Starfile / Massachusetts

BEAR MOUNTAIN AT SUDBURY

136 BOSTON POST ROAD, SUDBURY, MA 01776 · CCN 225710

Inspection history vs Massachusetts & national averages

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

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$15,672

Number of fines

1

Number of penalties

1

Payment denials

0

Chain

Chain

BEAR MOUNTAIN HEALTHCARE

Facilities in chain

8

Chain avg overall

2.80 / 5

Inspection citations (48)1 actual harm

1. DF0692Provide enough food/fluids to maintain a resident's health.2025-01-15 · Health · corrected 2025-02-18

   Potential for more than minimal harm

2. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-11-05 · Health · corrected 2024-12-19

   Potential for more than minimal harm

3. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-11-05 · Health · corrected 2024-12-19

   Potential for more than minimal harm

4. 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.2024-11-05 · Health · corrected 2024-12-19

   Potential for more than minimal harm

5. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-11-05 · Health · corrected 2024-12-19

   Potential for more than minimal harm

6. BF0641Ensure each resident receives an accurate assessment.2024-11-05 · Health · corrected 2024-12-19

   Potential for minimal harm

7. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-11-05 · Health · corrected 2024-12-19

   Potential for more than minimal harm

8. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-11-05 · Health · corrected 2024-12-19

   Potential for more than minimal harm

9. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-11-05 · Health · corrected 2024-12-19

   Potential for more than minimal harm

10. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-11-05 · Health · corrected 2024-12-19

    Potential for more than minimal harm

11. DF0880Provide and implement an infection prevention and control program.2024-11-05 · Health · corrected 2024-12-19

    Potential for more than minimal harm

12. DF0624Prepare residents for a safe transfer or discharge from the nursing home.2024-06-18 · Health · corrected 2024-07-26

    Potential for more than minimal harm

13. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-06-18 · Health · corrected 2024-07-26

    Potential for more than minimal harm

14. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-11-02 · Health · corrected 2023-12-18

    Potential for more than minimal harm

15. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-11-02 · Health · corrected 2023-12-18

    Potential for more than minimal harm

16. 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.2023-11-02 · Health · corrected 2023-12-18

    Potential for more than minimal harm

17. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-11-02 · Health · corrected 2023-12-18

    Potential for more than minimal harm

18. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2023-11-02 · Health · corrected 2023-12-18

    Potential for more than minimal harm

19. BF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-11-02 · Health · corrected 2023-12-18

    Potential for minimal harm

20. BF0625Notify 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.2023-11-02 · Health · corrected 2023-12-18

    Potential for minimal harm

21. BF0641Ensure each resident receives an accurate assessment.2023-11-02 · Health · corrected 2023-12-18

    Potential for minimal harm

22. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2023-11-02 · Health · corrected 2023-12-18

    Potential for more than minimal harm

23. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-11-02 · Health · corrected 2023-12-18

    Potential for more than minimal harm

24. DF0660Plan the resident's discharge to meet the resident's goals and needs.2023-11-02 · Health · corrected 2023-12-18

    Potential for more than minimal harm

25. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-11-02 · Health · corrected 2023-12-18

    Potential for more than minimal harm

26. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-11-02 · Health · corrected 2023-12-18

    Potential for more than minimal harm

27. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-02 · Health · corrected 2023-12-18

    Potential for more than minimal harm

28. GF0692Provide enough food/fluids to maintain a resident's health.2023-11-02 · Health · corrected 2023-12-18

    Actual harm

29. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2023-11-02 · Health · corrected 2023-12-18

    Potential for more than minimal harm

30. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-11-02 · Health · corrected 2023-12-18

    Potential for more than minimal harm

31. 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.2023-11-02 · Health · corrected 2023-12-18

    Potential for more than minimal harm

32. DF0759Ensure medication error rates are not 5 percent or greater.2023-11-02 · Health · corrected 2023-12-18

    Potential for more than minimal harm

33. DF0760Ensure that residents are free from significant medication errors.2023-11-02 · Health · corrected 2023-12-18

    Potential for more than minimal harm

34. DF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2023-08-09 · Health · corrected 2023-08-31

    Potential for more than minimal harm

35. DF0583Keep residents' personal and medical records private and confidential.2023-06-13 · Health · corrected 2023-07-17

    Potential for more than minimal harm

36. EF0675Honor each resident's preferences, choices, values and beliefs.2023-06-13 · Health · corrected 2023-07-17

    Potential for more than minimal harm

37. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2022-04-14 · Health · corrected 2022-05-20

    Potential for more than minimal harm

38. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-04-14 · Health · corrected 2022-05-20

    Potential for more than minimal harm

39. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-04-14 · Health · corrected 2022-05-20

    Potential for more than minimal harm

40. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-04-14 · Health · corrected 2022-05-20

    Potential for more than minimal harm

41. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-04-14 · Health · corrected 2022-05-20

    Potential for more than minimal harm

42. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2022-04-14 · Health · corrected 2022-05-20

    Potential for more than minimal harm

43. DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-04-14 · Health · corrected 2022-05-20

    Potential for more than minimal harm

44. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-04-14 · Health · corrected 2022-05-20

    Potential for more than minimal harm

45. 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.2022-04-14 · Health · corrected 2022-05-20

    Potential for more than minimal harm

46. EF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2022-04-14 · Health · corrected 2022-05-20

    Potential for more than minimal harm

47. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-04-14 · Health · corrected 2022-05-20

    Potential for more than minimal harm

48. FF0880Provide and implement an infection prevention and control program.2022-04-14 · Health · corrected 2022-05-20

    Potential for more than minimal harm

Ownership

Other facilities in SUDBURY

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