Massachusetts ›South Dartmouth
Brandon Woods of Dartmouth
567 Dartmouth Street, South Dartmouth, MA 02748 · Bristol County · 118 certified beds · avg 103 residents/day · certified since Jul 1, 1975
Part of chain: ELDER SERVICES (6 facilities, chain avg rating 2.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Nov 12, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Sep 25, 2025 (Past Non-Compliance)
▲ Actual harm, one-off · Aug 27, 2024 · F-0656 · triggered by a complaint
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Aug 16, 2024 (Past Non-Compliance)
▲ Actual harm, one-off · Aug 27, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Aug 16, 2024 (Past Non-Compliance)
▲ Actual harm, one-off · Apr 30, 2024 · F-0658 · triggered by a complaint
The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Why it matters: Care that falls below professional standards can directly harm a resident's health and recovery.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 18, 2024 (Past Non-Compliance)
All citations in the current public record (32)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 21, 2026 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Apr 21, 2026 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Apr 21, 2026 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Apr 21, 2026 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Apr 21, 2026 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Mar 25, 2026 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Mar 25, 2026 | D · Potential for harm, one-off | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. · from a complaint |
| Nov 12, 2025 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Nov 12, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Sep 4, 2025 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Feb 19, 2025 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Feb 19, 2025 | E · Potential for harm, repeated | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Feb 19, 2025 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Feb 19, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Feb 19, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Feb 19, 2025 | B · Minimal risk, repeated | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Jan 14, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Jan 14, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jan 14, 2025 | D · Potential for harm, one-off | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. · from a complaint |
| Oct 17, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Aug 27, 2024 | ▲ G · Actual harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Aug 27, 2024 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Aug 27, 2024 | D · Potential for harm, one-off | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · from a complaint |
| Apr 30, 2024 | ▲ G · Actual harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Dec 20, 2023 | F · Potential for harm, facility-wide | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. |
| Dec 20, 2023 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Dec 20, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Dec 20, 2023 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Dec 20, 2023 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| Dec 20, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Dec 20, 2023 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Dec 20, 2023 | B · Minimal risk, repeated | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 8 | 0 | F |
| 2024 | 5 | 3 | G ▲ |
| 2025 | 12 | 1 | G ▲ |
| 2026 | 7 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
3 fines totaling $31,190.
| Date | Type | Amount / length |
|---|---|---|
| Nov 12, 2025 | Fine | $10,539 |
| Aug 27, 2024 | Fine | $11,333 |
| Apr 30, 2024 | Fine | $9,318 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Massachusetts avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.09 | 3.89 | 3.95 | top 30% in Massachusetts; top 36% in the U.S. |
| Registered Nurse hours | 0.52 | 0.65 | 0.69 | bottom 35% in Massachusetts; bottom 40% in the U.S. |
| Weekend total nurse staffing | 3.65 | 3.51 | 3.50 | top 32% in Massachusetts; top 36% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.34 | 0.46 | 0.48 | bottom 35% in Massachusetts; bottom 41% in the U.S. |
| Total nursing staff turnover (%) | 49.6 | 38.2 | 45.8 | bottom 19% in Massachusetts; bottom 38% in the U.S. |
| RN turnover (%) | 50.0 | 42.6 | 42.9 | bottom 37% in Massachusetts; bottom 39% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.86, RN 0.49, weekend 3.44. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 1/5 · short-stay residents: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Baker Tilly Advisory Group, LP | Organization | ADP of the SNF | NOT APPLICABLE | 01/03/2025 |
| Baker Tilly Us LLP | Organization | ADP of the SNF | NOT APPLICABLE | 01/03/2025 |
| Boston Helpdesk, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 04/21/2023 |
| Dartmouth Street Limited Partnership | Organization | ADP of the SNF | NOT APPLICABLE | 12/08/1998 |
| Essex Group Management Corp | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/1995 |
| Essex Group Management Corp | Organization | ADP of the SNF | NOT APPLICABLE | 07/31/2025 |
| Essex Group Staffing Company | Organization | ADP of the SNF | NOT APPLICABLE | 07/31/2007 |
| Harris, Cheryl | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/03/2024 |
| Harris, Cheryl | Individual | ADP of the SNF | NOT APPLICABLE | 10/03/2024 |
| Hetzler, Julianne | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2022 |
| Hetzler, Julianne | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2022 |
| Intelycare, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 12/16/2017 |
| Picone, Scott | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/26/2002 |
| Picone, Scott | Individual | ADP of the SNF | NOT APPLICABLE | 05/26/2002 |
| Rch/Kcp 2021 Fund Investors, LP | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 01/01/2025 |
| Rch/Kcp 2021 Fund Investors, LP | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 01/01/2025 |
| Romano, Frank | Individual | Corporate Director | NOT APPLICABLE | 07/09/1973 |
| Romano, Frank | Individual | Corporate Officer | NOT APPLICABLE | 07/09/1973 |
| Romano, Frank | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/09/1973 |
| Romano, Frank | Individual | ADP of the SNF | NOT APPLICABLE | 07/09/1973 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Vantage Health & Rehab of New Bedford | 1.2 mi | New Bedford, MA | ★☆☆☆☆ | 2/5 | |
| Brandon Woods of New Bedford | 1.4 mi | New Bedford, MA | ★☆☆☆☆ | 1/5 | SFF |
| Sacred Heart Nursing Home | 2.6 mi | New Bedford, MA | ★★★★★ | 4/5 | |
| Our Ladys Haven of Fairhaven INC | 2.7 mi | Fairhaven, MA | ★★★★★ | 4/5 | |
| Royal of Fairhaven Nursing Center | 2.9 mi | Fairhaven, MA | ★★☆☆☆ | 3/5 | |
| Hathaway Manor Extended Care | 3.0 mi | New Bedford, MA | ★★☆☆☆ | 2/5 | |
| Alden Court Nursing Care & Rehabilitation Center | 4.1 mi | Fairhaven, MA | ★★★★☆ | 4/5 | |
| Care One at New Bedford | 6.2 mi | New Bedford, MA | ★★★☆☆ | 3/5 | |
| Oaks, the | 8.9 mi | New Bedford, MA | ★★★★☆ | 4/5 | |
| Sippican Rehabilitation and Healthcare Center | 11.2 mi | Marion, MA | ★★★★☆ | 3/5 |
Compare this facility with the 3 closest →
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Facility data as of CMS processing date 2026-08-01. CCN 225233.