Home / Massachusetts / Medford
200 Governors Avenue, Medford, MA 02155 · Middlesex County · (781) 391-5400
224 certified beds, about 179 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1992
CMS Care Compare ratings, data as of September 1, 2026 · CCN 225545 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on April 2, 2026, inspectors cited 4 health deficiencies (the Massachusetts average is 6.8, the national average 9.2).
Of 60 health citations since March 2024, 6 were rated as actual harm or immediate jeopardy to residents.
CMS lists 2 fines totaling $165,163 in the last three years; the largest was $148,362, and the latest is dated March 11, 2025.
Nurses and nurse aides worked 3.76 hours per resident per day, against 3.86 across Massachusetts and 3.86 nationally. Registered nurses accounted for 0.63 of those hours.
27.4% of nursing staff left within the year CMS measured (Massachusetts average 38.2%).
CMS links it to Regalcare, an affiliated group of 9 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 60 health citations on file.
Inspectors wroteBased on record review and interview the facility failed to adhere to nursing standards of practice for one Resident (#184) out of three closed records reviewed. Specifically, the facility failed to ensure the Registered Nurse (RN), performed a physical assessment to complete the pronouncement of death after Resident #184 died.
Inspectors wroteBased on observation, record review and interviews, the facility failed to ensure one Resident (#148) with a pressure ulcer received necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing, out of a total sample of 34 residents. Specifically, for Resident #148 the facility failed to implement four recommendations from the Wound Consultant for the treatment of a pressure ulcer.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure medications were stored appropriately for two Residents (#169 and #167) out of a total of 34 sampled Residents.
Inspectors wroteBased on record review, interview and observation, the facility failed to provide a routine annual dental examination for one Resident (#54) of 34 sampled residents. Specifically, the Resident was admitted to the facility in October 2024, and the facility had not arranged for dental services as of the date of survey.
Inspectors wroteBased on records reviewed and interviews for one of three sampled residents (Resident #2), the Facility failed to ensure that they completed a quarterly Minimum Data Set (MDS) assessment as required in a timely manner.
Inspectors wroteBased on records reviewed and interviews for one of three sampled residents (Resident #1), who was independent with eating, the Facility failed to ensure they maintained a complete and accurate medical/clinical record, including but not limited to his/her Comprehensive Nutrition Assessment and Nurse Progress Notes.
Inspectors wroteBased on records reviewed and interviews for one of three sampled residents (Resident #1), who had new physician's orders on 3/05/25, for a STAT (without delay, immediately) chest X-ray (two views) due to onset of acute respiratory congestion, the Facility failed to ensure Resident #1 was provided with radiology services consistent with his/her Physician's Orders, when the Radiology Provider was not contacted by nursing on 3/05/25 to order the STAT X-ray, the order was not followed-up on by nursing and as a result, the chest X-ray was not obtained, as ordered. Findings Include: The Facility Policy titled, Labs and Diagnostic, dated as revised 04/2022, indicated the Physician will identify, order diagnostic and lab testing, based on diagnostic and monitoring needs. The Policy indicated the staff will process test requisitions and arrange for tests. [...]
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure four Residents (#138, #110, #106, and #130) were free from abuse and neglect out of a total sample of 42 residents. Specifically, 1.) For Resident #138, the facility failed to ensure staff provided necessary care of repositioning and incontinence care resulting in the deterioration of a pressure wound. 2.) For Residents #110, #106 and #130, the facility neglected to provide the necessary care for incontinence management.
Inspectors wroteBased on observations, interviews and record review, the facility failed to provide necessary treatment, services, and/or interventions to promote healing and prevent new ulcers from developing for four Residents (#138, #30, #167, and #143), who had pressure ulcers, out of 42 total sampled residents. Specifically, 1a.) For Resident #138, the facility failed to implement multiple wound care orders timely, resulting in the deterioration of the wound. 1b.) For Resident #138, the facility failed to ensure staff provided prompt incontinence care and was repositioned every two hours for pressure ulcer care, resulting in the deterioration of the wound. [...]
Inspectors wroteBased on observation, record review and interview the facility failed to ensure that three Residents (#70, #629, and #130) out of a total sample of 42 residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices. Specifically: 1. For Resident #70, the facility failed to a) initiate a treatment for a genital wound which subsequently became infected and deteriorated and b) failed to implement the wound Nurse Practitioner's (NP) recommendation for a change in wound treatment. 2. For Resident #629, the facility failed to obtain an antibiotic medication from the pharmacy in a timely manner, resulting in a worsening skin infection. 3. For Resident #130, the facility failed to complete weekly documentation of skin conditions. Findings Include: [...]
