Elder Care Record

Massachusetts › Plymouth County › Brockton

The Guardian Center

888 North Main Street, Brockton, MA 02301

CCN 225382 · For-profit, limited liability company · 123 certified beds · chain Best Care Services

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

The Guardian Center is a For-profit, limited liability company nursing home in Brockton, Massachusetts, certified for 123 beds and caring for about 107 residents a day.

CMS gives it 1 of 5 stars overall, below the Massachusetts median of 3; the health inspection rating is 2, staffing 3 and quality measures 1.

Inspectors recorded 62 health deficiencies across the three most recent survey cycles (10, 7, 45 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 50.4 per 100 beds, more than the state median of 21.7.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.3 hours per resident per day (0.8 RN), close to the Massachusetts median of 3.7; nursing staff turnover is 41.1%.

62health deficiencies, 3 survey cycles3 at actual harm or worse
$0fines listed by CMS0 penalties in period
3.3nurse hours per resident per daystate median 3.7
87%occupancy (residents ÷ beds)107 residents a day

Compared with county, state and nation

MeasureThis facilityPlymouth Co. medianMassachusetts medianUS average
Overall star rating1433.0
Health citations, 3 cycles62212728.7
Citations per 100 beds50.416.721.726.8
Total nurse hours per resident day3.33.53.73.9
RN hours per resident day0.80.60.60.7
Nursing staff turnover41.1%38.5%37.7%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (27 in the county, 341 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)10
Cycle 27
Cycle 345

Dark bar: this facility. Grey bar: Massachusetts average per facility for the same cycle, as published by CMS. Standard health survey dates: 30 Apr 2025, 23 Apr 2024.

Severity mix: G ×2 H ×1 D ×35 E ×13 F ×9 B ×2

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
10 Jun 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation16 Jul 2026
10 Dec 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation12 Jan 2026
10 Dec 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation12 Jan 2026
30 Apr 2025F0865Have a plan that describes the process for conducting QAPI and QAA activities.FStandard survey3 Jun 2025
30 Apr 2025F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFStandard survey3 Jun 2025
30 Apr 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey3 Jun 2025
30 Apr 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey3 Jun 2025
30 Apr 2025F0551Give the resident's representative the ability to exercise the resident's rights.DStandard survey3 Jun 2025
30 Apr 2025F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey3 Jun 2025
30 Apr 2025F0759Ensure medication error rates are not 5 percent or greater.DStandard survey3 Jun 2025
23 Apr 2024F0761Ensure 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.EStandard survey22 May 2024
23 Apr 2024F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey22 May 2024
23 Apr 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey22 May 2024
23 Apr 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey22 May 2024
23 Apr 2024F0758Implement 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.DStandard survey22 May 2024
23 Apr 2024F0880Provide and implement an infection prevention and control program.DStandard survey22 May 2024
23 Apr 2024F0848Provide a neutral and fair arbitration process and agree to arbitrator and venue.BStandard survey22 May 2024
10 Nov 2022F0675Honor each resident's preferences, choices, values and beliefs.HStandard survey21 Dec 2022
10 Nov 2022F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GStandard survey21 Dec 2022
10 Nov 2022F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.GStandard survey21 Dec 2022
10 Nov 2022F0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.FStandard survey21 Dec 2022
10 Nov 2022F0865Have a plan that describes the process for conducting QAPI and QAA activities.FStandard survey21 Dec 2022
10 Nov 2022F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard survey21 Dec 2022
10 Nov 2022F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFStandard survey21 Dec 2022
10 Nov 2022F0888Ensure staff are vaccinated for COVID-19FStandard survey21 Dec 2022
10 Nov 2022F0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.FStandard survey21 Dec 2022
10 Nov 2022F0946Provide training in compliance and ethics.FStandard survey21 Dec 2022
10 Nov 2022F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey21 Dec 2022
10 Nov 2022F0565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard survey21 Dec 2022
10 Nov 2022F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey21 Feb 2023
10 Nov 2022F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey21 Feb 2023
10 Nov 2022F0679Provide activities to meet all resident's needs.EStandard survey21 Dec 2022
10 Nov 2022F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey21 Dec 2022
10 Nov 2022F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey21 Dec 2022
10 Nov 2022F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard survey21 Dec 2022
10 Nov 2022F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard survey21 Dec 2022
10 Nov 2022F0761Ensure 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.EStandard survey21 Feb 2023
10 Nov 2022F0551Give the resident's representative the ability to exercise the resident's rights.DStandard survey21 Dec 2022
10 Nov 2022F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey21 Dec 2022
10 Nov 2022F0578Honor 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.DStandard survey21 Dec 2022
10 Nov 2022F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey21 Feb 2023
10 Nov 2022F0583Keep residents' personal and medical records private and confidential.DStandard survey21 Dec 2022
10 Nov 2022F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard survey21 Feb 2023
10 Nov 2022F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey21 Feb 2023
10 Nov 2022F0610Respond appropriately to all alleged violations.DStandard survey23 Feb 2023
10 Nov 2022F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey21 Dec 2022
10 Nov 2022F0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DStandard survey21 Dec 2022
10 Nov 2022F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey21 Feb 2023
10 Nov 2022F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey21 Dec 2022
10 Nov 2022F0685Assist a resident in gaining access to vision and hearing services.DStandard survey21 Dec 2022
10 Nov 2022F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey21 Dec 2022
10 Nov 2022F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey21 Feb 2023
10 Nov 2022F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey21 Feb 2023
10 Nov 2022F0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DStandard survey21 Feb 2023
10 Nov 2022F0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.DStandard survey21 Dec 2022
10 Nov 2022F0758Implement 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.DStandard survey21 Dec 2022
10 Nov 2022F0790Provide routine and 24-hour emergency dental care for each resident.DStandard survey21 Feb 2023
10 Nov 2022F0825Provide or get specialized rehabilitative services as required for a resident.DStandard survey21 Dec 2022
10 Nov 2022F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey21 Feb 2023
10 Nov 2022F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard survey21 Dec 2022
10 Nov 2022F0886Perform COVID19 testing on residents and staff.DStandard survey21 Dec 2022
10 Nov 2022F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.BStandard survey21 Dec 2022

