The home failed to provide enough food and fluids to keep residents healthy. Cited November 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
Nursing home report
Bear Mountain at Sudbury
Registered name: Vantage at Sudbury LLC
SUDBURY, MA · Medicare-certified · 142 beds
In good standing
For-profitChain member
Data as of July 1, 2026
2 of 5 overall
Bear Mountain at Sudbury in Sudbury, MA has a 2 out of 5 overall rating, with 2-star health inspection and quality ratings and a 4-star staffing rating. Reported nurse staffing is 3.59 hours per resident per day, below the federal benchmark of 4.1, and there were $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.591 hrs/resident/day
Quality measures
Last inspection: March 5, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.591.
Staffing detail
- Registered nurses
- 0.73
- Licensed practical nurses
- 0.84
- Nurse aides
- 2.02
- Weekend nursing
- 3.25
Hours per resident per day.
Total staff turnover: 32%
Registered nurse turnover: 42%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
30.3%22.5%Improving
Residents with a fall causing major injury
4.2%6.2%Worsening
Residents with pressure ulcers (bedsores)
6.5%7.9%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
4.7%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
22.6%26.9%Worsening
Residents whose ability to walk got worse
9.5%22.9%Worsening
Long-stay residents on antianxiety or sleep medication
30.3%32.1%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%1.2%Worsening
Residents with new or worsening incontinence
30.4%35.2%Worsening
Residents with depressive symptoms
10.9%12.5%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—89.8%—
Long-stay residents given the pneumonia vaccine
88.9%89.2%No change
Short-stay residents given the seasonal flu vaccine
—71.8%—
Short-stay residents given the pneumonia vaccine
86.6%58.3%Worsening
What the inspectors found
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: E
The home failed to ensure residents were free from physical restraints unless they were needed for medical treatment. Cited March 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 604 — 42 CFR §483.12 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $15,672 in total fines.
- $15,672
Federal fine
Nov 2, 2023
Operator & ownership
Recent ownership change · Nov 21, 2019
Now operated by Bear Mountain at Sudbury, previously Wingate at Sudbury.
- Ownership
- For profit - Corporation
- Chain
- Part of VANTAGE CARE · 9 homes · 2.1 stars avg
- Occupancy
- 66.6 residents on an average day (47% of 142 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 30 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.