BEAR MOUNTAIN AT SUDBURY

πŸ“ 136 BOSTON POST ROAD, sudbury, MA 01776 πŸ“ž 9784432722 πŸ›οΈ 142 beds

Overall Rating

⭐
1/5

Health Inspection

⭐⭐
2/5

Staffing

⭐
1/5

Quality Measures

⭐⭐⭐⭐
4/5

Inspection History Overview

72
Total Violations
8 years of data
$13,536
Total Fines
2 penalties
8
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2025 1 violations

Tag 0692 D Jan 15, 2025

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

βœ“ Corrected: Feb 18, 2025

2024 2 violations

Tag 0624 D Jun 18, 2024

Prepare residents for a safe transfer or discharge from the nursing home.

βœ“ Corrected: Jul 26, 2024
Tag 0842 D Jun 18, 2024

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

βœ“ Corrected: Jul 26, 2024

2023 23 violations

Tag 0550 E Nov 2, 2023

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Dec 18, 2023
Tag 0552 D Nov 2, 2023

Ensure that residents are fully informed and understand their health status, care and treatments.

βœ“ Corrected: Dec 18, 2023
Tag 0578 D Nov 2, 2023

Honor 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.

βœ“ Corrected: Dec 18, 2023
Tag 0580 D Nov 2, 2023

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

βœ“ Corrected: Dec 18, 2023
Tag 0604 D Nov 2, 2023

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

βœ“ Corrected: Dec 18, 2023
Tag 0623 B Nov 2, 2023

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

βœ“ Corrected: Dec 18, 2023
Tag 0625 B Nov 2, 2023

Notify 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.

βœ“ Corrected: Dec 18, 2023
Tag 0641 B Nov 2, 2023

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Dec 18, 2023
Tag 0645 D Nov 2, 2023

PASARR screening for Mental disorders or Intellectual Disabilities

βœ“ Corrected: Dec 18, 2023
Tag 0656 D Nov 2, 2023

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

βœ“ Corrected: Dec 18, 2023
Tag 0660 D Nov 2, 2023

Plan the resident's discharge to meet the resident's goals and needs.

βœ“ Corrected: Dec 18, 2023
Tag 0684 D Nov 2, 2023

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

βœ“ Corrected: Dec 18, 2023
Tag 0686 D Nov 2, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Dec 18, 2023
Tag 0689 D Nov 2, 2023

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

βœ“ Corrected: Dec 18, 2023
Tag 0692 G Nov 2, 2023

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

βœ“ Corrected: Dec 18, 2023
Tag 0693 D Nov 2, 2023

Ensure 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.

βœ“ Corrected: Dec 18, 2023
Tag 0756 D Nov 2, 2023

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

βœ“ Corrected: Dec 18, 2023
Tag 0758 D Nov 2, 2023

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.

βœ“ Corrected: Dec 18, 2023
Tag 0759 D Nov 2, 2023

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Dec 18, 2023
Tag 0760 D Nov 2, 2023

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Dec 18, 2023

2022 14 violations

Tag 0552 D Apr 14, 2022

Ensure that residents are fully informed and understand their health status, care and treatments.

βœ“ Corrected: May 20, 2022
Tag 0657 D Apr 14, 2022

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

βœ“ Corrected: May 20, 2022
Tag 0684 D Apr 14, 2022

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

βœ“ Corrected: May 20, 2022
Tag 0689 D Apr 14, 2022

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

βœ“ Corrected: May 20, 2022
Tag 0690 D Apr 14, 2022

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: May 20, 2022
Tag 0694 D Apr 14, 2022

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

βœ“ Corrected: May 20, 2022
Tag 0695 D Apr 14, 2022

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

βœ“ Corrected: May 20, 2022
Tag 0756 D Apr 14, 2022

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

βœ“ Corrected: May 20, 2022
Tag 0758 D Apr 14, 2022

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.

βœ“ Corrected: May 20, 2022
Tag 0773 E Apr 14, 2022

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

βœ“ Corrected: May 20, 2022
Tag 0812 F Apr 14, 2022

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

βœ“ Corrected: May 20, 2022
Tag 0880 F Apr 14, 2022

Provide and implement an infection prevention and control program.

βœ“ Corrected: May 20, 2022
Tag 0658 D Mar 30, 2022

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

βœ“ Corrected: May 20, 2022
Tag 0842 D Mar 30, 2022

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

βœ“ Corrected: May 20, 2022

2021 1 violations

Tag 0880 E Jan 19, 2021

Provide and implement an infection prevention and control program.