Inspectors wroteBased on observations, interviews and record review, the facility failed to ensure two Residents (#138 and #109) were free from the administration of unnecessary psychotropic medications (medications that affect brain activity associated with mental processes and behavior) out of a total sample of 42 residents. Specifically, 1.) For Resident #138, upon readmission to the facility, a new physician's order for ramelteon (a hypnotic medication) was implemented without informing the Resident or his/her representative of it's use or risks/benefits. [...]
Inspectors wroteBased on observations and interviews, the facility failed to maintain a homelike environment on: 1) Six out of six resident units (A, B, C, D, E, F, and G) in the facility which included stained ceiling tiles, chipped and loose floor tiles, broken blinds, holes in walls, gouged walls, peeling baseboards, missing baseboards, peeling wallpaper, dark and brown substance on ceiling tiles, streaks of dried soap on the wall, loose fitting ceiling tiles, flickering lights, and missing closet doors. 2) Specifically in Resident #80's room a significant portion of the heater was covered in tape.
Inspectors wroteBased on observation, record review, and interviews, the facility failed to maintain and implement an effective pest control program on six out of six resident units in the facility which included residents reporting mice sightings daily and mice droppings in resident's rooms and resident areas.
Inspectors wroteBased on observations, record review and interview, the facility failed to provide assistance with activities of daily living (ADLs) for five Residents (#110, #106, #130, #148, and #87) out of a total sample of 42 residents. Specifically, the facility failed to: 1.) Provide incontinence care for Residents #110, #106, and #130; 2.) Provide showers for Residents #106 and #148; and 3.) Provide assistance with self-feeding for Resident #87.
Inspectors wroteBased on observations, record review and interviews, the facility failed to provide an activity program for four Residents (#106, #110, #130 and #148) out of a total sample of 42 residents.
Inspectors wroteBased on observations and interviews the facility failed to ensure an environment free from accident hazards for one Resident (#59) out of a total sample of 42 residents. Specifically, the facility failed to ensure that there was not a space heater placed in Resident #59's room on top of a trash can which had a plastic lid and contained paper waste. Findings Include: Review of life safety code K781, Portable Space Heaters, indicated the following: Portable space heating devices shall be prohibited in all health care occupancies. Unless used in nonsleeping staff and employee areas where the heating elements do not exceed 212 degrees Fahrenheit (100 degrees Celsius). 18.7.8, 19.7.8. Resident #59 was admitted to the facility in November 2023 with a diagnosis of dementia and parapalegia. [...]
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure that there was sufficient qualified nursing staff available at all times to provide nursing and related services to meet the residents' needs safely and in a manner that promotes each resident's rights, physical, mental and psychosocial well-being. Specifically, 1.) The facility failed to maintain sufficient staffing according to the facility assessment and facility staffing requirements. 2.) The facility failed to ensure staff were not sleeping in resident areas during their shifts on three out of six units.
Inspectors wroteBased on interviews, record review, staff education review, and Facility Assessment review, the facility failed to ensure the nursing staff were trained and demonstrated the competencies and skill sets necessary to provide the level and types of care and services needed as outlined in the Facility Assessment. Specifically, the facility failed to ensure 5 of 5 nurse records reviewed were trained and demonstrated competency related to wound care.
Inspectors wroteBased on record review and interview, the facility failed to complete annual Certified Nurse Aide (CNA) performance reviews for 5 out of 5 eligible sampled CNAs.
Inspectors wroteBased on observations, record review, and interviews, the facility failed to ensure it was free from a medication error rate of greater than 5% when three out of three nurses observed made seven errors out of 29 opportunities, resulting in a medication error rate of 24.14%. Those errors impacted three Residents (#149, #8, and #433), out of three residents observed. Specifically, 1.) For Resident #8, Nurse #4 failed to administer his/her medications within the one-hour time frame. 2.) For Resident #433, Nurse #5 failed to administer his/her medications within the one-hour time frame. 3.) For Resident #149, Nurse #1 failed to administer his/her medications within the one-hour time frame.
