Starfile

Starfile / Massachusetts

THE GUARDIAN CENTER

888 NORTH MAIN STREET, BROCKTON, MA 02301 · CCN 225382

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★★☆☆☆ 2
Quality measures
★☆☆☆☆ 1
Staffing
★★★★☆ 4

Facility

Ownership type
For profit - Limited Liability company
Certified beds
123
Avg residents/day
107.4
Phone
5085876556

Inspection history vs Massachusetts & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityMassachusetts avgNational avgvs state
12025-04-3098.99.5+0.1 worse
22024-04-23710.09.8-3.0 better
32022-11-104512.79.3+32.3 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care1
Resident assessment and care planning2
Resident rights3
Pharmacy service1
Administration2

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.5838.5%
RN staffing (reported)1.0136.4%
Total nurse staffing (adjusted)3.53

Fines & penalties

Total fines
$0
Number of fines
0
Number of penalties
0
Payment denials
0

Chain

Chain
BEST CARE SERVICES
Facilities in chain
10
Chain avg overall
1.80 / 5

Inspection citations (61)3 actual harm

  1. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-12-10 · Health · corrected 2026-01-12

    Potential for more than minimal harm

  2. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-12-10 · Health · corrected 2026-01-12

    Potential for more than minimal harm

  3. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-04-30 · Health · corrected 2025-06-03

    Potential for more than minimal harm

  4. DF0551Give the resident's representative the ability to exercise the resident's rights.2025-04-30 · Health · corrected 2025-06-03

    Potential for more than minimal harm

  5. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-04-30 · Health · corrected 2025-06-03

    Potential for more than minimal harm

  6. DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-04-30 · Health · corrected 2025-06-03

    Potential for more than minimal harm

  7. DF0759Ensure medication error rates are not 5 percent or greater.2025-04-30 · Health · corrected 2025-06-03

    Potential for more than minimal harm

  8. FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2025-04-30 · Health · corrected 2025-06-03

    Potential for more than minimal harm

  9. FF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2025-04-30 · Health · corrected 2025-06-03

    Potential for more than minimal harm

  10. DF0558Reasonably accommodate the needs and preferences of each resident.2024-04-23 · Health · corrected 2024-05-22

    Potential for more than minimal harm

  11. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-04-23 · Health · corrected 2024-05-22

    Potential for more than minimal harm

  12. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-04-23 · Health · corrected 2024-05-22

    Potential for more than minimal harm

  13. DF0758Implement 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.2024-04-23 · Health · corrected 2024-05-22

    Potential for more than minimal harm

  14. EF0761Ensure 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.2024-04-23 · Health · corrected 2024-05-22

    Potential for more than minimal harm

  15. BF0848Provide a neutral and fair arbitration process and agree to arbitrator and venue.2024-04-23 · Health · corrected 2024-05-22

    Potential for minimal harm

  16. DF0880Provide and implement an infection prevention and control program.2024-04-23 · Health · corrected 2024-05-22

    Potential for more than minimal harm

  17. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-11-10 · Health · corrected 2022-12-21

    Potential for more than minimal harm

  18. DF0551Give the resident's representative the ability to exercise the resident's rights.2022-11-10 · Health · corrected 2022-12-21

    Potential for more than minimal harm

  19. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2022-11-10 · Health · corrected 2022-12-21

    Potential for more than minimal harm

  20. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2022-11-10 · Health · corrected 2022-12-21

    Potential for more than minimal harm

  21. DF0578Honor 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.2022-11-10 · Health · corrected 2022-12-21

    Potential for more than minimal harm

  22. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2022-11-10 · Health · corrected 2023-02-21

    Potential for more than minimal harm

  23. BF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2022-11-10 · Health · corrected 2022-12-21

    Potential for minimal harm

  24. DF0583Keep residents' personal and medical records private and confidential.2022-11-10 · Health · corrected 2022-12-21

    Potential for more than minimal harm

  25. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2022-11-10 · Health · corrected 2023-02-21

    Potential for more than minimal harm

  26. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2022-11-10 · Health · corrected 2023-02-21

    Potential for more than minimal harm

  27. DF0610Respond appropriately to all alleged violations.2022-11-10 · Health · corrected 2023-02-23

    Potential for more than minimal harm

  28. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2022-11-10 · Health · corrected 2022-12-21

    Potential for more than minimal harm

  29. DF0625Notify 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.2022-11-10 · Health · corrected 2022-12-21

    Potential for more than minimal harm

  30. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2022-11-10 · Health · corrected 2023-02-21

    Potential for more than minimal harm

  31. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-11-10 · Health · corrected 2023-02-21

    Potential for more than minimal harm

  32. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-11-10 · Health · corrected 2022-12-21