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.29 h
Nurse aides1.86 h
LPN0.63 h
RN0.8 h
Weekend total2.97 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Massachusetts average. Turnover: nursing staff 41.1%, RNs 48.1%; — administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityMassachusetts medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay33.2%15.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.8%0.6%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.4%1.5%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay6.2%3.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.0%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay33.6%14.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.3%3.8%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay20.1%19.6%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Guardian Snf Operations Bhc. Chain: Best Care Services (10 facilities).

OrganisationRole in the CMS recordInterestSince
Twomagnets LLCOperational/managerial controlNOT APPLICABLE01/10/2023
Bonadio & Co LLPAdp of the snfNOT APPLICABLE08/01/2022
Twomagnets LLCAdp of the snfNOT APPLICABLE03/17/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Plymouth County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Bay Path At Duxbury Nursing & Rehabilitation CtrDuxbury12055443.3—9 Jul 2024
Life Care Center of PlymouthPlymouth15055464.0—5 Apr 2022
Life Care Center of the South ShoreScituate117544119.4—21 Apr 2026
Life Care Center of West BridgewaterWest Bridgewater150554117.3—24 Sep 2024
Queen Anne Nursing Home, IncHingham1065542119.8—5 Jun 2024
Southwood At Norwell Nursing CtrNorwell142555107.0—2 Jan 2026
Webster Park Rehabilitation and Healthcare CenterRockland1105431412.7—6 Apr 2026
Alliance Health At West AcresBrockton1384421611.6—19 Sep 2025

All 27 facilities in Plymouth County

Questions and answers

How many deficiencies has The Guardian Center been cited for?

62 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Massachusetts median is 27 per facility.

Has The Guardian Center been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at The Guardian Center compare?

Reported total nurse staffing is 3.3 hours per resident per day against a Massachusetts median of 3.7 and a national average of 3.9.

Who operates The Guardian Center?

It is part of the Best Care Services chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Twomagnets LLC. Individual owners and managers are not listed on this site.

When was The Guardian Center last inspected?

The most recent survey or investigation in the CMS record is dated 10 Jun 2026; the most recent standard health survey was 30 Apr 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.