Federal inspection record · CMS data as of October 1, 2026

Mission Care At Holyoke

35 Holy Family Road, Holyoke, MA · (413) 532-3246

  • Cited for abuse (CMS abuse icon)

CMS overall rating

1 of 5

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Certified beds
125
Residents per day
122
Ownership
For-Profit
Chain
Icare Health Network
Medicare / Medicaid
Medicare + Medicaid
Certified since
July 1, 1990

1

How this home got 1 star

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Massachusetts.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.

2

Where it sits among Massachusetts homes

Mission Care At Holyoke carries 85 inspection points. That is fewer than 15% of Massachusetts's 339 rated homes.

5★4★3★2★1★+11 homes above 148.505102550100inspection points → fewer is better on the leftThis home · 85 pts · 1★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Massachusetts: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–6 pts
  • 4★ 6–24 pts
  • 3★ 24–41 pts
  • 2★ 41–76 pts
  • 1★ over 76 pts

Bars show every rated home in Massachusetts by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

45 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 2 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 2 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 37 4 pts
E 4 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (4)

  1. G

    Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

    November 25, 2025 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F603 · Corrected December 15, 2025

  2. J

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

    April 1, 2025 · Complaint inspection · Resident Assessment and Care Planning · F656 · Corrected March 17, 2025

  3. J

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

    April 1, 2025 · Complaint inspection · Quality of Life and Care · F689 · Corrected March 17, 2025

  4. G

    Ensure that residents are free from significant medication errors.

    January 3, 2023 · Standard inspection · Pharmacy Service · F760 · Corrected January 3, 2023

Everything else, by area of care

Resident Rights11D
  1. D

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

    July 28, 2026 · Complaint · F557 · Corrected August 6, 2026

  2. D

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

    December 3, 2025 · Complaint · F580 · Corrected November 18, 2025

  3. D

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

    June 10, 2025 · Standard · F550 · Corrected July 25, 2025

  4. D

    Give the resident's representative the ability to exercise the resident's rights.

    June 10, 2025 · Complaint · F551 · Corrected July 25, 2025

  5. D

    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.

    June 10, 2025 · Standard · F584 · Corrected July 25, 2025

  6. D

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

    January 2, 2025 · Complaint · F557 · Corrected January 24, 2025

  7. D

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

    January 3, 2023 · Standard · F550 · Corrected February 19, 2023

  8. D

    Reasonably accommodate the needs and preferences of each resident.

    January 3, 2023 · Standard · F558 · Corrected February 19, 2023

  9. D

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

    January 3, 2023 · Standard · F561 · Corrected February 19, 2023

  10. D

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

    January 3, 2023 · Standard · F580 · Corrected February 19, 2023

  11. D

    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.

    January 3, 2023 · Standard · F584 · Corrected February 19, 2023

Quality of Life and Care10D
  1. D

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

    June 10, 2025 · Standard · F689 · Corrected July 25, 2025

  2. D

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

    June 10, 2025 · Standard · F692 · Corrected July 25, 2025

  3. D

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

    June 10, 2025 · Standard · F790 · Corrected July 25, 2025

  4. D

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

    April 2, 2024 · Standard · F695 · Corrected May 17, 2024

  5. D

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

    April 2, 2024 · Standard · F698 · Corrected May 17, 2024

  6. D

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

    January 3, 2023 · Standard · F686 · Corrected February 19, 2023

  7. D

    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.

    January 3, 2023 · Standard · F688 · Corrected February 19, 2023

  8. D

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

    January 3, 2023 · Standard · F690 · Corrected February 19, 2023

  9. D

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

    January 3, 2023 · Standard · F695 · Corrected February 19, 2023

  10. D

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

    January 3, 2023 · Standard · F698 · Corrected February 19, 2023

Pharmacy Service6E
  1. E

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

    June 10, 2025 · Standard · F756 · Corrected July 25, 2025

  2. D

    Ensure that residents are free from significant medication errors.

    April 2, 2024 · Standard · F760 · Corrected May 17, 2024

  3. E

    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.

    January 3, 2023 · Standard · F758 · Corrected February 19, 2023

  4. D

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

    January 3, 2023 · Standard · F755 · Corrected February 19, 2023

  5. D

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

    January 3, 2023 · Standard · F756 · Corrected February 19, 2023

  6. D

    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.

    January 3, 2023 · Standard · F761 · Corrected February 19, 2023

Freedom from Abuse, Neglect, and Exploitation5D
  1. D

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    June 23, 2026 · Complaint · F607 · Corrected June 3, 2026

  2. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    December 3, 2025 · Complaint · F609 · Corrected November 18, 2025

  3. D

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    November 25, 2025 · Complaint · F607 · Corrected December 15, 2025

  4. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    November 25, 2025 · Complaint · F609 · Corrected December 15, 2025

  5. D

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

    January 3, 2023 · Standard · F604 · Corrected February 19, 2023

Resident Assessment and Care Planning4D
  1. D

    Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

    June 10, 2025 · Standard · F646 · Corrected July 25, 2025

  2. D

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

    April 2, 2024 · Standard · F842 · Corrected May 17, 2024

  3. D

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

    January 3, 2023 · Standard · F656 · Corrected February 19, 2023

  4. D

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

    January 3, 2023 · Standard · F842 · Corrected February 19, 2023

Infection Control2E
  1. D

    Provide and implement an infection prevention and control program.