Inspectors wroteBased on observation and interviews, the facility failed to serve food that was palatable, and at a safe and appetizing temperature, on four out of six units.
Inspectors wroteBased on observation and interview, the facility failed to store food in accordance with professional standards for food service safety. Specifically, the facility failed to ensure that food was dated, that produce with significant signs of decomposition were discarded, and that food was covered in a walk-in refrigerator in the setting of potential environmental contaminants.
Inspectors wroteBased on observation, record review and interview, the facility failed to accurately document in the medical record for 2 Residents (#36 and #138) out of 42 total sampled residents. Specifically, 1.) For Resident #36, the facility failed to document accurately that a cervical collar was not applied. 2.) For Resident #138, the facility failed to ensure they maintained complete and accurate medical records related to documentation of activities of daily living (basic tasks everyone needs to do each day, such as eating, dressing, hygiene, and using the toilet).
Inspectors wroteBased on observations and interviews the facility failed to provide a dignified experience for one Resident (#167) out of a total sample of 42 residents and for residents on two of six units. Specifically: 1.) For Resident #167 the facility failed to place the Resident's nephrostomy tube drainage bag in a privacy bag, leaving it exposed to others. 2.) For residents on two of six, units the facility failed to ensure that staff did not refer to residents as feeders within earshot of residents or speak a foreign language while within earshot of residents.
Inspectors wroteBased on record review and interviews, the facility failed to obtain written informed consent for the use of psychotropic medication for two Residents (#138 and #40) out of a total sample of 42 residents. Specifically, 1.) For Resident #138, the facility failed to obtain written informed consent for use of ramelteon (a hypnotic medication). 2.) For Resident #40, the facility failed to obtain written informed consent for the use of depakote (a mood stabilizer medication).
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure that one Resident (#117)did not self-administer medications out of a total sample of 42 residents. Specifically, Resident (#117) was observed with a cup of pills left on lunch tray for self-administration without being assessed for self-administration.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure one Resident (#130) was free from restraints, out of a total sample of 40 residents.
Inspectors wroteBased on observations, record reviews and interviews, the facility failed to accurately code the Minimum Data Set (MDS) Assessment for two Residents (#130 and #36) out of a total sample of 42 residents. Specifically, 1.) For Resident #130, the facility failed to accurately code that the Resident had bilateral upper and lower extremity contractures. 2.) For Resident #36, the facility failed to accurately code that the Resident sustained a fall. 1.) Resident #130 was admitted to the facility in December 2020 with diagnoses including Alzheimer's Disease. Review of Resident #130's most recent Minimum Data Set (MDS) assessment, dated 12/19/24, indicated the Resident was unable to complete the Brief Interview for Mental Status exam and staff had assessed him/her to have severe cognitive impairment. The MDS also indicated Resident #130 was dependent on staff for all care. On 3/4/25 at 9:04 A.M. [...]
Inspectors wroteBased on observation, record review, and interviews, the facility failed to ensure care and services are provided according to accepted standards of clinical practice for two Residents (#143 and #117) out of a total sample of 42 residents. Specifically: 1.) For Resident #143, the facility failed to obtain daily weights as indicated in physician's orders. 2.) For Resident #117, the facility failed to obtain a physician's order for the use of an air mattress.
Inspectors wroteBased on interviews and record review, the facility failed to provide necessary treatment and services to maintain activities of daily living for one Resident (#138) out of a total sample of 42 residents. Specifically, the facility failed to address and provide therapy services for a decline Resident #138's ability to self-feed from set-up assistance to total dependence.
Inspectors wroteBased on observation, interview, and record review, the facility failed to consistently provide range of motion (ROM) care and treatment in accordance with professional standards of practice for one Resident (#8) out of a total sample of 42 residents. Specifically, the facility failed to ensure staff implemented Resident #8's physician ordered right hand carrot orthosis.
Inspectors wroteBased on record reviews and interviews, the facility failed to ensure weekly weights were obtained for one Resident (#106), with a recent weight loss, out of a total sample of 42 residents.
Inspectors wroteBased on observation, record review, and interview, the facility failed to provide dental services to one Resident (#93) out of a total sample of 42 residents.
Inspectors wroteBased on interviews and review of the Health Care Facility Reporting System (HCFRS-State Agency reporting system), the facility failed to provide written notice to the State Agency of a change in the Director of Nursing position.
