Sudbury Pines Extended Care

642 Boston Post Road · Sudbury, MA · 01776 · 6175126625

92 certified beds For profit - Corporation

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 41
Serious harm & abuse 20% 100
Staffing 20% 67
Federal penalties 15% 100
Trend 10% 18
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.793.48 min · 4.1 strong
RN hours / resident-day0.440.55–0.75
Weekend hours / resident-day3.23≈ weekday level
Nursing turnover / year40%median 45%
Fines (3-yr window)none

Inspection citations (38 in the current record)

  • Potential for harm · D June 10, 2025 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected July 18, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E March 6, 2025

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

    Corrected April 20, 2025 · Resident Rights

  • Potential for harm · D March 6, 2025

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

    Corrected April 20, 2025 · Resident Rights

  • Potential for harm · E March 6, 2025

    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.

    Corrected April 20, 2025 · Resident Rights

  • Potential for harm · E March 6, 2025

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

    Corrected April 20, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 6, 2025

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected April 20, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 6, 2025

    Respond appropriately to all alleged violations.

    Corrected April 20, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 6, 2025

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

    Corrected April 20, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 6, 2025

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

    Corrected April 20, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E March 6, 2025

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

    Corrected April 20, 2025 · Quality of Life and Care

  • Potential for harm · D March 6, 2025

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

    Corrected April 20, 2025 · Quality of Life and Care

  • Potential for harm · E March 6, 2025

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

    Corrected April 20, 2025 · Quality of Life and Care

  • Potential for harm · E March 6, 2025

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

    Corrected April 20, 2025 · Quality of Life and Care

  • Potential for harm · D March 6, 2025

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

    Corrected April 20, 2025 · Quality of Life and Care

  • Potential for harm · E March 6, 2025

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

    Corrected April 20, 2025 · Quality of Life and Care

  • Potential for harm · D March 6, 2025

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected April 20, 2025 · Quality of Life and Care

  • Potential for harm · D March 6, 2025

    Provide care or services that was trauma informed and/or culturally competent.

    Corrected April 20, 2025 · Quality of Life and Care

  • Potential for harm · E March 6, 2025

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Corrected April 20, 2025 · Quality of Life and Care

  • Potential for harm · E March 6, 2025

    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.

    Corrected April 20, 2025 · Pharmacy Service

  • Potential for harm · D March 6, 2025

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Corrected April 20, 2025 · Nutrition and Dietary

  • Potential for harm · F March 6, 2025

    Conduct 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.

    Corrected April 20, 2025 · Administration

  • Potential for harm · D March 6, 2025

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

    Corrected April 20, 2025 · Resident Assessment and Care Planning

  • No harm found · C March 6, 2025

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected April 20, 2025 · Resident Rights

  • No harm found · B March 6, 2025

    Ensure each resident receives an accurate assessment.

    Corrected April 20, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 15, 2024

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected April 29, 2024 · Resident Assessment and Care Planning

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Family & resident reviews — a separate signal, never mixed into the score

No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.

Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.

Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 225531 · certified since January 8, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.