The Guardian Center

888 North Main Street · Brockton, MA · 02301 · 5085876556

123 certified beds For profit - Limited Liability company Chain: Best Care Services

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • 3 citations involved actual harm to residents.
  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 53
Serious harm & abuse 20% 82
Staffing 20% 71
Federal penalties 15% 100
Trend 10% 28
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day3.323.48 min · 4.1 strong
RN hours / resident-day0.870.55–0.75
Weekend hours / resident-day3.00≈ weekday level
Nursing turnover / year39%median 45%
Fines (3-yr window)none

Inspection citations (61 in the current record)

  • Potential for harm · D December 10, 2025 · found via complaint

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

    Corrected January 12, 2026 · Resident Rights

  • Potential for harm · D December 10, 2025 · found via complaint

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

    Corrected January 12, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E April 30, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected June 3, 2025 · Resident Rights

  • Potential for harm · D April 30, 2025

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

    Corrected June 3, 2025 · Resident Rights

  • Potential for harm · E April 30, 2025

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected June 3, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 30, 2025

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected June 3, 2025 · Quality of Life and Care

  • Potential for harm · D April 30, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected June 3, 2025 · Pharmacy Service

  • Potential for harm · F April 30, 2025

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Corrected June 3, 2025 · Administration

  • Potential for harm · F April 30, 2025

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

    Corrected June 3, 2025 · Administration

  • Potential for harm · D April 23, 2024

    Reasonably accommodate the needs and preferences of each resident.

    Corrected May 22, 2024 · Resident Rights

  • Potential for harm · D April 23, 2024

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

    Corrected May 22, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D April 23, 2024

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected May 22, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D April 23, 2024

    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.

    Corrected May 22, 2024 · Pharmacy Service

  • Potential for harm · E April 23, 2024

    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.

    Corrected May 22, 2024 · Pharmacy Service

  • Potential for harm · D April 23, 2024

    Provide and implement an infection prevention and control program.

    Corrected May 22, 2024 · Infection Control

  • No harm found · B April 23, 2024

    Provide a neutral and fair arbitration process and agree to arbitrator and venue.

    Corrected May 22, 2024 · Administration

  • Actual harm · H November 10, 2022

    Honor each resident's preferences, choices, values and beliefs.

    Corrected December 21, 2022 · Quality of Life and Care

  • Actual harm · G November 10, 2022

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected December 21, 2022 · Quality of Life and Care

  • Actual harm · G November 10, 2022

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Corrected December 21, 2022 · Quality of Life and Care

  • Potential for harm · E November 10, 2022

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected December 21, 2022 · Resident Rights

  • Potential for harm · D November 10, 2022

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

    Corrected December 21, 2022 · Resident Rights

  • Potential for harm · D November 10, 2022

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected December 21, 2022 · Resident Rights

  • Potential for harm · E November 10, 2022

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Corrected December 21, 2022 · Resident Rights

  • Potential for harm · D November 10, 2022

    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.

    Corrected December 21, 2022 · Resident Rights

  • Potential for harm · D November 10, 2022

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

    Corrected February 21, 2023 · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 225382 · certified since July 1, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.