10 health deficiencies
Top issue: Resident Assessment and Care Planning (6 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Holyoke, MA
1-star overall rating with 2-star inspections with $13,153 in total fines with 10 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
282 Cabot Street, Holyoke, MA
(413) 538-7470
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
102
Certified beds
Average residents
91
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Regalcare
Operator or chain grouping
Approved since
1974-03-31
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
9 facilities
Chain averages 2 overall / 2 health / 3 staffing / 2 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.21
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.36
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.07
Nurse aide staffing · state 2.26 · national 2.35
Total nurse hours
3.64
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.57
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
3.22
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.15
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.21
CMS adjusted RN staffing hours
Adjusted total hours
3.66
CMS adjusted total nurse staffing hours
Case-mix index
1.36
Higher values indicate more complex resident acuity
RN turnover
67%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
52%
Annual nurse turnover · state 40% · national 46%
SNF VBP
Program rank
13,598
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
3.18
Composite VBP score used to determine payment impact.
Payment multiplier
0.9804
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 22.02% · Performance 25.43% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 8.96% · Performance 10.74% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
0
Baseline 64.05% · Performance 76.60% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
1.27
Baseline 3.80 hours · Performance 3.44 hours · Measure score 1.27 · Achievement 1.27 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.26% |
10.72%
1.5 pts worse
|
No Different than the National Rate · Eligible stays 191 · Observed rate 14.14% · Lower 95% interval 9.68% |
| Discharge to community | 49.23% |
50.57%
1.3 pts worse
|
No Different than the National Rate · Eligible stays 162 · Observed rate 41.98% · Lower 95% interval 40.91% |
| Medicare spending per beneficiary | 0.88 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 109 · Denominator 109 |
| Falls with major injury | 0.92% |
0.77%
0.2 pts worse
|
Numerator 1 · Denominator 109 |
| Discharge self-care score | 42.62% |
53.69%
11.1 pts worse
|
Numerator 26 · Denominator 61 |
| Discharge mobility score | 39.34% |
50.94%
11.6 pts worse
|
Numerator 24 · Denominator 61 |
| Pressure ulcers or injuries, new or worsened | 2.75% |
2.29%
0.5 pts worse
|
Numerator 3 · Denominator 109 · Adjusted rate 2.24% |
| Healthcare-associated infections requiring hospitalization | 10.74% |
7.12%
3.6 pts worse
|
Worse than the National Rate · Eligible stays 101 · Observed rate 15.84% · Lower 95% interval 7.41% |
| Staff COVID-19 vaccination coverage | 2.19% |
8.2%
6 pts worse
|
Numerator 3 · Denominator 137 |
| Staff flu vaccination coverage | 24.24% |
42%
17.8 pts worse
|
Numerator 32 · Denominator 132 |
| Discharge function score | 50.82% |
56.45%
5.6 pts worse
|
Numerator 31 · Denominator 61 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 33 · Denominator 33 |
| Transfer of health information to patient | 97.5% |
96.28%
1.2 pts better
|
Numerator 39 · Denominator 40 |
| Resident COVID-19 vaccinations up to date | 36.54% |
25.2%
11.3 pts better
|
Numerator 19 · Denominator 52 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.6 |
1.9
0.7 pts worse
|
1.9
0.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.3 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.0 |
1.5
0.5 pts worse
|
1.8
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.7 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.8% |
92.2%
5.6 pts better
|
93.4%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.7% · Q2 100.0% · Q3 100.0% · Q4 92.1% · 4Q avg 97.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
94.8%
5.2 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.8% |
3.5%
1.3 pts worse
|
3.3%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 4.9% · Q3 5.1% · Q4 7.9% · 4Q avg 4.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
12.0%
12 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 6.7% |
5.2%
1.5 pts worse
|
5.4%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 3.2% · Q3 3.3% · Q4 13.6% · 4Q avg 6.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.3% |
19.2%
2.9 pts better
|
19.6%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.8% · Q2 13.2% · Q3 16.7% · Q4 16.4% · 4Q avg 16.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 24.0% |
22.5%
1.5 pts worse
|
16.7%
7.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.3% · Q2 23.2% · Q3 23.1% · Q4 23.1% · 4Q avg 24.0% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 30.9% |
17.7%
13.2 pts worse
|
16.3%
14.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.2% · Q2 51.8% · Q3 26.6% · Q4 17.4% · 4Q avg 30.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.8% |
17.6%
2.2 pts worse
|
14.9%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.9% · Q2 28.1% · Q3 21.0% · Q4 19.0% · 4Q avg 19.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.3% |
1.0%
1.3 pts worse
|
1.0%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.9% · Q3 2.7% · Q4 3.4% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.4% |
2.0%
0.6 pts better
|
1.7%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 2.7% · Q4 1.3% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.8% |
21.7%
0.9 pts better
|
19.8%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.1% · Q2 34.4% · Q3 16.6% · Q4 18.9% · 4Q avg 20.8% |
| Percentage of long-stay residents with pressure ulcers | 8.1% |
4.6%
3.5 pts worse
|
5.1%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 8.6% · Q3 9.5% · Q4 7.8% · 4Q avg 8.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 83.8% |
77.1%
6.7 pts better
|
81.7%
2.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 79.7% · Q2 91.9% · Q3 99.0% · Q4 65.3% · 4Q avg 83.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.3% |
11.8%
1.5 pts worse
|
12.0%
1.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.3% · Observed 14.0% · Expected 11.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.2% |
1.3%
0.9 pts worse
|
1.6%
0.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 3.3% · Q3 1.9% · Q4 2.4% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.9% |
77.7%
15.2 pts better
|
79.7%
13.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 92.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 31.8% |
25.8%
6 pts worse
|
23.9%
7.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 31.8% · Observed 32.0% · Expected 24.0% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (6 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
3 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Top issue: Resident Assessment and Care Planning (5 deficiencies)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Fire safety
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2025-08-01
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-08-01
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-08-01
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-08-01
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-08-01
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2025-08-01
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-17
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-07-17
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-07-17
Fire Safety
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Corrected 2023-03-28
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-03-24
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-03-24
Inspection history
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-07-31
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-07-31
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2025-07-31
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-07-31
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-07-31
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-31
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-07-31
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-07-31
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-31
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2025-07-31
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-11-01
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-06-21
Health
Have policies on smoking.
Corrected 2024-06-21
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-06-21
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-06-21
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-06-21
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2024-06-21
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2024-06-21
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-06-21
Health
Respond appropriately to all alleged violations.
Corrected 2024-06-21
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-06-21
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-06-21
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2024-06-21
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-06-21
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2024-06-21
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2024-06-21
Health
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2024-06-21
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-06-21
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-11-01
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-11-01
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-11-01
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-10-06
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-08-10
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-08-10
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-03-23
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-03-23
Health
Provide and implement an infection prevention and control program.
Corrected 2023-03-23
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-03-23
Health
Give residents a notice of rights, rules, services and charges.
Corrected 2023-03-23
Health
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 2023-03-23
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2023-03-23
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2023-03-23
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-03-23
Health
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.
Corrected 2023-03-23
Health
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2023-03-23
Health
Put firmly secured handrails on each side of hallways.
Corrected 2023-03-23
Penalties and ownership
Fine · fine $13,153
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
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Holyoke, MA
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