Our Coverage of Mission Care At Holyoke

Mission Care At Holyoke: Resident Isolation Harm - MA Mar 3, 2026
Mission Care at Holyoke: Abuse Prevention Gaps - MA Mar 1, 2026
Mission Care At Holyoke: Abuse Reporting Failures - MA Mar 1, 2026

Inspection History Overview

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Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

November 25, 2025 Complaint Investigation

Fines and Penalties by Year

2025 1 penalties totaling $26,130

$26,130
Apr 1, 2025

Fine

2023 1 penalties totaling $8,577

$8,577
Jan 3, 2023

Fine

2020 1 penalties totaling $45,981

$45,981
Feb 4, 2020

Fine

2019 2 penalties totaling $16,926

$7,566
Nov 22, 2019

Fine

$9,360
Feb 14, 2019

Fine

2018 1 penalties totaling $29,133

$29,133
Dec 11, 2018

Fine

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Health Violations by Year

2025 3 violations

Tag 0656 J Apr 1, 2025

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

✓ Corrected: Mar 17, 2025
Tag 0689 J Apr 1, 2025

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

✓ Corrected: Mar 17, 2025
Tag 0557 D Jan 2, 2025

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

✓ Corrected: Jan 24, 2025

2024 6 violations

Tag 0695 D Apr 2, 2024

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

✓ Corrected: May 17, 2024
Tag 0698 D Apr 2, 2024

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

✓ Corrected: May 17, 2024
Tag 0760 D Apr 2, 2024

Ensure that residents are free from significant medication errors.

✓ Corrected: May 17, 2024
Tag 0842 D Apr 2, 2024

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

✓ Corrected: May 17, 2024
Tag 0880 E Apr 2, 2024

Provide and implement an infection prevention and control program.

✓ Corrected: May 17, 2024
Tag 0926 D Apr 2, 2024

Have policies on smoking.

✓ Corrected: May 17, 2024

2023 19 violations

Tag 0550 D Jan 3, 2023

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

✓ Corrected: Feb 19, 2023
Tag 0558 D Jan 3, 2023

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Feb 19, 2023
Tag 0561 D Jan 3, 2023

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

✓ Corrected: Feb 19, 2023
Tag 0580 D Jan 3, 2023

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

✓ Corrected: Feb 19, 2023
Tag 0584 D Jan 3, 2023

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.

✓ Corrected: Feb 19, 2023
Tag 0604 D Jan 3, 2023

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

✓ Corrected: Feb 19, 2023
Tag 0656 D Jan 3, 2023

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

✓ Corrected: Feb 19, 2023
Tag 0686 D Jan 3, 2023

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

✓ Corrected: Feb 19, 2023
Tag 0688 D Jan 3, 2023

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.

✓ Corrected: Feb 19, 2023
Tag 0690 D Jan 3, 2023

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

✓ Corrected: Feb 19, 2023
Tag 0695 D Jan 3, 2023

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

✓ Corrected: Feb 19, 2023
Tag 0698 D Jan 3, 2023

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

✓ Corrected: Feb 19, 2023
Tag 0755 D Jan 3, 2023

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

✓ Corrected: Feb 19, 2023
Tag 0756 D Jan 3, 2023

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

✓ Corrected: Feb 19, 2023
Tag 0758 E Jan 3, 2023

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.

✓ Corrected: Feb 19, 2023
Tag 0760 G Jan 3, 2023

Ensure that residents are free from significant medication errors.

✓ Corrected: Jan 3, 2023
Tag 0761 D Jan 3, 2023

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.

✓ Corrected: Feb 19, 2023
Tag 0773 D Jan 3, 2023

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

✓ Corrected: Feb 19, 2023
Tag 0842 D Jan 3, 2023

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

✓ Corrected: Feb 19, 2023

2022 1 violations

Tag 0883 D Jan 12, 2022

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

✓ Corrected: Feb 19, 2022

2021 17 violations

Tag 0580 D May 11, 2021

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

✓ Corrected: Jul 6, 2021
Tag 0582 B May 11, 2021

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: Jul 6, 2021
Tag 0604 D May 11, 2021

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

✓ Corrected: Jul 6, 2021
Tag 0606 D May 11, 2021

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

✓ Corrected: Jul 6, 2021
Tag 0656 E May 11, 2021

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

✓ Corrected: Jul 6, 2021
Tag 0657 D May 11, 2021

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Jul 13, 2021
Tag 0676 D May 11, 2021

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

✓ Corrected: Jul 6, 2021
Tag 0684 D May 11, 2021

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

✓ Corrected: Jul 6, 2021
Tag 0686 D May 11, 2021

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

✓ Corrected: Jul 13, 2021
Tag 0689 D May 11, 2021

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

✓ Corrected: Jul 6, 2021
Tag 0693 D May 11, 2021

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

✓ Corrected: Jul 6, 2021
Tag 0695 D May 11, 2021

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

✓ Corrected: Jul 6, 2021
Tag 0759 D May 11, 2021

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Jul 6, 2021
Tag 0761 D May 11, 2021

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.

✓ Corrected: Jul 6, 2021
Tag 0812 E May 11, 2021

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

✓ Corrected: Jul 6, 2021
Tag 0842 E May 11, 2021

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

✓ Corrected: Jul 6, 2021
Tag 0880 D May 11, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Jul 6, 2021

2020 1 violations

Tag 0580 G Feb 4, 2020

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

✓ Corrected: Mar 23, 2020

2019 16 violations

Tag 0580 D Nov 22, 2019

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

✓ Corrected: Jan 7, 2020
Tag 0584 D Nov 22, 2019

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.

