Bear Mountain At Sudbury

Inspection history (48)

• November 2, 2023 · G

  Citation F0692

  Federal surveyors cited this nursing home on 2023-11-02 under CMS tag F0692 (CMS scope/severity G: isolated, actual harm) for Provide enough food/fluids to maintain a resident's health. The deficiency was recorded as corrected on 2023-12-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-02.GOV

• November 2, 2023 · B

  Citation F0641

  Federal surveyors cited this nursing home on 2023-11-02 under CMS tag F0641 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Ensure each resident receives an accurate assessment. The deficiency was recorded as corrected on 2023-12-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-02.GOV

• November 2, 2023 · D

  Citation F0758

  Federal surveyors cited this nursing home on 2023-11-02 under CMS tag F0758 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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 l…. The deficiency was recorded as corrected on 2023-12-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-02.GOV

• November 2, 2023 · D

  Citation F0689

  Federal surveyors cited this nursing home on 2023-11-02 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2023-12-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-02.GOV

• November 2, 2023 · D

  Citation F0578

  Federal surveyors cited this nursing home on 2023-11-02 under CMS tag F0578 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2023-12-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-02.GOV

• November 2, 2023 · B

  Citation F0623

  Federal surveyors cited this nursing home on 2023-11-02 under CMS tag F0623 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. The deficiency was recorded as corrected on 2023-12-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-02.GOV

• November 2, 2023 · B

  Citation F0625

  Federal surveyors cited this nursing home on 2023-11-02 under CMS tag F0625 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for 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. The deficiency was recorded as corrected on 2023-12-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-02.GOV

• November 2, 2023 · D

  Citation F0686

  Federal surveyors cited this nursing home on 2023-11-02 under CMS tag F0686 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2023-12-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-02.GOV

• November 2, 2023 · D

  Citation F0693

  Federal surveyors cited this nursing home on 2023-11-02 under CMS tag F0693 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2023-12-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-02.GOV

• November 2, 2023 · D

  Citation F0552

  Federal surveyors cited this nursing home on 2023-11-02 under CMS tag F0552 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are fully informed and understand their health status, care and treatments. The deficiency was recorded as corrected on 2023-12-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-02.GOV

• November 2, 2023 · D

  Citation F0604

  Federal surveyors cited this nursing home on 2023-11-02 under CMS tag F0604 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. The deficiency was recorded as corrected on 2023-12-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-02.GOV

• November 2, 2023 · E

  Citation F0550

  Federal surveyors cited this nursing home on 2023-11-02 under CMS tag F0550 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2023-12-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-02.GOV

• November 2, 2023 · D

  Citation F0580

  Federal surveyors cited this nursing home on 2023-11-02 under CMS tag F0580 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. The deficiency was recorded as corrected on 2023-12-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-02.GOV

• August 9, 2023 · D

  Citation F0943

  Federal surveyors cited this nursing home on 2023-08-09 under CMS tag F0943 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. The deficiency was recorded as corrected on 2023-08-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-09.GOV

• June 13, 2023 · D

  Citation F0583

  Federal surveyors cited this nursing home on 2023-06-13 under CMS tag F0583 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Keep residents' personal and medical records private and confidential. The deficiency was recorded as corrected on 2023-07-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-06-13.GOV

• June 13, 2023 · E

  Citation F0675

  Federal surveyors cited this nursing home on 2023-06-13 under CMS tag F0675 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor each resident's preferences, choices, values and beliefs. The deficiency was recorded as corrected on 2023-07-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-06-13.GOV

• April 14, 2022 · D

  Citation F0756

  Federal surveyors cited this nursing home on 2022-04-14 under CMS tag F0756 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. The deficiency was recorded as corrected on 2022-05-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-04-14.GOV

• April 14, 2022 · E

  Citation F0773

  Federal surveyors cited this nursing home on 2022-04-14 under CMS tag F0773 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. The deficiency was recorded as corrected on 2022-05-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-04-14.GOV

• April 14, 2022 · F

  Citation F0880

  Federal surveyors cited this nursing home on 2022-04-14 under CMS tag F0880 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2022-05-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-04-14.GOV

• April 14, 2022 · F

  Citation F0812

  Federal surveyors cited this nursing home on 2022-04-14 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2022-05-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-04-14.GOV

Penalties

Total fines on file: $15,672

Staffing

Latest: 3.76 nurse staffing hours per resident per day (2026-06-01)

Ownership

For profit - Limited Liability company

1. Parent organization: Bear Mountain Healthcare LLC

   parent · PAC 7517232572