    Potential for more than minimal harm

  33. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-11-10 · Health · corrected 2023-02-21

    Potential for more than minimal harm

  34. HF0675Honor each resident's preferences, choices, values and beliefs.2022-11-10 · Health · corrected 2022-12-21

    Actual harm

  35. EF0679Provide activities to meet all resident's needs.2022-11-10 · Health · corrected 2022-12-21

    Potential for more than minimal harm

  36. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-11-10 · Health · corrected 2022-12-21

    Actual harm

  37. DF0685Assist a resident in gaining access to vision and hearing services.2022-11-10 · Health · corrected 2022-12-21

    Potential for more than minimal harm

  38. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-11-10 · Health · corrected 2022-12-21

    Potential for more than minimal harm

  39. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-11-10 · Health · corrected 2022-12-21

    Potential for more than minimal harm

  40. DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-11-10 · Health · corrected 2023-02-21

    Potential for more than minimal harm

  41. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-11-10 · Health · corrected 2023-02-21

    Potential for more than minimal harm

  42. DF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2022-11-10 · Health · corrected 2023-02-21

    Potential for more than minimal harm

  43. DF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.2022-11-10 · Health · corrected 2022-12-21

    Potential for more than minimal harm

  44. GF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2022-11-10 · Health · corrected 2022-12-21

    Actual harm

  45. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-11-10 · Health · corrected 2022-12-21

    Potential for more than minimal harm

  46. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-11-10 · Health · corrected 2022-12-21

    Potential for more than minimal harm

  47. EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2022-11-10 · Health · corrected 2022-12-21

    Potential for more than minimal harm

  48. DF0758Implement 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.2022-11-10 · Health · corrected 2022-12-21

    Potential for more than minimal harm

  49. EF0761Ensure 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.2022-11-10 · Health · corrected 2023-02-21

    Potential for more than minimal harm

  50. DF0790Provide routine and 24-hour emergency dental care for each resident.2022-11-10 · Health · corrected 2023-02-21

    Potential for more than minimal harm

  51. DF0825Provide or get specialized rehabilitative services as required for a resident.2022-11-10 · Health · corrected 2022-12-21

    Potential for more than minimal harm

  52. FF0838Conduct 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.2022-11-10 · Health · corrected 2022-12-21

    Potential for more than minimal harm

  53. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-11-10 · Health · corrected 2023-02-21

    Potential for more than minimal harm

  54. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2022-11-10 · Health · corrected 2022-12-21

    Potential for more than minimal harm

  55. FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2022-11-10 · Health · corrected 2022-12-21

    Potential for more than minimal harm

  56. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2022-11-10 · Health · corrected 2022-12-21

    Potential for more than minimal harm

  57. FF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2022-11-10 · Health · corrected 2022-12-21

    Potential for more than minimal harm

  58. DF0886Perform COVID19 testing on residents and staff.2022-11-10 · Health · corrected 2022-12-21

    Potential for more than minimal harm

  59. FF0888Ensure staff are vaccinated for COVID-192022-11-10 · Health · corrected 2022-12-21

    Potential for more than minimal harm

  60. FF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2022-11-10 · Health · corrected 2022-12-21

    Potential for more than minimal harm

  61. FF0946Provide training in compliance and ethics.2022-11-10 · Health · corrected 2022-12-21

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
CKSST HOLDING COMPANY LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2022-08-01
STEINBERG, MOSHEIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST67%2022-08-01
CHAPLER, YAAKOVIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST33%2022-08-01
TWOMAGNETS LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2023-01-10
AL-MADI, SAMIIndividualOPERATIONAL/MANAGERIAL CONTROL2022-10-01
ASAKER, BAHIGEIndividualOPERATIONAL/MANAGERIAL CONTROL2022-08-01
CHAPLER, YAAKOVIndividualOPERATIONAL/MANAGERIAL CONTROL2022-08-01
STEINBERG, MOSHEIndividualOPERATIONAL/MANAGERIAL CONTROL2022-08-01
ZRAIZAA G, NANCYIndividualOPERATIONAL/MANAGERIAL CONTROL2022-08-01
CHAPLER, YAAKOVIndividualGENERAL PARTNERSHIP INTEREST2022-08-01
STEINBERG, MOSHEIndividualGENERAL PARTNERSHIP INTEREST2022-08-01

Other facilities in BROCKTON

NameOverallBeds
ALLIANCE HEALTH AT WEST ACRES★★★★☆138
St Joseph Manor Health Care Inc★★★★☆118
CHAMPION REHABILITATION AND NURSING CENTER★★★☆☆123
BROCKTON POST ACUTE CARE★★★☆☆169

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.