Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Bear Hill Healthcare And Rehabilitation Center during CMS and state inspections, most recent first.
Two residents in an LTC facility did not receive necessary assistance with ADLs, leading to deficiencies in care. One resident with multiple sclerosis did not receive incontinence care for over two days, resulting in pain and excoriation due to dried feces. Another resident with dementia was observed eating meals alone without the required supervision or assistance, despite care plans indicating the need for such support. These lapses highlight significant failures in adhering to care plans and providing essential care.
The facility failed to accurately document medical records for four residents, leading to deficiencies in care. One resident's oxygen tubing change was inaccurately recorded, another's sex was misdocumented in psychiatry notes, and a third resident reported not receiving documented incontinent care. Additionally, wound treatments for a resident with Alzheimer's were inaccurately documented, with a nurse admitting to not having completed the treatments despite records indicating otherwise.
The facility failed to develop a care plan for a resident with suicidal ideations and did not ensure call light accessibility for another resident. A resident with severe cognitive impairment and a history of suicidal ideations lacked a care plan addressing these issues. Another resident, admitted with multiple sclerosis and other conditions, reported not receiving care due to an inaccessible call light, which was confirmed by the Unit Manager.
A facility failed to adhere to its policy of changing oxygen tubing and humidifiers every seven days for a resident with COPD, dementia, and heart disease. Observations showed that the equipment was not changed as required, despite documentation indicating otherwise. An MDS Nurse confirmed the necessity of timely changes to prevent infection.
Failure to Provide Necessary ADL Assistance for Residents
Penalty
Summary
The facility failed to provide necessary assistance with Activities of Daily Living (ADLs) for two residents, leading to deficiencies in care. Resident #241, who was admitted with multiple sclerosis, malnutrition, and other conditions, did not receive incontinence care or morning and evening hygiene care from the 7:00 A.M. to 3:00 P.M. shift on 12/15/24 until 11:20 A.M. on 12/17/24. The resident reported that staff did not provide care despite requests, and the call light was found on the floor, inaccessible to the resident. Observations confirmed that the resident had not received care, and when care was finally provided, the resident experienced pain due to dried feces, resulting in red and excoriated genitalia. Documentation indicated that care tasks were left blank, and there was no record of the resident refusing care. Resident #61, admitted with cerebral infarction, altered mental status, and dementia, was observed multiple times eating meals alone in their room without supervision or assistance, despite care plans indicating the need for supervision and assistance with eating. The resident was seen struggling to reach utensils and had food on their cheek, indicating difficulty with self-feeding. Staff interviews revealed a misunderstanding of the resident's needs, with the Unit Manager stating that the resident could eat independently, contrary to the care plan requirements. These deficiencies highlight a failure to adhere to care plans and provide necessary assistance, resulting in unmet needs for residents requiring help with ADLs. The lack of supervision and assistance with meals for Resident #61 and the failure to provide timely incontinence care for Resident #241 demonstrate significant lapses in care delivery, as documented by the surveyor's observations and resident interviews.
Documentation Failures in Resident Medical Records
Penalty
Summary
The facility failed to accurately document medical records for four residents, leading to deficiencies in care. For one resident with chronic obstructive pulmonary disease and dementia, the facility did not accurately document the changing of oxygen tubing as per the physician's orders. The tubing was observed to be dated incorrectly, and the Treatment Administration Record inaccurately indicated that the tubing had been changed, which was not the case according to the observations made by the surveyor. Another resident's medical record inaccurately documented their sex in psychiatry notes over several months. This discrepancy was noted in the records dated October, November, and December, indicating a failure to maintain accurate resident-identifiable information. Additionally, a resident with multiple sclerosis and dysphagia reported not receiving incontinent care as documented. The facility's records inaccurately showed that care was provided, but the resident stated otherwise, highlighting a significant gap between documented care and actual care provided. For a resident with Alzheimer's Disease and diabetes, the facility failed to ensure accurate documentation of wound treatments. The Treatment Administration Record showed that a nurse documented the completion of wound care, which was not performed by him but by another staff member. This discrepancy was confirmed through interviews, where the nurse admitted to not having completed the treatments yet, despite the records indicating otherwise. These documentation failures reflect a lack of adherence to the facility's policy on accurate and complete medical record-keeping.
Failure to Develop Care Plan and Ensure Call Light Accessibility
Penalty
Summary
The facility failed to develop a care plan for a resident with a history of suicidal ideations. Resident #43, who was admitted with diagnoses including suicidal ideation, depression with psychotic features, and dementia, did not have a care plan addressing these issues. The Minimum Data Set assessment indicated severe cognitive impairment, and a psychiatry note confirmed the need for continued monitoring of suicidal symptoms. However, the care plan lacked any focus, goals, or interventions related to the resident's suicidal ideations, as confirmed by the Director of Nursing. Additionally, the facility failed to ensure that a call light was accessible for Resident #241, who was admitted with multiple sclerosis, malnutrition, and an ulcer of the right lower extremity. The resident reported not receiving incontinence care or morning and evening care for an extended period, as the call light was found on the floor, making it inaccessible. The Unit Manager confirmed that call lights should always be accessible to residents, highlighting a lapse in ensuring the resident's ability to request assistance.
Failure to Change Oxygen Tubing and Humidifier Timely
Penalty
Summary
The facility failed to provide respiratory care services in accordance with professional standards of practice for a resident with chronic obstructive pulmonary disease, dementia, and heart disease. The facility's policy required that humidifiers, nasal cannulas, masks, and tubing be changed every seven days. However, observations revealed that the oxygen tubing and humidifier bottle for the resident were dated 12/9/24, indicating they had not been changed as per the policy. The Treatment Administration Record documented that the tubing was changed on 12/15/24, but this was inconsistent with the observed dates. An interview with an MDS Nurse confirmed that the tubing and humidification bottle should be changed every seven days to prevent infection.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Stoneham
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Regalcare At Wakefield | 1.5 mi | — | 0 | 0 |
| Greenwood Nursing & Rehabilitation Center | 2.2 mi | — | 0 | 0 |
| Woburn Rehabilitation And Nursing Center | 3.2 mi | — | 0 | 0 |
| Melrose Healthcare | 3.3 mi | — | 0 | 0 |
| Willow Brook Rehabilitation And Healthcare Center | 3.4 mi | — | 30 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.