Regalcare at Sudbury

In the surveyor’s words

From the most serious findings on record at Regalcare at Sudbury, in the surveyor’s own words.

• Actual harm, isolatedF692Nov 2, 2023

  Based on observations, interviews, record and policies reviewed, the facility failed to ensure that one Resident (#12) of seven applicable residents who experienced significant weight changes, in a total sample of 18 residents, maintained acceptable parameters of nutritional status. Specifically, the facility failed to ensure that Resident #12: -was provided with nutritional interventions as recommended by the Registered Dietitian (RD) and as ordered by the Physician to prevent further weight decline, -weight was monitored per facility policy when a weight change had occurred and the Resident experienced a significant weight loss. […]

• No harm, potential for more than minimal, widespreadF812Apr 14, 2022

  Based on observation, document review, and interview, the facility failed to ensure proper food storage, food handling and operation of the dishmachine, in accordance with professional standards for food service safety, to help minimize the risk of food borne illnesses. Findings include: 1. Review of the facility's Food Storage Policy, dated [DATE], indicated the following: -Required forms-Single Refrigerator/Freezer Temperature Log. -Cold foods shall be maintained at temperatures of 41 degrees Fahrenheit (F). -Dry storage items will be required to have a date (including the month/date/year) in which the product was delivered or a manufacturer's printed Best By/Use By date. […]

• No harm, potential for more than minimal, widespreadF880Apr 14, 2022

  Based on record review and interview the facility failed to conduct an annual review of its infection prevention and control program, as required. Findings include: Review of the facility policy titled Infection Prevention and Control Program, undated, indicated: -The facility will perform an annual review of the Facility Infection Control Program Review of the facility policy titled Pneumococcal Vaccine, indicated an effective date of 3/8/20, with no revision date evident. Review of the facility policy titled Influenza Vaccine Program, indicated an effective date of 9/14/20, with no revision date evident. […]

• No harm, potential for more than minimal, patternF550Mar 5, 2026

  Based on observations, and interviews, the facility failed to ensure that residents were treated with dignity during communal, shared dining experiences on one unit (Concord West, East and Split Units) out of two units observed, and that one Resident (#4) out of a total sample of 16 residents, was provided with a dignified dining experience when the Resident required assistance with eating. Specifically, the facility failed to:1. ensure that residents who resided on the Concord West, Concord East, and Concord Split nursing units were served their meals at the same time as other residents seated at the same table or seated in the dining room for meals.2. […]

• No harm, potential for more than minimal, patternF761Mar 5, 2026

  Based on observation, and interviews, the facility failed to ensure that medication storage was maintained in a clean and sanitary manner for three medication carts (Concord East, Concord West, and Concord Split) out of three medication carts observed. Specifically, the Concord East, Concord West, and Concord Split medication carts were not maintained in a clean and sanitary manner, placing residents receiving medications from the carts at risk for contamination of medications and the spread of infections. Findings include: On 3/4/26 at 9:08 A.M., the surveyor and Nurse #1 observed the Concord East medication cart. The surveyor observed the medication cart was soiled externally at the top of the preparation surface, on both sides, front and back with a splattered, dried, brown substance. […]