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Nursing home report

MISSION CARE AT HOLYOKE

HOLYOKE, MA · Medicare-certified · 125 beds

Needs attention
Abuse citationFor-profitChain member
2 of 5 overall

MISSION CARE AT HOLYOKE has an overall rating of 2 out of 5 stars, with 2-star health inspections, 3-star staffing, and 4-star quality measures. It has $32,920 in fines in the last 24 months, a recent abuse citation, and reported nurse staffing of 3.77 hours per resident per day, below the federal benchmark of 4.1.

Facility ratings

Health inspections

Staffing

3.7698 hrs/resident/day

Quality measures

Last inspection: December 3, 2025Penalties, last 24 months: $32,920recent abuse citation

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7698.

Staffing detail

Registered nurses
0.53
Licensed practical nurses
1.07
Nurse aides
2.17
Weekend nursing
3.39

Hours per resident per day.

Total staff turnover: 44%
Registered nurse turnover: 33%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

27.3%Worsening

Residents with a fall causing major injury

5.4%Worsening

Residents with pressure ulcers (bedsores)

2.4%Steady

Residents with a urinary tract infection

0.9%Improving

Residents who lost too much weight

3.7%Improving

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

11.1%Improving

Residents whose ability to walk got worse

5%Improving
Show all measures

Long-stay residents on antianxiety or sleep medication

30.8%Worsening

Residents with a long-term catheter

0%Steady

Residents with new or worsening incontinence

6.9%Improving

Residents with depressive symptoms

7.9%Steady

Long-stay residents given the seasonal flu vaccine

100%Steady

Long-stay residents given the pneumonia vaccine

100%Steady

Short-stay residents given the pneumonia vaccine

100%Steady

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

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 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: J

The home failed to protect residents from being separated from others or confined to their rooms. Cited November 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 603 — 42 CFR §483.12 — S/S: G

The nursing home failed to ensure residents were free from significant medication errors. Cited January 2023 — isolated incident, actual harm.

View the original federal record

F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G

The home failed to ensure a licensed pharmacist reviewed residents' medications each month and reported any problems as required. Cited June 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 756 — 42 CFR §483.45(c) — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  3. PENALTY

    A federal fine of $15,935 was recorded.

  4. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 10 health deficiencies.

    See what inspectors found
  6. PENALTY

    A federal fine of $16,985 was recorded.

Penalties & enforcement

On record with Medicare: 2 fines · $32,920 in total fines.

  • Federal fine

    Nov 25, 2025

    $15,935
  • Federal fine

    Apr 1, 2025

    $16,985

Operator & ownership

Ownership
For profit - Limited Liability company
Chain
Part of ICARE HEALTH NETWORK · 12 homes · 3.2 stars avg
Occupancy
114.3 residents on an average day (91% of 125 beds)
Resident voice
Resident council
Medicare history
Certified for 35 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.