Mission Care at Holyoke
35 Holy Family Road · Holyoke, MA · 01040 · 4135323246
125 certified beds For profit - Limited Liability company Chain: Icare Health Network
Why this verdict
- Carries CMS’s abuse warning icon.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.77 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.53 | 0.55–0.75 |
| Weekend hours / resident-day | 3.39 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | 2 · $32,920 |
Inspection citations (43 in the current record)
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Potential for harm · D December 3, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected November 18, 2025 · Resident Rights
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Potential for harm · D December 3, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 18, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G November 25, 2025 · found via complaint
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Corrected December 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 25, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected December 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 25, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 10, 2025 · found via complaint
Give the resident's representative the ability to exercise the resident's rights.
Corrected July 25, 2025 · Resident Rights
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Potential for harm · D June 10, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 25, 2025 · Resident Rights
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Potential for harm · D June 10, 2025
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 July 25, 2025 · Resident Rights
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Potential for harm · D June 10, 2025
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Corrected July 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 10, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 25, 2025 · Quality of Life and Care
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Potential for harm · D June 10, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected July 25, 2025 · Quality of Life and Care
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Potential for harm · E June 10, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected July 25, 2025 · Pharmacy Service
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Potential for harm · D June 10, 2025
Provide routine and 24-hour emergency dental care for each resident.
Corrected July 25, 2025 · Quality of Life and Care
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Potential for harm · E June 10, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 25, 2025 · Nutrition and Dietary
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Potential for harm · D June 10, 2025
Provide and implement an infection prevention and control program.
Corrected July 25, 2025 · Infection Control
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Immediate jeopardy · J April 1, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 17, 2025 · Resident Assessment and Care Planning
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Immediate jeopardy · J April 1, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 17, 2025 · Quality of Life and Care
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Potential for harm · D January 2, 2025 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected January 24, 2025 · Resident Rights
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Potential for harm · D April 2, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 17, 2024 · Quality of Life and Care
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Potential for harm · D April 2, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected May 17, 2024 · Quality of Life and Care
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Potential for harm · D April 2, 2024
Ensure that residents are free from significant medication errors.
Corrected May 17, 2024 · Pharmacy Service
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Potential for harm · D April 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 · Resident Assessment and Care Planning
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Potential for harm · E April 2, 2024
Provide and implement an infection prevention and control program.
Corrected May 17, 2024 · Infection Control
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Potential for harm · D April 2, 2024
Have policies on smoking.
Corrected May 17, 2024 · Environmental
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Actual harm · G January 3, 2023
Ensure that residents are free from significant medication errors.
Corrected January 3, 2023 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 25, 2025 | Fine | $15,935 |
| April 1, 2025 | Fine | $16,985 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 225480 · certified since July 1, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.