South Dartmouth, MA

Brandon Woods of Dartmouth

2-star overall rating with 2-star inspections with $36,586 in total fines with 9 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

567 Dartmouth Street, South Dartmouth, MA

(508) 997-7787

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

118

Certified beds

Average residents

97

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Elder Services

Operator or chain grouping

Approved since

1975-07-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.55

Registered nurse staffing

LPN hours / resident day

1.07

Licensed practical nurse staffing

Aide hours / resident day

2.38

Nurse aide staffing

Weekend hours

3.64

Weekend nurse staffing

RN turnover

36%

Annual RN turnover

Total nurse turnover

56%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.7
1.9
0.2 pts better
1.9
0.2 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.8
1.5
0.3 pts worse
1.8
About the same
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.6%
92.2%
6.4 pts better
93.4%
5.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99.0%
94.8%
4.2 pts better
95.5%
3.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 5.8%
3.5%
2.3 pts worse
3.3%
2.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 14.7%
12.0%
2.7 pts worse
11.4%
3.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 6.3%
5.2%
1.1 pts worse
5.4%
0.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 22.5%
19.2%
3.3 pts worse
19.6%
2.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 20.4%
22.5%
2.1 pts better
16.7%
3.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 24.6%
17.7%
6.9 pts worse
16.3%
8.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 28.7%
17.6%
11.1 pts worse
14.9%
13.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.8%
1.0%
0.8 pts worse
1.0%
0.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 2.9%
2.0%
0.9 pts worse
1.7%
1.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 31.3%
21.7%
9.6 pts worse
19.8%
11.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 5.2%
4.6%
0.6 pts worse
5.1%
0.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 86.2%
77.1%
9.1 pts better
81.7%
4.5 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 7.8%
11.8%
4 pts better
12.0%
4.2 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.3%
1.3 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 81.1%
77.7%
3.4 pts better
79.7%
1.4 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 23.9%
25.8%
1.9 pts better
23.9%
About the same
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-19 · Fire 2025-02-19

9 health deficiencies

Top issue: Infection Control (3 deficiencies)

8 fire-safety deficiencies

Top issue: Emergency Preparedness (3 deficiencies)

Cycle 2 Health 2023-12-20 · Fire 2023-12-20

16 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2021-08-18 · Fire 2021-08-18

13 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-02-19

E20 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures including evacuation.

Corrected 2025-03-21

F · Potential for more than minimal harm 2025-02-19

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2025-03-21

F · Potential for more than minimal harm 2025-02-19

E7 · Emergency Preparedness Deficiencies

Fire Safety

Address patient/client population and determine types of services needed.

Corrected 2025-03-21

F · Potential for more than minimal harm 2025-02-19

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2025-03-21

E · Potential for more than minimal harm 2025-02-19

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2025-03-21

D · Potential for more than minimal harm 2025-02-19

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-03-21

D · Potential for more than minimal harm 2025-02-19

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-03-21

D · Potential for more than minimal harm 2025-02-19

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Corrected 2025-03-21

D · Potential for more than minimal harm 2023-12-20

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-01-23

D · Potential for more than minimal harm 2023-12-20

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-01-23

D · Potential for more than minimal harm 2023-12-20

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-01-23

C · Minimal harm 2023-12-20

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2024-01-23

C · Minimal harm 2023-12-20

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-01-23

C · Minimal harm 2023-12-20

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-01-23

E · Potential for more than minimal harm 2021-08-18

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2021-09-24

E · Potential for more than minimal harm 2021-08-18

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2021-09-24

D · Potential for more than minimal harm 2021-08-18

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2021-09-24

D · Potential for more than minimal harm 2021-08-18

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2021-09-24

D · Potential for more than minimal harm 2021-08-18

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-10-15

Inspection history

Recent health citations

G · Actual harm 2025-11-12

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-09-25

D · Potential for more than minimal harm 2025-11-12

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-09-25

D · Potential for more than minimal harm 2025-09-04

F580 · Resident Rights Deficiencies

Health

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

Corrected 2025-09-29

F · Potential for more than minimal harm 2025-02-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-28

