Above average — CMS composite of the measures below.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Alliance Health At West Acres during CMS and state inspections, most recent first.
Food Served Lukewarm and Unappetizing Residents reported that meals were often cold, and all residents at a council meeting agreed food temperatures were not hot enough. Surveyors observed two test trays with hot items below the FSD’s stated standard, including meatloaf, mashed potatoes, mixed vegetables, eggs, and hot cereal that were described as lukewarm, cold, or lacking flavor. The FSD said hot foods should be 135-140 F and noted meal trucks should be passed timely, while the Administrator said over 40 minutes seemed long for the usual process.
Expired emergency water was found stored in the Station Three closet, with 138 gallons past the listed expiration date, and the FSD said there was no process to track or rotate the supply. In addition, microwaves in all three kitchenette areas had dried food splatter, stains, and rust, and the FSD acknowledged the units were dirty and that one rusted microwave should not be in use.
A resident with diabetes, PAD, and a chronic right heel ulcer had wound care orders that were carried out every other day, even though the wound consultant’s notes recommended daily treatment. The MD deferred wound decisions to the wound consultant, and the UM and ADON said they were unaware the consultant had ordered daily care and the order was never updated to match the notes.
A resident with AFib who was receiving Eliquis had repeated nosebleeds, and the NP ordered CBC, CMP, and BMP labs after one episode. The record showed the labs were not obtained, and staff later confirmed there were no September lab results in the EMR or lab portal.
The facility failed to maintain an effective infection prevention and control program during a COVID-19 outbreak. There was inadequate investigation and contact tracing for new cases, and staff did not complete required outbreak testing. Additionally, a staff member conducted a rapid antigen test incorrectly, and another did not adhere to PPE protocols when entering a COVID-19 positive resident's room.
A resident with paraplegia and hypertension was given Midodrine outside of prescribed parameters, as the medication was administered despite the resident's systolic blood pressure exceeding the threshold set by the physician. The ADON confirmed the oversight, acknowledging that the medication should have been withheld when the SBP was greater than 130.
Food Served at Improper Temperatures and Poor Palatability
Penalty
Summary
The facility failed to ensure residents received food prepared by methods that conserve nutritive value, flavor, and appearance, and that was palatable, attractive, and at a safe and appetizing temperature. During initial resident screening, residents reported that food was often served cold, with one resident stating the food was cold 90% of the time and another stating it was always cold and gross. At the Resident Council Meeting, 10 of 10 residents agreed that food temperatures were not always hot enough and that the food was lukewarm. Surveyors observed two test trays that supported these concerns. On the Station Two Unit, the tray arrived at 12:30 P.M. and was checked 14 minutes later; meatloaf, puree meatloaf, mashed potatoes, and mixed vegetables were all measured below the Food Service Director’s stated hot-food standard of 135-140 F, with comments that the items were lukewarm, cold, or lacking flavor. On the Station Three Unit, the tray arrived at 8:21 A.M. and was checked 21 minutes later; eggs and hot cereal were measured at 111.6 F and 100.2 F, respectively, and were described as cold or barely warm, while the blueberry muffin was 95.2 F. Residents on that unit also stated the eggs were lukewarm or not warm enough, and the FSD and Administrator acknowledged concerns about meal timing and that over 40 minutes seemed long for the typical process.
Expired Emergency Water and Dirty Kitchenette Microwaves
Penalty
Summary
The facility failed to follow professional standards of practice for food safety and sanitation by not ensuring its emergency water supply was discarded and replenished before expiration. The facility policy required a 3-day supply of potable water to be maintained at all times. During observation in the Station Three main dining room closet, 23 cardboard boxes were found containing 138 gallons of emergency water, and both the boxes and the one-gallon containers inside them had an expiration date of 7/31/25. The Food Service Director stated she ordered the emergency water but did not have a process to check the supply or rotate it out before expiration, and the Administrator stated the expiration date should be checked when the water is received and that the facility should have a process to track the emergency water supply. The facility also failed to maintain safe and clean equipment in three out of three kitchenettes. In the Station Three kitchenette, the microwave had brown stains, dried food particle spatter, and rusted brown areas on the inside top right corner of the door. In the Station One kitchenette, the microwave had dried food particle splatter covering the top, sides, and door, along with peeling silver residue on the top. In the Station Two kitchenette, the microwave had dried food particle splatter and rust brown areas on the top and left-hand side around the vent screen. During interview, the Food Service Director stated kitchen staff were responsible for cleaning and maintaining the kitchenettes and acknowledged that all of the microwaves were dirty and needed cleaning; she also stated the rusted spots on the Station One microwave should not be in use.
