MARY'S MEADOW AT PROVIDENCE PLACE

HOLYOKE, MA · 40 beds · Non profit - Church related

99 Trust Score
Grade: A+ LOW Risk → Stable

Red Flags

No red flags identified.

Green Flags

  • 4-star health inspection rating
  • 5-star staffing rating
  • Below-average deficiency count (4 vs 9 state avg)
  • No fines or penalties on record

Quick Facts

★★★★★
CMS Overall
★★★★☆
Health Inspection
4
0.4x state avg
Deficiencies
$0
Fines (3-yr)
★★★★★
Staffing

Violation Timeline

August 26, 2025

8 deficiencyies
F0578 No Harm Scope/Severity: B

Resident Rights Deficiencies

Show details

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

F0580 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

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

F0727 Potential Harm Scope/Severity: F

Nursing and Physician Services Deficiencies

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Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

F0761 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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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.

F0578 No Harm Scope/Severity: B

Resident Rights Deficiencies

Show details

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

F0580 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

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

F0727 Potential Harm Scope/Severity: F

Nursing and Physician Services Deficiencies

Show details

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

F0761 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

Show details

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.

July 9, 2023

12 deficiencyies
F0554 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

Allow residents to self-administer drugs if determined clinically appropriate.

F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

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

F0695 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

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

F0756 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

Show details

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

F0842 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

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

F0868 Potential Harm Scope/Severity: E

Administration Deficiencies

Show details

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

F0554 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

Allow residents to self-administer drugs if determined clinically appropriate.

F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

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

F0695 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

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

F0756 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

Show details

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

F0842 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

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

F0868 Potential Harm Scope/Severity: E

Administration Deficiencies

Show details

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

See full violation history →

Staffing

0.83
RN hrs/res/day
1.41
LPN hrs/res/day
3.77
CNA hrs/res/day
5.51
Weekend hrs/res/day
37%
Total nurse turnover
38%
RN turnover

A nurse checks on each resident roughly every 4.0 hours on average.

Fines & Penalties

No fines or penalties on record.

Ownership

Non profit - Church related Independent (not part of a chain)
  • SISTERS OF PROVIDENCE MINISTRY CORPORATION

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 05/06/2014

    100% Organization
  • TRINITY SENIOR SERVICES MANAGEMENT INC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 07/01/2022

    Organization
  • FULTON, AGNES

    CORPORATE DIRECTOR

    Since since 10/01/2021

    Individual
  • GEARY, MARY

    CORPORATE DIRECTOR

    Since since 10/01/2009

    Individual
  • KEOUGH, JILL

    CORPORATE DIRECTOR

    Since since 10/01/2021

    Individual
  • NOONAN, GERALDINE

    CORPORATE DIRECTOR

    Since since 10/01/2009

    Individual
  • POPKO, KATHLEEN

    CORPORATE DIRECTOR

    Since since 11/04/2010

    Individual
  • SJOBERG, JOHN

    CORPORATE DIRECTOR

    Since since 10/01/2021

    Individual
  • TREMBLE, MICHAEL

    CORPORATE DIRECTOR

    Since since 10/01/2021

    Individual
  • FULTON, AGNES

    CORPORATE OFFICER

    Since since 10/01/2021

    Individual
  • GEARY, MARY

    CORPORATE OFFICER

    Since since 04/26/2016

    Individual
  • POPKO, KATHLEEN

    CORPORATE OFFICER

    Since since 04/26/2016

    Individual
  • WESOLOWSKI, JOHN

    CORPORATE OFFICER

    Since since 01/01/2022

    Individual
  • DANA, ERIC

    CONTRACTED MANAGING EMPLOYEE

    Since since 07/01/2022

    Individual
  • ARGUIN, PATRICK

    W-2 MANAGING EMPLOYEE

    Since since 05/05/2014

    Individual

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