Vantage at Sudbury LLC

CCN 225710 · BEAR MT SUDBURY LLC · For profit - Corporation · VANTAGE CARE chain · 142 certified beds · Middlesex · MA


Vantage at Sudbury LLC is a 142-bed nursing home in SUDBURY, Massachusetts. CMS has certified it for Medicare and Medicaid since 1996-07-26. It averages 66.6 residents a day.

What harm was found in the violations cited at Vantage at Sudbury LLC?

CMS lists 44 health-inspection deficiencies for Vantage at Sudbury LLC, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-03-05.

Survey dateTagDeficiencySeverity
2026-03-05F0550, F0761, F0804Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2026-03-05F0604, F0657, F0687, F0695, F0697, F0880Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate foot care. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. / Provide and implement an infection prevention and control program.D
2026-03-05F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.B
2025-01-15F0692Provide enough food/fluids to maintain a resident's health.D
2024-11-05F0550, F0552, F0578, F0580, F0677, F0690, F0698, F0812, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure that residents are fully informed and understand their health status, care and treatments. / 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. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.D
2024-11-05F0641Ensure each resident receives an accurate assessment.B
2024-06-18F0624, F0842Prepare residents for a safe transfer or discharge from the nursing home. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2023-11-02F0692Provide enough food/fluids to maintain a resident's health.G
2023-11-02F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E
2023-11-02F0552, F0578, F0580, F0604, F0645, F0656, F0660, F0684, F0686, F0689, F0693, F0756, F0758, F0759, F0760Ensure that residents are fully informed and understand their health status, care and treatments. / 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. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Plan the resident's discharge to meet the resident's goals and needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors.D
2023-11-02F0623, F0625, F0641Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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. / Ensure each resident receives an accurate assessment.B
2023-08-09F0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.D

Why was Vantage at Sudbury LLC fined?

DateTypeAmount
2023-11-02Fine$15,672

How is Vantage at Sudbury LLC staffed relative to the MA average?

MeasureThis facilityMA average
Total nurse staffing hours per resident per day3.590993.86193
Total nursing staff turnover (%)31.938.2
Average number of residents per day66.698.5

Who owns Vantage at Sudbury LLC, and what chain is it in?

Vantage at Sudbury LLC is registered with CMS as For profit - Corporation, operates under the legal business name BEAR MT SUDBURY LLC and belongs to the VANTAGE CARE chain.

RoleOwnerAssociation date
MANAGING CONTROL - GOVERNING BODYJOHNSON, JERI, ROSENBLOOM, AVIsince 09/23/2024
OPERATIONAL/MANAGERIAL CONTROLINNOVATIONS HEALTHCARE, LLC, ANAND, AJAY, FLANAGAN, MICHAEL, GOLDMAN, ZACHARY, GREEN, MORRIS, JOHNSON, JERI, ORCHARD, DONNA, ROSENBLOOM, AVIsince 03/20/2025
ADP OF THE SNFINNOVATIONS HEALTHCARE, LLC, SABRA HEALTH CARE REIT INC, ANAND, AJAY, GOLDMAN, ZACHARY, GREEN, MORRIS, JOHNSON, JERI, ORCHARD, DONNA, ROSENBLOOM, AVIsince 04/01/2024

Were you or a family member harmed at Vantage at Sudbury LLC?