All citations for Care One at Holyoke

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Care One at Holyoke

Last standard health inspection on record

September 17, 2025

Showing 1 to 17 of 17 citations

  1. No harm, with potential for more than minimal harm

    Install an approved automatic sprinkler system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of September 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2026).

  2. No harm, with potential for more than minimal harm

    Install an approved automatic sprinkler system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of July 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 27, 2024).

  3. No harm, with potential for more than minimal harm

    Install an approved automatic sprinkler system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of April 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2023).

  4. No harm, with potential for more than minimal harm

    Provide a written emergency evacuation plan.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of July 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 27, 2024).

  5. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of April 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 1, 2023).

  6. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of September 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2025).

  7. No harm, with potential for more than minimal harm

    List the names and contact information of those in the facility.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of July 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 27, 2024).

  8. No harm, with potential for more than minimal harm

    Establish emergency prep training and testing.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of July 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 27, 2024).

  9. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of July 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 27, 2024).

  10. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0551, Resident Rights Deficiencies. Inspection of April 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 1, 2023).

  11. No harm, with potential for more than minimal harm

    Reasonably accommodate the needs and preferences of each resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0558, Resident Rights Deficiencies. Inspection of April 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 1, 2023).

  12. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of April 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 1, 2023).

  13. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of April 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 1, 2023).

  14. No harm, with potential for more than minimal harm

    Ensure that residents are free from significant medication errors.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of April 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 1, 2023).

  15. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of April 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 1, 2023).

  16. No harm, with potential for minimal harm

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Pattern (more than a few residents). CMS level B.

    Health citation F-0868, Administration Deficiencies. Inspection of April 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 1, 2023).

  17. No harm, with potential for minimal harm

    Report COVID19 data to residents and families.

    Pattern (more than a few residents). CMS level B.

    Health citation F-0885, Infection Control Deficiencies. Inspection of April 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 1, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.