CareOne at Holyoke

MI Elder Abuse Free Legal ConsultationDid someone you love suffer elder abuse or neglect at CareOne at Holyoke? Our lawyers can help.

Abuse of the elderly is not acceptable and we fight hard in these types of cases. If you suspect a nursing home or caregiver has caused harm to your loved one in someone elses’ care, contact our law firm today for a free legal consultation.

Talking to us does not obligate you to anything, but we may be able to tell you if you have a claim and the value of your case. If we accept your case, you pay no fee unless we recover for you.

CareOne at Holyoke

CareOne at Holyoke is a for profit, 164-bed Medicare/Medicaid certified skilled nursing facility that provides services to the residents of Chicopee, South Hadley, Easthampton, West Springfield, Springfield, Ludlow, Northampton, Westfield, and the other towns in and surrounding Bristol County, Massachusetts.

CareOne at Holyoke focuses on 24 hour care, respite care, hospice care and rehabilitation services.

CareOne at Holyoke
260 Easthampton Road
Holyoke, MA 01040

Phone: (413) 538-9733
Website: http://ma.care-one.com/locations/careone-at-holyoke/

CMS Star Quality Rating

The Centers for Medicare and Medicaid (CMS) rates all nursing homes that accept medicare or medicaid benefits. CMS created a 5 Star Quality Rating System—1 star is the lowest rating and 5 stars is the highest—that look at three areas.

As of 2018, CareOne at Holyoke in Holyoke, Massachusetts received a rating of 5 out of 5 stars.

Performance Area Rating
Overall Rating 5 out of 5 (Much Above Average)
State Health Inspections 4 out of 5 (Above Average)
Staffing 4 out of 5 (Above Average)
Quality Measures 5 out of 5 (Much Above Average)

Fines and Penalties

Our Nursing Home Injury Attorneys inspected government records and discovered CareOne at Holyoke committed the following offenses:

Failed to make sure services provided by the nursing facility meet professional standards of quality.

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed ensure that staff rotate injection sites for 2 sampled residents (#12 and #15), out of a total of 24 sampled residents.

Findings include:

Review of the facility policy for Medication Administration of Injectable Medications, dated 9/2005, indicated the following: -If a series of injections are being given to the same resident, the injection sites shall be rotated to ensure adequate absorption and lessen discomfort. Specific injection sites shall be noted when the medication is charted. -Acceptable sites for subcutaneous (sc) injections are: upper arm, thigh, abdomen, middle portion of back.

1. For Resident #12, the facility failed to ensure staff rotate insulin injection sites. Resident #12 was admitted to the the facility in 4/2005 with a [DIAGNOSES REDACTED]. Review of the signed Physician’s Orders, dated 9/10/16, indicated an order to administer [MEDICATION NAME] (insulin) Flextouch Pen 100 units/milliliters (u/ml) 80 units sc two times daily, (order had an original date of 5/6/15). Review of the Medication Administration Record [REDACTED].M. and 4:30 P.M. The injection sites for the 7:30 A.M. doses were illegible for 29 out of 30 doses, except on 9/4/16 where site was documented as Abd referring to the abdomen. Review of the MAR, dated 10/2016, indicated [MEDICATION NAME] 100u/ml was administered twice daily, at 7:30 A.M. and 4:30 P.M. The injection sites for 7:30 A.M. doses were illegible for 23 out of 24 doses, except on 10/6/16 where site was documented as LA referring to the left arm. Review of the MAR, dated 11/2016, indicated [MEDICATION NAME] 100u/ml was administered twice daily, at 7:30 A.M. and 4:30 P.M. The injection sites for the 7:30 A.M. doses were illegible for 15 out of 15 doses. During an interview on 11/17/16 at 9:45 A.M., the Assistant Director of Nurses reviewed the above stated MARs and said she was unable to determine the majority of the injection sites for the 7:30 A.M. [MEDICATION NAME]for 9/2016, 10/2016, and 11/2016. She said the nurses should be using the injection site codes on the back of the MAR. She said the handwriting is unclear and rotation of sites could not be determined.