Wound treatment frequency did not match consultant recommendations
Penalty
Summary
The facility failed to ensure quality of care was provided according to the plan of care and professional standards of practice for one resident with a right heel diabetic wound. The resident was admitted with diagnoses including diabetes, peripheral artery disease, and a non-pressure chronic ulcer on the right heel and midfoot, and the care plan identified risk for skin breakdown related to impaired mobility, weakness, and diabetes with wound team consultation and treatment as indicated. The resident also had multiple hospitalizations after admission and had an infected right heel wound after declining amputation. Upon re-admission in August 2025, the medical record showed an order to cleanse the right heel wound with normal saline, pack with alginate silver rope, cover with a dry protective dressing and Kerlix, and apply ace wrap every 48 hours. However, the Physician Wound Consultant’s progress notes indicated the wound treatment should be done daily, including cleansing with normal saline, applying calcium alginate with silver, lightly packing with a Q-Tip to the base of the wound, securing with ABD pad and rolled gauze, and changing daily and as needed. The treatment administration records showed the right heel treatment was completed every other day from 8/12/25 through 9/17/25 instead of daily. The Medical Director stated he deferred wound treatment decisions to the Physician Wound Consultant and had not declined any treatments, while the Unit Manager and ADON stated they were unaware the consultant had recommended daily treatment and that the order had not been changed to reflect it.
Failure to Obtain Ordered Labs for Resident on Blood Thinner
Penalty
Summary
The facility failed to ensure laboratory services were obtained for one resident who was receiving Eliquis for atrial fibrillation and had repeated nosebleeds. The resident reported being on a blood thinner and having nosebleeds. The physician’s orders included Eliquis 2.5 mg twice daily and labs as ordered by the physician. Nursing progress notes documented multiple episodes of left-sided nosebleeds, with pressure dressings applied and the NP contacted; on one occasion the NP ordered Eliquis held for an evening dose, and on another occasion the NP ordered CBC, CMP, and BMP labs to be completed on 9/2/25. Review of the medical record showed no evidence that the ordered CBC, CMP, or BMP were obtained on 9/2/25. Nursing staff reviewed the record and the electronic lab portal and found no lab results for the resident in September 2025. The Unit Manager stated the labs were not completed as ordered and that the nurse must have missed entering them in the lab portal. The DON stated there was no policy for obtaining labs as ordered and that nurses were expected to follow physician orders.
Inadequate Infection Control During COVID-19 Outbreak
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program during a COVID-19 outbreak. The outbreak began on the Station 3 Unit when a resident tested positive, and later spread to the Station 1 Unit. The facility did not conduct a proper investigation or contact tracing for a new COVID-19 case, and there was no adequate documentation of a COVID-19 tracking report for staff and residents. The Assistant Director of Nursing (ADON) admitted that the documentation provided was unclear and did not reflect proper surveillance for the outbreak. The facility also failed to implement proper COVID-19 outbreak testing procedures. Four staff members who worked on affected units did not complete the required outbreak testing. The ADON acknowledged that there was no oversight to ensure that home testing was being done or that results were documented. Additionally, a staff member was observed conducting a rapid antigen test incorrectly, reading the result before the required 15 minutes had elapsed. Furthermore, staff did not adhere to appropriate hand hygiene and personal protective equipment (PPE) protocols. A Rehabilitation Services Staff member entered a COVID-19 positive resident's room without wearing an N95 mask and failed to perform hand hygiene upon exiting. The ADON confirmed that full PPE, including an N95 mask, was required for entering COVID-19 positive rooms, and that PPE should be doffed inside the room before exiting.
Failure to Administer Medication According to Prescribed Parameters
Penalty
Summary
The facility failed to administer medication in accordance with professional standards of practice for a resident diagnosed with paraplegia and hypertension. The resident was prescribed Midodrine to manage low blood pressure, with specific instructions to hold the medication if the systolic blood pressure (SBP) exceeded 130. However, the medication was administered outside of these parameters on multiple occasions, as evidenced by the Medication Administration Records (MAR) for July and August 2024. Specifically, the medication was given when the resident's SBP was recorded at 132/76 and 136/82, which were above the prescribed threshold. Interviews with the resident and the Assistant Director of Nursing (ADON) confirmed the administration of Midodrine twice daily to stabilize blood pressure during position changes. The ADON acknowledged that the medication was given outside the prescribed parameters and stated that it should have been withheld when the SBP was greater than 130. This oversight indicates a failure to adhere to the physician's orders and the facility's medication administration policy, which requires medications to be administered according to the prescriber's written orders.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Brockton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Brockton Post Acute Care | 0.7 mi | ★★★★★ | 0 | 0 |
| The Center At Blue Hills | 1.8 mi | ★★★★★ | 4 | 0 |
| The Guardian Center | 1.8 mi | ★★★★★ | 2 | 0 |
| Copley At Stoughton Nursing Care Center | 2.6 mi | ★★★★★ | 11 | 0 |
| St Joseph Manor Health Care Inc | 3.1 mi | ★★★★★ | 4 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.