E · Potential for more than minimal harm 2025-02-19

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2025-03-28

D · Potential for more than minimal harm 2025-02-19

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-03-28

D · Potential for more than minimal harm 2025-02-19

F842 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-03-28

D · Potential for more than minimal harm 2025-02-19

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2025-03-28

B · Minimal harm 2025-02-19

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2025-03-28

D · Potential for more than minimal harm 2025-01-14

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-12-23

D · Potential for more than minimal harm 2025-01-14

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-12-23

D · Potential for more than minimal harm 2025-01-14

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2024-12-23

D · Potential for more than minimal harm 2024-10-17

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-10-04

G · Actual harm 2024-08-27

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-08-16

G · Actual harm 2024-08-27

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-08-16

D · Potential for more than minimal harm 2024-08-27

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2024-09-16

G · Actual harm 2024-04-30

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-04-18

F · Potential for more than minimal harm 2023-12-20

F868 · Administration Deficiencies

Health

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

Corrected 2024-01-23

F · Potential for more than minimal harm 2023-12-20

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-01-23

D · Potential for more than minimal harm 2023-12-20

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-01-23

D · Potential for more than minimal harm 2023-12-20

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-01-23

D · Potential for more than minimal harm 2023-12-20

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-01-23

D · Potential for more than minimal harm 2023-12-20

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-01-23

D · Potential for more than minimal harm 2023-12-20

F761 · Pharmacy Service Deficiencies

Health

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 2024-01-23

B · Minimal harm 2023-12-20

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2024-01-23

G · Actual harm 2021-08-18

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2021-10-13

F · Potential for more than minimal harm 2021-08-18

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2021-10-13

F · Potential for more than minimal harm 2021-08-18

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2021-10-13

E · Potential for more than minimal harm 2021-08-18

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2021-10-13

E · Potential for more than minimal harm 2021-08-18

F758 · Pharmacy Service Deficiencies

Health

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 2021-10-13

D · Potential for more than minimal harm 2021-08-18

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2021-10-13

D · Potential for more than minimal harm 2021-08-18

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2021-10-13

D · Potential for more than minimal harm 2021-08-18

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2021-10-13

D · Potential for more than minimal harm 2021-08-18

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2021-10-13

D · Potential for more than minimal harm 2021-08-18

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2021-10-13

D · Potential for more than minimal harm 2021-08-18

F761 · Pharmacy Service Deficiencies

Health

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 2021-11-02

D · Potential for more than minimal harm 2021-08-18

F842 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2021-10-13

D · Potential for more than minimal harm 2021-08-18

F849 · Administration Deficiencies

Health

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.

Corrected 2021-10-13

Penalties and ownership

What sits behind the stars

$15,935 2025-11-12

Fine

Fine · fine $15,935

Fine

$11,333 2024-08-27

Fine

Fine · fine $11,333

Fine

$9,318 2024-04-30

Fine

Fine · fine $9,318

Fine

Ownership

Essex Group Incorporated

5% Or Greater Direct Ownership Interest · Organization

100% 6 facilities 1973-07-09
Romano, Frank

5% Or Greater Indirect Ownership Interest · Individual

44% 6 facilities 1973-07-09
Romano, Brandon

5% Or Greater Indirect Ownership Interest · Individual

12% 6 facilities 2008-08-16
Romano, James

5% Or Greater Indirect Ownership Interest · Individual

12% 6 facilities 2008-08-16
Romano, Katelyn

5% Or Greater Indirect Ownership Interest · Individual

12% 6 facilities 2008-08-16
Romano, Kyle

5% Or Greater Indirect Ownership Interest · Individual

12% 6 facilities 2008-08-16
Doyle, Philip

5% Or Greater Indirect Ownership Interest · Individual

9% 6 facilities 1973-07-09
Essex Group Management Corp

Operational/Managerial Control · Organization

0% 3 facilities 1995-01-01
Harris, Cheryl

Operational/Managerial Control · Individual

0% 1 facilities 2024-10-03
Hetzler, Julianne

Operational/Managerial Control · Individual

0% 2 facilities 2022-11-01
Picone, Scott

Operational/Managerial Control · Individual

0% 3 facilities 2002-05-26
Rch/Kcp 2021 Fund Investors, LP

5% Or Greater Security Interest · Organization

0% 1 facilities 2025-01-01
Rch/Kcp 2021 Fund Investors, LP

5% Or Greater Mortgage Interest · Organization

0% 1 facilities 2025-01-01
Romano, Frank

Operational/Managerial Control · Individual

0% 6 facilities 1973-07-09
Romano, Frank

Corporate Director · Individual

0% 6 facilities 1973-07-09
Romano, Frank

Corporate Officer · Individual

0% 6 facilities 1973-07-09
Romano, Katelyn

Operational/Managerial Control · Individual

0% 6 facilities 2017-05-08
Teves, Phillip

Operational/Managerial Control · Individual

0% 1 facilities 2021-04-01

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Health
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Staffing
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Fines
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1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $464,490 in total fines with 46 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle

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Staffing
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Fines
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5-star overall rating with 4-star inspections with 3 recent health deficiencies

Overall
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Health
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Staffing
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Fines
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