Sudbury Pines Extended Care

Name: Sudbury Pines Extended Care
Address: 642 BOSTON POST ROAD, Sudbury, MA, 01776, US
Telephone: 6175126625

642 Boston Post Road, Sudbury, MA 01776 · Middlesex County · 92 certified beds · avg 86 residents/day · certified since Jan 8, 1991

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.52

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (32)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Apr 22, 2026	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Apr 22, 2026	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Apr 22, 2026	D · Potential for harm, one-off	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Apr 22, 2026	D · Potential for harm, one-off	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Apr 22, 2026	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Jun 10, 2025	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
Mar 6, 2025	F · Potential for harm, facility-wide	The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies.
Mar 6, 2025	E · Potential for harm, repeated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Mar 6, 2025	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Mar 6, 2025	E · Potential for harm, repeated	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
Mar 6, 2025	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Mar 6, 2025	E · Potential for harm, repeated	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Mar 6, 2025	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Mar 6, 2025	E · Potential for harm, repeated	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Mar 6, 2025	E · Potential for harm, repeated	The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience.
Mar 6, 2025	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Mar 6, 2025	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Mar 6, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Mar 6, 2025	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Mar 6, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Mar 6, 2025	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Mar 6, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Mar 6, 2025	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Mar 6, 2025	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Mar 6, 2025	D · Potential for harm, one-off	The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from.
Mar 6, 2025	D · Potential for harm, one-off	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives.
Mar 6, 2025	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Mar 6, 2025	C · Minimal risk, facility-wide	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Mar 6, 2025	B · Minimal risk, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Mar 15, 2024	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Mar 15, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Mar 15, 2024	B · Minimal risk, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (23 → 5).

Year	Citations	Worst severity that year
2024	3	D
2025	24	F
2026	5	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Massachusetts avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.52	3.89	3.95	top 16% in Massachusetts; top 23% in the U.S.
Registered Nurse hours	0.55	0.65	0.69	bottom 42% in Massachusetts; bottom 45% in the U.S.
Weekend total nurse staffing	3.91	3.51	3.50	top 22% in Massachusetts; top 26% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.56	0.46	0.48	top 23% in Massachusetts; top 27% in the U.S.
Total nursing staff turnover (%)	34.9	38.2	45.8	top 43% in Massachusetts; top 24% in the U.S.
RN turnover (%)	20.0	42.6	42.9	top 8% in Massachusetts; top 13% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.97, RN 0.48, weekend 3.44. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Henderson, Roberta	Individual	5% or Greater Direct Ownership Interest	100%	01/26/2012
Henderson, Roberta	Individual	Corporate Officer	NOT APPLICABLE	03/31/2001
Henderson, Roberta	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/1983
Henderson, Roberta	Individual	ADP of the SNF	NOT APPLICABLE	01/01/1983
Jain, Sandeep	Individual	Operational/Managerial Control	NOT APPLICABLE	06/29/2014
Jain, Sandeep	Individual	ADP of the SNF	NOT APPLICABLE	06/29/2014
Sudbury Pines Extended Care Facility	Organization	ADP of the SNF	NOT APPLICABLE	07/17/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"Where do you post your daily staffing numbers, and can I see today's?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"How do you decide you have enough staff and resources for your resident population, including nights and weekends?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Oak Knoll Rehabilitation and Healthcare Center	1.8 mi	Framingham, MA	★★★☆☆	3/5
Vantage at Sudbury LLC	2.3 mi	Sudbury, MA	★★☆☆☆	2/5
Alliance Health at Marie Esther	3.2 mi	Marlborough, MA	★★★★☆	4/5
St Patrick's Manor	3.7 mi	Framingham, MA	★★★★☆	3/5
Casa de Ramana Rehabilitation Center	4.9 mi	Framingham, MA	★★★★☆	4/5
Royal Wayland Rehabilitation and Nursing Center	5.0 mi	Wayland, MA	★★★★★	5/5
Carlyle House	5.0 mi	Framingham, MA	★☆☆☆☆	2/5
Reservoir Center for Health & Rehabilitation, the	5.7 mi	Marlborough, MA	★★★☆☆	3/5
Beaumont Rehab & Skilled Nursing Ctr - Natick	5.9 mi	Natick, MA	★★★★☆	4/5
Eliot Center for Health and Rehabilitation	6.3 mi	Natick, MA	★★★☆☆	3/5
Campion Health & Wellness, INC	6.3 mi	Weston, MA	★★★★★	5/5
Bethany Skilled Nursing Facility	6.3 mi	Framingham, MA	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Sudbury →

Facility data as of CMS processing date 2026-08-01. CCN 225531.

The Care File

Visit checklist — Sudbury Pines Extended Care

642 Boston Post Road, Sudbury, MA 01776 · 6175126625

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "Where do you post your daily staffing numbers, and can I see today's?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "How do you decide you have enough staff and resources for your resident population, including nights and weekends?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 225531 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)