Regalcare at Courtyard-Medford

Nursing Home · Medford, MA

CMS overall rating 1/5 SFF candidate Abuse citation For profit - Limited Liability company

CMS certification number225545
CMS lists this nursing home as a Special Focus Facility candidate – one of the lowest-performing nursing homes in its state based on inspection history.
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

200 Governors Avenue
Medford, MA 02155
Middlesex County
Phone
(781) 391-5400
ZIP code
02155 – all care providers

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Facility details

Certified beds
224
Residents per day
179.1 (80% occupied)
Ownership
For profit - Limited Liability company
Legal name
200 Governors Opco LLC
Chain
Regalcare (9 facilities, avg 1.7★)
Medicare certified since
February 10, 1992
Participates in
Medicare and Medicaid
Council
Both council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.0
Health inspections★★★★★ 1/5
State avg 3.0
Staffing★★★★★ 3/5
State avg 3.1
Quality measures★★★★★ 3/5
State avg 3.3
Long-stay quality★★★★★ 3/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.76 (state 3.86 · U.S. 3.86)
Registered nurses (RN)
0.63 (state 0.65 · U.S. 0.69)
Licensed practical nurses
0.88 (state 0.95 · U.S. 0.86)
Nurse aides
2.25 (state 2.26 · U.S. 2.32)
Weekend total
3.51 (state 3.48 · U.S. 3.42)
Nursing staff turnover
27.4 (state 38.2 · U.S. 45.8)%
RN turnover
42.3 (state 42.6 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
March 11, 2025
Health deficiencies (last cycle)
29.0 (state 7.2 · U.S. 9.3)
From complaints
2
Citations on record (3 years)
61 health · 19 fire safety · includes actual harm
DateCitationSeverityStatus
2025-11-28 Assure that each resident’s assessment is updated at least once every 3 months.
F0638 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-12-26
2025-11-28 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-12-26
2025-04-03 Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
F0777 · Administration Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-25
2025-03-11 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
H
Actual harm
Corrected 2025-03-26
2025-03-11 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies
H
Actual harm
Corrected 2025-03-26
2025-03-11 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
G
Actual harm
Corrected 2025-03-26
2025-03-11 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.
F0758 · Pharmacy Service Deficiencies
G
Actual harm
Corrected 2025-03-26
2025-03-11 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.
F0584 · Resident Rights Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-03-26
2025-03-11 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-03-26
2025-03-11 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-03-26
2025-03-11 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-03-26
2025-03-11 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-03-26
2025-03-11 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-03-26
2025-03-11 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.
F0726 · Nursing and Physician Services Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-03-26
2025-03-11 Observe each nurse aide's job performance and give regular training.
F0730 · Nursing and Physician Services Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-03-26
2025-03-11 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-03-26
2025-03-11 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-03-26
2025-03-11 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-03-26
2025-03-11 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-03-26
2025-03-11 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-26
2025-03-11 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-26
2025-03-11 Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-26
2025-03-11 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-26
2025-03-11 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-26
2025-03-11 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-26
2025-03-11 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
F0676 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-26
2025-03-11 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.
F0688 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-27
2025-03-11 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-26
2025-03-11 Provide routine and 24-hour emergency dental care for each resident.
F0790 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-26
2025-03-11 Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
F0844 · Administration Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-26
2025-01-28 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-12
2024-12-19 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-01-03
2024-09-09 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-04
2024-09-09 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-04
2024-07-09 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-08-09
2024-07-09 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-08-09
2024-03-21 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
G
Actual harm
Corrected 2024-03-12
2024-03-21 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
G
Actual harm
Corrected 2024-03-12
2024-03-21 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-04-24
2024-03-21 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-04-24
2024-03-21 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-04-24
2024-03-21 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.
F0761 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-04-24
2024-03-21 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-04-24
2024-03-21 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-04-24
2024-03-21 Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-04-24
2024-03-21 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-04-24
2024-03-21 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-04-24
2024-03-21 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-04-24
2024-03-21 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.
F0688 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-04-24
2024-03-21 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.
F0693 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-04-24

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years, including $165,163 in fines.

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

Ownership & management

NameRoleSince
Mirlis, Eliyahu (individual)5%+ Direct Ownership Interest · 99%
Morry, Alex (individual)Contracted Managing Employee · NOT APPLICABLE
Nisar, Saira (individual)Contracted Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Regalcare at Courtyard-Medford?

Regalcare at Courtyard-Medford has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Massachusetts.

How many beds does Regalcare at Courtyard-Medford have?

It has 224 certified beds and cares for about 179 residents per day.

Has Regalcare at Courtyard-Medford been fined?

Yes. CMS lists 2 penalties totaling $165,163 in the last three years.

Who owns Regalcare at Courtyard-Medford?

It is part of Regalcare and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Regalcare at Courtyard-Medford?

(781) 391-5400. The facility is located at 200 Governors Avenue, Medford, MA 02155.

Other nursing homes in Medford

Compare all nursing homes in Medford, MA →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.