CARE ONE AT HOLYOKE (HOLYOKE, MA) has a 5 of 5 overall rating, with 5-star ratings for health inspections, staffing, and quality measures. It reported no fines in the last 24 months, but its nurse staffing was 3.81 hours per resident per day, below the federal benchmark of 4.1, and recent inspection citations included infection control, medication storage/labeling, and resident rights issues.
Last inspection: September 17, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8069.
Staffing detail
Registered nurses
0.49
Licensed practical nurses
0.88
Nurse aides
2.44
Weekend nursing
3.36
Hours per resident per day.
Total staff turnover: 22%
Registered nurse turnover: 19%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
66.7%Worsening
Residents with a fall causing major injury
2.6%Improving
Residents with pressure ulcers (bedsores)
3.6%Improving
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
2.7%Worsening
Residents who were physically restrained
0.2%Worsening
Residents needing more help with daily activities
8.2%Improving
Residents whose ability to walk got worse
5.5%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
38.2%Worsening
Residents with a long-term catheter
0.5%Worsening
Residents with new or worsening incontinence
13.9%Worsening
Residents with depressive symptoms
1.7%Improving
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
96.3%Improving
Short-stay residents given the pneumonia vaccine
55.6%Steady
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited April 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited September 2025 — isolated incident, potential for harm.
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F-Tag 761 — 42 CFR §483.45(g) — S/S: D
The home failed to let the resident's representative exercise the resident's rights. Cited April 2023 — isolated incident, potential for harm.
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F-Tag 551 — 42 CFR §483.10 — S/S: D
The nursing home failed to reasonably accommodate each resident’s needs and preferences. Cited April 2023 — isolated incident, potential for harm.
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F-Tag 558 — 42 CFR §483.10 — S/S: D
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited April 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of CAREONE · 37 homes · 3.4 stars avg
Occupancy
154.9 residents on an average day (94% of 164 beds)
Resident voice
Resident council
Medicare history
Certified for 51 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.