REGALCARE AT COURTYARD-MEDFORD

Special Focus Facility candidate · CMS abuse icon · CCN 225545 · 200 GOVERNORS OPCO LLC · For profit - Limited Liability company · REGALCARE chain · 224 certified beds · Middlesex · MA


REGALCARE AT COURTYARD-MEDFORD is a 224-bed nursing home in MEDFORD, Massachusetts. CMS has certified it for Medicare and Medicaid since 1992-02-10. It averages 179.1 residents a day.

What harm was found in the violations cited at REGALCARE AT COURTYARD-MEDFORD?

CMS lists 80 health-inspection deficiencies for REGALCARE AT COURTYARD-MEDFORD since 2023-01-09, 56 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is H; the most recent health inspection was 2025-11-28.

Survey dateTagDeficiencySeverity
2025-11-28F0638, F0842Assure that each resident’s assessment is updated at least once every 3 months. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-04-03F0777Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.D
2025-03-11F0600, F0686Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide appropriate pressure ulcer care and prevent new ulcers from developing.H
2025-03-11F0684, F0758Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.G
2025-03-11F0584, F0925Honor 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. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.F
2025-03-11F0677, F0679, F0689, F0725, F0726, F0730, F0759, F0804, F0812, F0842Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. / Observe each nurse aide's job performance and give regular training. / Ensure medication error rates are not 5 percent or greater. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E
2025-03-11F0550, F0552, F0554, F0604, F0641, F0658, F0676, F0688, F0692, F0790, F0844Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure that residents are fully informed and understand their health status, care and treatments. / Allow residents to self-administer drugs if determined clinically appropriate. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Ensure each resident receives an accurate assessment. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. / Provide enough food/fluids to maintain a resident's health. / Provide routine and 24-hour emergency dental care for each resident. / Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.D
2025-01-28F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-12-19F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-09-09F0698, F0842Provide safe, appropriate dialysis care/services for a resident who requires such services. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-07-09F0580, F0760Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure that residents are free from significant medication errors.E
2024-03-21F0600, F0604Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.G
2024-03-21F0658, F0695, F0759, F0761Ensure services provided by the nursing facility meet professional standards of quality. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure medication error rates are not 5 percent or greater. / 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.E
2024-03-21F0550, F0552, F0554, F0656, F0677, F0684, F0688, F0693, F0698, F0755, F0758, F0812, F0842, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure that residents are fully informed and understand their health status, care and treatments. / Allow residents to self-administer drugs if determined clinically appropriate. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. / Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program.D
2023-01-09F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2023-01-09F0656, F0677, F0684, F0692, F0725, F0761Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide enough food/fluids to maintain a resident's health. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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.E
2023-01-09F0557, F0604, F0609, F0610, F0623, F0646, F0657, F0658, F0676, F0679, F0686, F0688, F0690, F0695, F0791, F0825, F0880Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide activities to meet all resident's needs. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. / Provide or obtain dental services for each resident. / Provide or get specialized rehabilitative services as required for a resident. / Provide and implement an infection prevention and control program.D

Why was REGALCARE AT COURTYARD-MEDFORD fined 2 times?

DateTypeAmount
2025-03-11Fine$148,362
2024-03-21Fine$16,801

How is REGALCARE AT COURTYARD-MEDFORD staffed relative to the MA average?

MeasureThis facilityMA average
Total nurse staffing hours per resident per day3.758013.86193
Total nursing staff turnover (%)27.438.2
Average number of residents per day179.198.5

Who owns REGALCARE AT COURTYARD-MEDFORD, and what chain is it in?

REGALCARE AT COURTYARD-MEDFORD is registered with CMS as For profit - Limited Liability company, operates under the legal business name 200 GOVERNORS OPCO LLC and belongs to the REGALCARE chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTMIRLIS, ELIYAHUsince 05/01/2024
CONTRACTED MANAGING EMPLOYEEMORRY, ALEX, NISAR, SAIRAsince 05/01/2024

Were you or a family member harmed at REGALCARE AT COURTYARD-MEDFORD?