2. For Resident #15, the facility failed to ensure staff rotate insulin injection sites. Resident #15 was admitted to the the facility in 1/2009 with a [DIAGNOSES REDACTED]. Review of the signed Physician’s Orders, dated 9/2016, indicated an order to administer [MEDICATION NAME] (insulin) Flextouch Pen 100u/ml, 10 units sc two times daily, (order had an original date of 7/11/16). Review of the MAR, dated 9/2016, indicated [MEDICATION NAME] 100u/ml was administered twice daily, at 7:00 A.M. and 5:00 P.M. The injection sites for the 7:00 A.M. doses were illegible for 26 out of 28 doses, except on 9/11/16 and 9/18/16 where site was documented as AB referring to the abdomen. Review of the MAR, dated 10/2016, indicated [MEDICATION NAME] 100u/ml was administered twice daily, at 7:00 A.M. and 5:00 P.M. The injection sites for 7:00 A.M. doses were illegible for 19 out of the 19 doses administered between 10/10/2016 and 10/28/2016. Review of the MAR, dated 11/2016, indicated [MEDICATION NAME] 100u/ml was administered twice daily, at 7:00 A.M. and 5:00 P.M. The injection sites for the 7:00 A.M. doses were illegible for 15 out of 15 doses administered between 11/1/2016 and 11/15/2016. During an interview on 11/18/16 at 8:30 A.M., Unit Manager #1 reviewed the above stated MARs and said she was unable to determine the majority of the injection sites for the 7:00 A.M. [MEDICATION NAME]for 9/2016, 10/2016, and 11/2016. She said the nurses should be using the key on the back of the MAR indicated [REDACTED].

Failed to maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

Based on observation and interview, the facility staff failed to appropriately label, and remove expired medications, in 1 out of 7 medication carts.

Findings include:

Review of the Nursing 2016 Drug Handbook indicated the following: -Novolog is stable at room temperature for 28 days.
-Levemir may be used for up to 42 days when kept at room temperature.

During inspection on 11/16/16 at 2:40 P.M., with Nurse #1 present, the following was found inside the Medication Cart B on the Deerfield Unit:
-one Epipen (used to treat severe allergic reactions) with expiration date of 8/2016.
-one Novolog insulin pen, undated.
-one Levemir insulin pen, undated.

During an interview on 11/16/16 at 2:45 P.M., Nurse #1 said the Epipen should have been removed since it had expired. She said both insulin pens should have been dated when they were put inside the medication cart and she didn’t know why they weren’t.

Failed to keep accurate, complete and organized clinical records on each resident that meet professional standards

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**
Based on record review and interview the facility failed to ensure the staff maintain accurate and complete medical records for 2 sampled residents (#12 and #15) out of a total of 24 sampled residents.

Findings include:

Review of the facility policy for Medication Administration of Injectable Medications, dated 9/2005, indicated the following: -If a series of injections are being given to the same resident, the injection sites shall be rotated to ensure adequate absorption and lessen discomfort. Specific injection sites shall be noted when the medication is charted. -Acceptable sites for subcutaneous (sc) injections are: upper arm, thigh, abdomen, middle portion of back.

1. For Resident #12 the facility failed to ensure staff maintain legible documentation for insulin injection sites. Resident #12 was admitted to the the facility in 4/2005 with a [DIAGNOSES REDACTED]. Review of the signed Physician’s Orders, dated 9/10/16, indicated an order to administer [MEDICATION NAME] (insulin) Flextouch Pen 100 units/milliliters (u/ml) 80 units sc two times daily, (order had an original date of 5/6/15). Review of the Medication Administration Record [REDACTED].M. and 4:30 P.M. The injection sites for the 7:30 A.M. doses were illegible for 29 out of 30 doses, except on 9/4/16 where site was documented as Abd referring to the abdomen. Review of the MAR, dated 10/2016, indicated [MEDICATION NAME] 100u/ml was administered twice daily, at 7:30 A.M. and 4:30 P.M. The injection sites for 7:30 A.M. doses were illegible for 23 out of 24 doses, except on 10/6/16 where site was documented as LA referring to left arm.