Inspectors wroteBased on records reviewed and interviews, for three of three sampled residents (Resident #1, #2, and #3), the Facility failed to ensure they maintained complete and accurate medical records related to Certified Nurse Aide (CNA) Activity of Daily Living (ADL) Flow Sheets, when daily documentation by CNA's (for all three shifts) was not consistently completed, and flow sheets were often left completely blank. Findings Include: Review of the Facility's Policy tilted Charting and Documentation, dated 04/2022, indicated documentation in the medical record will be objective, complete, and accurate. Review of the Facility's Policy tilted Medical Record, dated 04/2022, indicated a medical record, health record, clinical record or chart is a systematic documentation of the resident's medical history and care. [...]
Inspectors wroteBased on records reviewed and interviews, for one of three sampled residents (Resident #2), the Facility failed to ensure nursing staff maintained a complete and accurate medical record, when after Resident #2 experienced a medical emergency, Unit Manager #1 failed to accurately document her findings after assessing him/her.
Inspectors wroteBased on records reviewed and interviews, for one of three sampled residents (Resident #1), whose physician's orders included hemodialysis three times a week, the Facility failed to ensure he/she received care and services consistent with professional standards of practice, when he/she did not receive hemodialysis as ordered, per his/her established schedule, experienced mental status changes, and was transferred to the Hospital to receive dialysis.
Inspectors wroteBased on records reviewed and interviews, for two of three sampled residents (Resident #1 and Resident #3), the Facility failed to ensure it maintained complete and accurate medical records when 1) for Resident #1, nursing staff failed to ensure there was documentation of a physician's order to transport him/her to the Hospital Emergency Department on 08/10/24, and 2) for Resident #3, documentation by nursing related to the conduction of weekly skin assessments was not consistently completed.
Inspectors wroteBased on records reviewed and interviews, for 13 of 22 sampled residents (Resident #1, #3, #5, #6, #9, #10, #11, #14, #15, #16, #17, #18, and #22) the Facility failed to ensure nursing staff notified their Attending Physicians when on 06/24/24, during the 07:00 A.M. to 03:00 P.M. shift, the administration of multiple medications to each of these residents, were omitted by nursing.
Inspectors wroteBased on records reviewed and interviews, for 13 of 22 sampled residents (Resident #1, #3, #5, #6, #9, #10, #11, #14, #15, #16, #17, #18, and #22), the Facility failed to ensure the residents were free from significant medication errors, when on 06/24/24, nursing omitted and did not administer several medications these residents, including critical medications such as insulin doses, anti-hypertensive's, and anticoagulants, placing then at risk for an adverse reaction related to the missed doses of the medications.
Inspectors wroteBased on record review and interview, the facility failed to prevent abuse for 1 Resident (#157) out of a total sample of 41 residents. Specifically, Resident #157 was physically restrained to a chair by a staff member, causing emotional distress and weepiness.
Inspectors wroteBased on record review and interview, the facility failed to prevent 1 Resident (#157) from being free from restraints, out of a total of 41 residents. Specifically, Resident #157 was physically restrained to a chair by a staff member.
Inspectors wroteBased on observation, record review and interview, the facility failed to meet professional standards of quality for four Residents (#17, #33, #164, and #434), out of a total sample of 41 residents. Specifically, the facility failed to: 1.) For Resident #17, the facility failed to ensure nursing transcribed physician's orders accurately and failed to implement the 24-hour chart check policy to identify and correct improper physician's orders. 2.) For Resident #33, the facility failed to ensure nursing transcribed physician's orders accurately and failed to implement the 24-hour chart check policy to identify and correct improper physician's orders. 3.) For Resident #164, the facility failed to obtain a physician order for the use of a suction machine. 4.) Resident #434 the facility failed to obtain daily weights as ordered.
Inspectors wroteBased on observations, record review and interviews, the facility failed to provide respiratory care services consistent with professional standards of practice for four Residents (#36, #133, #95, #163) out of a total sample of 41 residents. Specifically: 1. For Resident #133 the facility failed to develop and maintain a plan for the care of the nebulizer machine, (a small machine that turns liquid medicine into a mist that can be easily inhaled), mask and tubing. 2. For Resident #36 the facility failed to develop and maintain a plan for the care for the CPAP (continuous positive airway pressure) machine, including the mask, and tubing. 3. For Resident #95 the facility failed to change oxygen tubing per physician's orders 4. For Resident #163 the facility failed to change oxygen tubing per physician's orders.