    June 10, 2025 · Standard · F880 · Corrected July 25, 2025

  2. E

    Provide and implement an infection prevention and control program.

    April 2, 2024 · Standard · F880 · Corrected May 17, 2024

Nutrition and Dietary1E
  1. E

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

    June 10, 2025 · Standard · F812 · Corrected July 25, 2025

Environmental1D
  1. D

    Have policies on smoking.

    April 2, 2024 · Standard · F926 · Corrected May 17, 2024

Administration1D
  1. D

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

    January 3, 2023 · Standard · F773 · Corrected February 19, 2023

Inspection history

  1. 2025-06-10

    16 health deficiencies · 5 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)

  2. 2024-04-02

    10 health deficiencies · 0 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

  3. 2023-01-03

    19 health deficiencies · 6 fire-safety deficiencies

    Top issue: Pharmacy Service (5 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 43 min of nursing staff time a day, 29 min of it from a registered nurse.

This home

3 h 43 min

Massachusetts average

3 h 56 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 45% of nursing staff and 35% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$27,343 in federal fines on record over the past three years.

DatePenaltyAmount
2025-11-25Fine$10,358
2025-04-01Fine$16,985

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.8 pts worse2.61.81.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts worse1.71.41.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.1 pts better100.0%92.9%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.5 pts better100.0%93.5%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.6 pts worse6.0%3.4%3.2%
Percentage of long-stay residents who have depressive symptoms11 pts better6.4%17.4%13.5%
Percentage of long-stay residents who lose too much weight2.5 pts better2.5%5.0%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication11.5 pts worse31.0%19.5%19.5%
Percentage of long-stay residents who received an antipsychotic medication17 pts worse38.5%21.5%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened10.3 pts better3.6%13.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased7.7 pts better8.1%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better0.0%0.7%0.7%
Percentage of long-stay residents with a urinary tract infection1 pts better0.7%1.7%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence14 pts better6.4%20.4%18.3%
Percentage of long-stay residents with pressure ulcers2.1 pts better2.1%4.2%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine21.1 pts better100.0%78.9%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit0.6 pts better11.2%11.8%11.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission4.3 pts better21.4%25.7%23.4%

·

Who owns and runs it

8 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Active Investments LLC5% Or Greater Indirect Ownership Interest · Organization0%2 facilities
Cohen, Jonathan5% Or Greater Indirect Ownership Interest · Individual0%1 facilities
Commonwealth Capital Investors LLC5% Or Greater Indirect Ownership Interest · Organization0%1 facilities
Preston Capital Investors Inc5% Or Greater Indirect Ownership Interest · Organization0%1 facilities
Sebbag, Joseph5% Or Greater Indirect Ownership Interest · Individual0%2 facilities
Thompson, EdinW-2 Managing Employee · Individual0%2 facilities
Vantage Capital Investors LLC5% Or Greater Indirect Ownership Interest · Organization0%3 facilities
Wright, ChristopherCorporate Officer · Individual0%16 facilities

·

Fire safety

11 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke7F
  1. F

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    June 10, 2025 · K372 · Corrected July 21, 2025

  2. D

    Provide properly protected cooking facilities.

    June 10, 2025 · K324 · Corrected July 21, 2025

  3. D

    Inspect, test, and maintain automatic sprinkler systems.

    June 10, 2025 · K353 · Corrected July 21, 2025

  4. F

    Inspect, test, and maintain automatic sprinkler systems.

    January 3, 2023 · K353 · Corrected January 16, 2023

  5. D

    Provide properly protected cooking facilities.

    January 3, 2023 · K324 · Corrected January 10, 2023

  6. D

    Install an approved automatic sprinkler system.

    January 3, 2023 · K351 · Corrected January 16, 2023

  7. C

    Have approved installation, maintenance and testing program for fire alarm systems.

    January 3, 2023 · K345 · Corrected January 16, 2023

Gas, Vacuum, and Electrical Systems2F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    June 10, 2025 · K918 · Corrected July 21, 2025

  2. D

    Have generator or other power source capable of supplying service within 10 seconds.

    January 3, 2023 · K918 · Corrected January 27, 2023

Miscellaneous1F
  1. F

    Have simulated fire drills held at unexpected times.

    June 10, 2025 · K712 · Corrected July 21, 2025

Emergency Preparedness1D
  1. D

    Implement emergency and standby power systems.

    January 3, 2023 · E41 · Corrected January 27, 2023

·

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