D

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

2025-06-10
CURRENT CYCLE
F550S/S D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

2025-06-10
CURRENT CYCLE
F551S/S D

Give the resident's representative the ability to exercise the resident's rights.

2025-06-10
CURRENT CYCLE
F880S/S D

Provide and implement an infection prevention and control program.

2025-06-10
CURRENT CYCLE
F790S/S D

Provide routine and 24-hour emergency dental care for each resident.

2025-06-10
CURRENT CYCLE
F584S/S D

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

2025-06-10
CURRENT CYCLE
F646S/S D

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

2025-06-10
CURRENT CYCLE
F692S/S D

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

2025-04-01
HISTORICAL
F656S/S J

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

2025-04-01
HISTORICAL
F689S/S J

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

2025-01-02
HISTORICAL
F557S/S D

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

2024-04-02
HISTORICAL
F880S/S E

Provide and implement an infection prevention and control program.

2024-04-02
HISTORICAL
F926S/S D

Have policies on smoking.

2024-04-02
HISTORICAL
F695S/S D

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

2024-04-02
HISTORICAL
F698S/S D

Provide safe, appropriate dialysis care/services for a resident who requires such services.

2024-04-02
HISTORICAL
F760S/S D

Ensure that residents are free from significant medication errors.

2024-04-02
HISTORICAL
F842S/S D

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

2023-01-03
HISTORICAL
F760S/S G

Ensure that residents are free from significant medication errors.

2023-01-03
HISTORICAL
F758S/S E

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.

2023-01-03
HISTORICAL
F561S/S D

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

2023-01-03
HISTORICAL
F698S/S D

Provide safe, appropriate dialysis care/services for a resident who requires such services.

2023-01-03
HISTORICAL
F755S/S D

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

2023-01-03
HISTORICAL
F604S/S D

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

2023-01-03
HISTORICAL
F756S/S D

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

2023-01-03
HISTORICAL
F558S/S D

Reasonably accommodate the needs and preferences of each resident.

2023-01-03
HISTORICAL
F761S/S D

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.

2023-01-03
HISTORICAL
F773S/S D

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

2023-01-03
HISTORICAL
F584S/S D

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

2023-01-03
HISTORICAL
F580S/S D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2023-01-03
HISTORICAL
F842S/S D

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

2023-01-03
HISTORICAL
F688S/S D

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

2023-01-03
HISTORICAL
F686S/S D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2023-01-03
HISTORICAL
F690S/S D

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

2023-01-03
HISTORICAL
F695S/S D

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

2023-01-03
HISTORICAL
F656S/S D

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

2023-01-03
HISTORICAL
F550S/S D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with federal regulators (CMS). Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Were you or a loved one harmed at MISSION CARE AT HOLYOKE?

Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.

Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Step 1 of 3 · What happened

Your relationship to the resident
What happened? Select all that apply.

Physical injury

Skin & wounds

Medical & clinical

Safety & abuse

Loss

Something else

The resident is…