Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 225480

Mission Care At Holyoke

43 federal citations on record , including 2 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $16,985.

Abuse Icon 2 Immediate Jeopardy

Record summary

Federal record · Q1 2026
43
Total citations
24
Last 3 years
4
Actual harm+
1
Federal penalties
$16,985
Total fines
2
Overall ★ rating

Most common violation categories here

Quality of Care11 Resident Rights10 Medication & Pharmacy7 Abuse & Neglect5 Care Planning5

Most common F-tags at this facility

F5802 F6092 F6562 F6892 F5502

Citation history

43 on record
SurveyF-TagViolationSeveritySource
Dec 3, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Dec 3, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Nov 25, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Nov 25, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Nov 25, 2025F603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).GComplaint
Jun 10, 2025F880Provide and implement an infection prevention and control program.DStandard
Jun 10, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Jun 10, 2025F790Provide routine and 24-hour emergency dental care for each resident.DStandard
Jun 10, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Jun 10, 2025F692Provide enough food/fluids to maintain a resident's health.DStandard
Jun 10, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jun 10, 2025F646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.DStandard
Jun 10, 2025F584Honor 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.DStandard
Jun 10, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Jun 10, 2025F551Give the resident's representative the ability to exercise the resident's rights.DComplaint
Apr 1, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Apr 1, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.JComplaint
Jan 2, 2025F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint
Apr 2, 2024F926Have policies on smoking.DStandard
Apr 2, 2024F880Provide and implement an infection prevention and control program.EStandard
Apr 2, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Apr 2, 2024F760Ensure that residents are free from significant medication errors.DStandard
Apr 2, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Apr 2, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jan 3, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Jan 3, 2023F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DStandard
Jan 3, 2023F761Ensure 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.DStandard
Jan 3, 2023F760Ensure that residents are free from significant medication errors.GStandard
Jan 3, 2023F758Implement 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.EStandard
Jan 3, 2023F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Jan 3, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Jan 3, 2023F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Jan 3, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jan 3, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Jan 3, 2023F688Provide 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.DStandard
Jan 3, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Jan 3, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jan 3, 2023F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard
Jan 3, 2023F584Honor 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.DStandard
Jan 3, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Jan 3, 2023F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard
Jan 3, 2023F558Reasonably accommodate the needs and preferences of each resident.DStandard
Jan 3, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $16,985 .

DateTypeFinePayment denial
Apr 1, 2025Fine$16,985—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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