✓ Corrected: Jan 7, 2020
Tag 0623 B Nov 22, 2019

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Jan 7, 2020
Tag 0656 D Nov 22, 2019

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

✓ Corrected: Jan 7, 2020
Tag 0658 D Nov 22, 2019

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

✓ Corrected: Jan 7, 2020
Tag 0689 G Nov 22, 2019

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

✓ Corrected: Sep 25, 2019
Tag 0692 D Nov 22, 2019

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

✓ Corrected: Jan 7, 2020
Tag 0695 D Nov 22, 2019

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

✓ Corrected: Jan 7, 2020
Tag 0740 D Nov 22, 2019

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

✓ Corrected: Jan 7, 2020
Tag 0756 D Nov 22, 2019

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

✓ Corrected: Jan 7, 2020
Tag 0758 D Nov 22, 2019

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.

✓ Corrected: Jan 7, 2020
Tag 0760 E Nov 22, 2019

Ensure that residents are free from significant medication errors.

✓ Corrected: Jan 7, 2020
Tag 0761 E Nov 22, 2019

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.

✓ Corrected: Jan 7, 2020
Tag 0842 D Nov 22, 2019

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

✓ Corrected: Jan 7, 2020
Tag 0868 B Nov 22, 2019

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

✓ Corrected: Jan 7, 2020
Tag 0600 G Feb 14, 2019

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Mar 29, 2019

2018 5 violations

Tag 0656 D Dec 11, 2018

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

✓ Corrected: Jan 16, 2019
Tag 0689 G Dec 11, 2018

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

✓ Corrected: Jan 16, 2019
Tag 0695 D Dec 11, 2018

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

✓ Corrected: Jan 16, 2019
Tag 0842 D Dec 11, 2018

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

✓ Corrected: Jan 16, 2019
Tag 0880 D Dec 11, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: Jan 16, 2019

2017 10 violations

Tag 0221 D Sep 27, 2017

Keep each resident free from physical restraints, unless needed for medical treatment.

✓ Corrected: Nov 11, 2017
Tag 0223 D Sep 27, 2017

Protect each resident from all abuse, physical punishment, and involuntary separation from others.

✓ Corrected: Nov 11, 2017
Tag 0226 E Sep 27, 2017

Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

✓ Corrected: Nov 11, 2017
Tag 0241 D Sep 27, 2017

Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

✓ Corrected: Nov 11, 2017
Tag 0278 D Sep 27, 2017

Ensure each resident receives an accurate assessment by a qualified health professional.

✓ Corrected: Nov 11, 2017
Tag 0279 D Sep 27, 2017

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

✓ Corrected: Nov 11, 2017
Tag 0282 E Sep 27, 2017

Provide care by qualified persons according to each resident's written plan of care.

✓ Corrected: Nov 11, 2017
Tag 0323 E Sep 27, 2017

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

✓ Corrected: Nov 11, 2017
Tag 0411 D Sep 27, 2017

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

✓ Corrected: Nov 11, 2017
Tag 0514 D Sep 27, 2017

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

✓ Corrected: Nov 11, 2017
🏥 Facility Summary

MISSION CARE AT HOLYOKE is a 2-star nursing home in HOLYOKE, MA with 125 beds.

Most recent inspection: Data not available. No current violations on record.

📞 4135323246
📍 35 HOLY FAMILY ROAD, HOLYOKE, MA
💵 Accepts Medicare and Medicaid
Data source: Centers for Medicare & Medicaid Services (CMS). Facility information updated daily. Star ratings range from 1 (much below average) to 5 (much above average).

Frequently Asked Questions About MISSION CARE AT HOLYOKE

What violations has MISSION CARE AT HOLYOKE received?
MISSION CARE AT HOLYOKE has 0 health and safety violation(s) documented by CMS inspections. All violation data comes from official Medicare inspection reports and is updated regularly from government sources.
What is the quality rating of MISSION CARE AT HOLYOKE?
MISSION CARE AT HOLYOKE has a 2-star rating out of 5 from CMS. This rating indicates the facility may have quality concerns that should be investigated further. The rating is based on health inspections, staffing levels, and quality measures.
When was MISSION CARE AT HOLYOKE last inspected?
Inspection reports are documented by state survey agencies and the Centers for Medicare & Medicaid Services (CMS). Reports typically lag 2-3 months behind the actual inspection date. Visit the facility's full profile page for detailed violation information and inspection history.
Is MISSION CARE AT HOLYOKE safe?
Safety at MISSION CARE AT HOLYOKE should be evaluated based on multiple factors: the facility's CMS rating, recent violation history, and personal visits. We recommend reviewing the complete inspection history, speaking with current residents and families, consulting healthcare professionals, and visiting in person before making placement decisions.
How do I contact MISSION CARE AT HOLYOKE?
Phone: 4135323246. Address: 35 HOLY FAMILY ROAD, HOLYOKE, MA. For visiting hours and admission information, call the facility directly.
What services does MISSION CARE AT HOLYOKE offer?
MISSION CARE AT HOLYOKE is a skilled nursing facility with 125 beds. The facility accepts Medicare and Medicaid. For specific services like rehabilitation, memory care, or short-term recovery, contact the facility directly.
What are better facilities near HOLYOKE, MA?
Compare MISSION CARE AT HOLYOKE with other nursing homes in HOLYOKE, MA on our facilities page. Filter by star rating, bed count, and recent inspection results to find the best match for your needs.