THE GUARDIAN CENTER
THE GUARDIAN CENTER is a 123-bed nursing home in BROCKTON, Massachusetts. CMS has certified it for Medicare and Medicaid since 1990-07-01. It averages 107.2 residents a day.
What harm was found in the violations cited at THE GUARDIAN CENTER?
CMS lists 62 health-inspection deficiencies for THE GUARDIAN CENTER since 2022-11-10, 17 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is H; the most recent health inspection was 2026-06-10.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-10 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D |
| 2025-12-10 | F0580, F0842 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-04-30 | F0865, F0868 | Have a plan that describes the process for conducting QAPI and QAA activities. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F |
| 2025-04-30 | F0550, F0658 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure services provided by the nursing facility meet professional standards of quality. | E |
| 2025-04-30 | F0551, F0697, F0759 | Give the resident's representative the ability to exercise the resident's rights. / Provide safe, appropriate pain management for a resident who requires such services. / Ensure medication error rates are not 5 percent or greater. | D |
| 2024-04-23 | F0761 | 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. | E |
| 2024-04-23 | F0558, F0656, F0658, F0758, F0880 | Reasonably accommodate the needs and preferences of each resident. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / 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. / Provide and implement an infection prevention and control program. | D |
| 2024-04-23 | F0848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. | B |
| 2022-11-10 | F0675 | Honor each resident's preferences, choices, values and beliefs. | H |
| 2022-11-10 | F0684, F0740 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | G |
| 2022-11-10 | F0838, F0865, F0867, F0868, F0888, F0944, F0946 | Conduct 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. / Have a plan that describes the process for conducting QAPI and QAA activities. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly / Ensure staff are vaccinated for COVID-19 / Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. / Provide training in compliance and ethics. | F |
| 2022-11-10 | F0550, F0565, F0656, F0658, F0679, F0689, F0755, F0756, F0757, F0761 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to organize and participate in resident/family groups in the facility. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide activities to meet all resident's needs. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. | E |
| 2022-11-10 | F0551, F0552, F0578, F0580, F0583, F0607, F0609, F0610, F0623, F0625, F0655, F0657, F0685, F0690, F0695, F0698, F0711, F0712, F0758, F0790, F0825, F0842, F0849, F0886 | Give the resident's representative the ability to exercise the resident's rights. / Ensure that residents are fully informed and understand their health status, care and treatments. / 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. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Keep residents' personal and medical records private and confidential. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Notify 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. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Assist a resident in gaining access to vision and hearing services. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. / Ensure that the resident and his/her doctor meet face-to-face at all required visits. / 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. / Provide routine and 24-hour emergency dental care for each resident. / Provide or get specialized rehabilitative services as required for a resident. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. / Perform COVID19 testing on residents and staff. | D |
| 2022-11-10 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B |
How is THE GUARDIAN CENTER staffed relative to the MA average?
| Measure | This facility | MA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.28695 | 3.86193 |
| Total nursing staff turnover (%) | 41.1 | 38.2 |
| Average number of residents per day | 107.2 | 98.5 |
Who owns THE GUARDIAN CENTER, and what chain is it in?
THE GUARDIAN CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name GUARDIAN SNF OPERATIONS BHC and belongs to the BEST CARE SERVICES chain.
| Role | Owner | Association date |
|---|---|---|
| MANAGING CONTROL - GOVERNING BODY | AL-MADI, SAMI, CHAPLER, YAAKOV, STEINBERG, MOSHE | since 08/01/2022 |
| OPERATIONAL/MANAGERIAL CONTROL | TWOMAGNETS LLC, AL-MADI, SAMI, ASAKER, BAHIGE, CHAPLER, YAAKOV, STEINBERG, MOSHE, ZRAIZAA G, NANCY | since 01/10/2023 |
| GENERAL PARTNERSHIP INTEREST | CHAPLER, YAAKOV, STEINBERG, MOSHE | since 08/01/2022 |
| ADP OF THE SNF | BONADIO & CO LLP, TWOMAGNETS LLC, ASAKER, BAHIGE, ZRAIZAA G, NANCY | since 03/17/2025 |