Review of the MAR, dated 11/2016, indicated [MEDICATION NAME] 100u/ml was administered twice daily, at 7:30 A.M. and 4:30 P.M. The injection sites for the 7:30 A.M. doses were illegible for 15 out of 15 doses. During an interview on 11/7/16 at 9:45 A.M., the Assistant Director of Nurses reviewed the above stated MARs and said she was unable to determine the majority of the injection sites for the 7:30 A.M. [MEDICATION NAME]for 9/2016, 10/2016, and 11/2016. She said the nurses should be using the injection site codes on the back of the MAR. She said the handwriting is unclear and rotation of sites could not be determined.

2. For Resident #15, the facility failed to ensure staff maintain legible documentation related to rotation of insulin injection sites. Resident #15 was admitted to the the facility in 1/2009 with a [DIAGNOSES REDACTED]. Review of the signed Physician’s Orders, dated 9/2016, indicated an order to administer [MEDICATION NAME] (insulin) Flextouch Pen 100u/ml, 10 units sc two times daily, (order had an original date of 7/11/16). Review of the MAR, dated 9/2016, indicated [MEDICATION NAME] 100u/ml was administered twice daily, at 7:00 A.M. and 5:00 P.M. The injection sites for the 7:00 A.M. doses were illegible for 26 out of 28 doses, except on 9/11/16 and 9/18/16 where site was documented as AB referring to the abdomen. Further review of the MAR indicated [REDACTED].M. doses on 11/1/16, 11/5/16 and 11/10/16.

Review of the MAR, dated 10/2016, indicated [MEDICATION NAME] 100u/ml was administered twice daily, at 7:00 A.M. and 5:00 P.M. The injection sites for 7:00 A.M. doses were illegible for 19 out of 19 doses administered between 10/10/2016 and 10/28/2016. Review of the MAR, dated 11/2016, indicated [MEDICATION NAME] 100u/ml was administered twice daily, at 7:00 A.M. and 5:00 P.M. The injection sites for the 7:00 A.M. doses were illegible for 15 out of 15 doses administered between 11/1/2016 and 11/15/2016. During an interview on 11/18/16 at 8:30 A.M., Unit Manager #1 reviewed the above stated MARs and said she was unable to determine the majority of the injection sites for the 7:00 A.M. [MEDICATION NAME]for 9/2016, 10/2016, and 11/2016. She said the nurses should be using the key on the back of the MAR indicated [REDACTED].

CareOne at Holyoke, Nursing Home Neglect and Elder Abuse Lawyers

If someone you love has suffered neglect or elder abuse by a senior caregiver, nursing home, or other care facility, our lawyers may be able to help. Regardless of whether or not criminal charges are filed against an alleged abuser, you may still be able to pursue compensation in a civil claim. Compensation in elder abuse cases may be awarded if someone in the care of another suffers harm due to intentional or negligent actions (including failure to take action).

Abuse of the elderly is not acceptable and we fight hard in these types of cases. If you suspect a nursing home or caregiver has caused harm to your loved one in someone elses’ care, contact our law firm today for a free legal consultation. Talking to us does not obligate you to anything, but we may be able to tell you if you have a claim and the value of your case. If we accept your case, you pay no fee unless we recover for you.

Oftentimes, victims of abuse either cannot or will not speak up for themselves out of fear. If you notice any warning signs or symptoms of neglect of abuse an an elderly person, it is important you contact an elder abuse lawyer immediately. Not only are there statute of limitations on filing a claim, but the sooner we start helping you, the easier it will be to collect evidence and talk to any witnesses before important details are lost, hidden, or forgotten.

Boston Personal Injury Lawyers for Elder Abuse Cases

We offer a free, no-obligation legal consultation to help you understand your rights and the value of your case. Our personal injury law firm takes cases involving elder abuse and neglect. We offer legal service to clients in Massachusetts, Rhode Island and New Hampshire.


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Page Last Updated: January 14, 2018

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