Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
THE GUARDIAN CENTER
BROCKTON, MA · 123 certified beds · Last Life Safety survey April 30, 2025
CMS Certification Number 225382 · first certified July 1990
Ownership
Operated by BEST CARE SERVICES · For profit - Limited Liability company
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within MA
26 citations — more than 93% of the 341 certified nursing homes in MA. Compared within MA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 17 citations; the earlier surveys in the window averaged 4.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
Well past the typical window (April 2026 to July 2026), and past the point by which nine in ten MA facilities have been surveyed. This facility’s last Life Safety survey was April 2025. Facilities in MA are typically surveyed 12–15 months after the last one (median 13), measured over 556 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
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Emergency preparedness
9 of the 26 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index
Physical environment (health survey)
2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 26 Life Safety citations above. The Physical Environment Index
How that compares
Compared with the median facility in MA, and nationally. Surveyors differ markedly between states, so the MA figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 26 |
| Median facility in MA | 11 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| November 10, 2022 | 6 |
| April 23, 2024 | 3 |
| April 30, 2025 | 17 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0252 | Provide at least two remote exits on each floor or fire section of the building. | 3 | 2025-04-30 |
| K-0311 | Have an enclosure around a vertical opening shaft. | 3 | 2025-04-30 |
| K-0241 | Have correct number of accessible exits for each story. | 3 | 2025-04-30 |
| E-0025 | Create arrangements with other facilities to receive patients. | 1 | 2025-04-30 |
| K-0923 | Have proper medical gas storage and administration areas. | 1 | 2025-04-30 |
| K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | 1 | 2022-11-10 |
| E-0041 | Implement emergency and standby power systems. | 1 | 2025-04-30 |
| K-0711 | Provide a written emergency evacuation plan. | 1 | 2025-04-30 |
What the citations cover
- Emergency Preparedness Deficiencies 9
- Egress Deficiencies 8
- Smoke Deficiencies 7
- Miscellaneous Deficiencies 1
- Other 1
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 9 |
| Egress Deficiencies | 8 |
| Smoke Deficiencies | 7 |
| Miscellaneous Deficiencies | 1 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
April 30, 2025 — 17 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (June 17, 2025) |
| E-0006 | Conduct risk assessment and an All-Hazards approach. | Deficient, Provider has date of correction (June 17, 2025) |
| E-0013 | Develop Emergency Preparedness policies and procedures. | Deficient, Provider has date of correction (June 17, 2025) |
| E-0020 | Establish policies and procedures including evacuation. | Deficient, Provider has date of correction (June 17, 2025) |
| E-0022 | Establish policies and procedures for sheltering. | Deficient, Provider has date of correction (June 17, 2025) |
| E-0025 | Create arrangements with other facilities to receive patients. | Deficient, Provider has date of correction (June 17, 2025) |
| E-0030 | List the names and contact information of those in the facility. | Deficient, Provider has date of correction (June 17, 2025) |
| E-0031 | Provide emergency officials' contact information. | Deficient, Provider has date of correction (June 17, 2025) |
| E-0041 | Implement emergency and standby power systems. | Deficient, Provider has date of correction (June 17, 2025) |
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | Deficient, Provider has date of correction (June 17, 2025) |
| K-0241 | Have correct number of accessible exits for each story. | Deficient, Provider has date of correction (June 17, 2025) |
| K-0252 | Provide at least two remote exits on each floor or fire section of the building. | Deficient, Provider has date of correction (June 17, 2025) |
| K-0311 | Have an enclosure around a vertical opening shaft. | Deficient, Provider has date of correction (June 17, 2025) |
| K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Deficient, Provider has date of correction (June 17, 2025) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (June 17, 2025) |
| K-0711 | Provide a written emergency evacuation plan. | Deficient, Provider has date of correction (June 17, 2025) |
| K-0923 | Have proper medical gas storage and administration areas. | Deficient, Provider has date of correction (June 17, 2025) |
April 23, 2024 — 3 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0241 | Have correct number of accessible exits for each story. | Deficient, Provider has date of correction (May 8, 2024) |
| K-0252 | Provide at least two remote exits on each floor or fire section of the building. | Deficient, Provider has date of correction (May 8, 2024) |
| K-0311 | Have an enclosure around a vertical opening shaft. | Deficient, Provider has date of correction (May 8, 2024) |
November 10, 2022 — 6 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Deficient, Provider has date of correction (February 1, 2023) |
| K-0241 | Have correct number of accessible exits for each story. | Deficient, Provider has date of correction (January 30, 2023) |
| K-0252 | Provide at least two remote exits on each floor or fire section of the building. | Deficient, Provider has date of correction (January 30, 2023) |
| K-0311 | Have an enclosure around a vertical opening shaft. | Deficient, Provider has date of correction (January 30, 2023) |
| K-0351 | Install an approved automatic sprinkler system. | Deficient, Provider has date of correction (December 9, 2022) |
| K-0361 | Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Deficient, Provider has date of correction (February 1, 2023) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.