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Facility profile · CCN 225531

Sudbury Pines Extended Care

38 federal citations on record .

Record summary

Federal record · Q1 2026
38
Total citations
27
Last 3 years
0
Actual harm+
0
Federal penalties
$0
Total fines
2
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

38 on record
SurveyF-TagViolationSeveritySource
Jun 10, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Mar 6, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Mar 6, 2025F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.FStandard
Mar 6, 2025F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
Mar 6, 2025F761Ensure 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.EStandard
Mar 6, 2025F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.EStandard
Mar 6, 2025F699Provide care or services that was trauma informed and/or culturally competent.DStandard
Mar 6, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Mar 6, 2025F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Mar 6, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Mar 6, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Mar 6, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EStandard
Mar 6, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Mar 6, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Mar 6, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Mar 6, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Mar 6, 2025F641Ensure each resident receives an accurate assessment.BStandard
Mar 6, 2025F610Respond appropriately to all alleged violations.DStandard
Mar 6, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Mar 6, 2025F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.EStandard
Mar 6, 2025F584Honor 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.EStandard
Mar 6, 2025F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.CStandard
Mar 6, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Mar 6, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
Mar 15, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Mar 15, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Mar 15, 2024F641Ensure each resident receives an accurate assessment.BStandard
Sep 13, 2022F880Provide and implement an infection prevention and control program.DStandard
Sep 13, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Sep 13, 2022F761Ensure 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.DStandard
Sep 13, 2022F687Provide appropriate foot care.DStandard
Sep 13, 2022F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Sep 13, 2022F641Ensure each resident receives an accurate assessment.DStandard
Sep 13, 2022F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.EStandard
Sep 13, 2022F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Sep 13, 2022F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Sep 13, 2022F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
Sep 13, 2022F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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