βœ“ Corrected: Feb 12, 2021

2019 12 violations

Tag 0554 D Sep 11, 2019

Allow residents to self-administer drugs if determined clinically appropriate.

βœ“ Corrected: Oct 26, 2019
Tag 0604 D Sep 11, 2019

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

βœ“ Corrected: Oct 26, 2019
Tag 0656 E Sep 11, 2019

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

βœ“ Corrected: Oct 26, 2019
Tag 0657 D Sep 11, 2019

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

βœ“ Corrected: Oct 26, 2019
Tag 0658 E Sep 11, 2019

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

βœ“ Corrected: Oct 26, 2019
Tag 0677 D Sep 11, 2019

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Oct 26, 2019
Tag 0695 D Sep 11, 2019

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

βœ“ Corrected: Oct 26, 2019
Tag 0730 D Sep 11, 2019

Observe each nurse aide's job performance and give regular training.

βœ“ Corrected: Oct 26, 2019
Tag 0761 D Sep 11, 2019

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.

βœ“ Corrected: Oct 26, 2019
Tag 0812 D Sep 11, 2019

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

βœ“ Corrected: Oct 26, 2019
Tag 0825 D Sep 11, 2019

Provide or get specialized rehabilitative services as required for a resident.

βœ“ Corrected: Oct 26, 2019
Tag 0600 G Jan 28, 2019

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Jan 30, 2019

2018 10 violations

Tag 0584 E Sep 19, 2018

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

βœ“ Corrected: Oct 25, 2018
Tag 0604 D Sep 19, 2018

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

βœ“ Corrected: Oct 25, 2018
Tag 0658 D Sep 19, 2018

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

βœ“ Corrected: Oct 25, 2018
Tag 0679 E Sep 19, 2018

Provide activities to meet all resident's needs.

βœ“ Corrected: Oct 25, 2018
Tag 0686 D Sep 19, 2018

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Oct 25, 2018
Tag 0688 D Sep 19, 2018

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

βœ“ Corrected: Oct 25, 2018
Tag 0692 D Sep 19, 2018

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

βœ“ Corrected: Oct 23, 2018
Tag 0761 D Sep 19, 2018

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.

βœ“ Corrected: Oct 23, 2018
Tag 0812 F Sep 19, 2018

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

βœ“ Corrected: Oct 23, 2018
Tag 0880 E Sep 19, 2018

Provide and implement an infection prevention and control program.

βœ“ Corrected: Nov 1, 2018

2017 9 violations

Tag 0157 D Jul 26, 2017

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

βœ“ Corrected: Sep 9, 2017
Tag 0253 E Jul 26, 2017

Provide housekeeping and maintenance services.

βœ“ Corrected: Sep 9, 2017
Tag 0281 E Jul 26, 2017

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

βœ“ Corrected: Sep 9, 2017
Tag 0282 E Jul 26, 2017

Provide care by qualified persons according to each resident's written plan of care.

βœ“ Corrected: Sep 9, 2017
Tag 0311 D Jul 26, 2017

Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves.

βœ“ Corrected: Sep 9, 2017
Tag 0313 D Jul 26, 2017

Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing.

βœ“ Corrected: Sep 9, 2017
Tag 0323 D Jul 26, 2017

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

βœ“ Corrected: Sep 9, 2017
Tag 0406 D Jul 26, 2017

Give or get specialized rehabilitative services per the patient's assessment or plan of care.

βœ“ Corrected: Sep 9, 2017
Tag 0514 D Jul 26, 2017

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

βœ“ Corrected: Sep 9, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 1 penalties totaling $6,500

$6,500
Fine
March 30, 2022
Average: $6,500 | Range: $6,500 - $6,500

2019 1 penalties totaling $7,036

$7,036
Fine
January 28, 2019
Average: $7,036 | Range: $7,036 - $7,036

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

June 18, 2024
0.00

Health

November 2, 2023
0.00

Health

August 9, 2023
0.00

Health

June 13, 2023
0.00

Health

April 14, 2022
0.00

Health

March 30, 2022
0.00

Health

January 19, 2021
0.00

Health

September 11, 2019
0.00

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Ownership Information

For profit - Corporation
Independent (Not part of a chain)
225710
225710
9784432722
Middlesex

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Individual
August 25, 2025
Individual