Inspectors wroteBased on observations, records reviewed, policy review, and interviews, the facility failed to ensure it was free from a medication error rate of greater than 5% when 3 out of 4 nurses observed made 5 errors out of 25 opportunities, resulting in a medication error rate of 20%. Those errors impacted 3 Residents (#69, #19, and #17), out of 4 residents observed.
Inspectors wroteBased on observations, interviews, and policy review, the facility failed to ensure that medications and biologicals were appropriately stored in locked compartments and not accessible to unauthorized individuals, medication with shortened expiration were dated, and topical medications were stored separately from oral medications on four of six units. Specifically; 1.) the facility was observed to have multiple medications and biologicals that were left unlocked at the resident's bedside on two of six resident units for five Residents (#125, #30, #37 #133 and #105), out of a total sample of 41 residents. 2.) the facility failed to ensure the medication cart on one of six units had dated medication when opened and properly stored topical medication from by mouth medication. 3.) the facility failed to ensure that one of six medication rooms was locked and secured.
Inspectors wroteBased on observation, record review and interview the facility failed to ensure that care was provided in a manner that promoted dignity and enhanced the quality of life for three Residents (#14, #130, and #132) in a total sample of 41 residents. Specifically, 1. For Resident #14, Resident #130, and Resident #132, the facility failed to provide a dignified meal service and 2. For Resident #132, the facility failed to provide privacy for a Foley catheter bag (a urinary collection bag).
Inspectors wroteBased on record review and interview, the facility failed to ensure that one Resident (#156) had the right to be informed and provide consent for the administration of psychotropic medication, out of a total sample of 41 residents.
Inspectors wroteBased on observations, record review, and interviews, the facility failed to ensure one Resident (#37), out of 41 total sampled residents, was assessed for the ability to self-administer medications. Specifically, a nurse left medications unattended with Resident #37 to self-administer without a physician's order and an assessment for self-administration completed.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to develop and implement a comprehensive person-centered care plan for two Residents (#164, and #2), out of 41 total sampled residents. Specifically, 1. For Resident #164, the facility failed to develop a care plan related to the use of a suction machine. 2. For Resident #2, the facility failed to apply braces as indicated in his/her plan of care.
Inspectors wroteBased on observations, record review, and interviews, the facility failed to provide assistance with activities of daily living (ADLs) as needed for one Resident (#130) out of a total of 41 sampled residents.
Inspectors wroteBased on observation, record review and interview for one Resident (#114), out of a total sample of 41 residents, the facility failed to ensure quality of care that met professional standards of practice when Resident #144 sustained two purple and blue areas on his/her skin on his/her left arm, which was not identified by staff performing daily care nor identified by nursing staff performing weekly skin checks in accordance with the physician's orders and plan of care.
Inspectors wroteBased on observations, record reviews and interviews, the facility failed to identify and prevent a decrease in range of motion for one Resident (#48) out of a total sample of 41 residents.
Inspectors wroteBased on observation, record reviews and interviews the facility failed to provide care according to professional standards of practice for one Resident (#136) with a gastrostomy tube (g-tube) a tube that is placed directly into the stomach through an abdominal wall incision for administration of food, fluids, and medications, out of a total sample of 41 residents.
Inspectors wrote1 (c.) Resident #36 was admitted to the facility in January 2024 with diagnoses that include but not limited to end stage renal disease and dependence on renal dialysis. Review of Resident #36's MDS, dated [DATE], indicated he/she scored 11 out of 15 on the Brief Interview for Mental Status exam, indicating Resident #36 as having moderately impaired cognition. Review of Resident #36's medical record indicated the following: -External hemodialysis catheter double lumen CVC internal jugular right tunneled, dated 12/5/2023. -Check smooth clamps at the bedside and on patient wheelchair (if applicable) every shift, dated 12/4/2023. [...]
Inspectors wroteBased on observation, policy review, record review and interview, the facility failed to ensure pharmaceutical services met the needs of each resident for one Resident (#17) in a total sample of 41 residents. Specifically, for Resident #17 the facility failed to ensure routine drugs were available for administration.
Inspectors wroteBased on record review, policy review, and interview, the facility failed to ensure that each Resident's drug regimen was free from unnecessary psychotropic medications for two Residents out of a total sample of 41 residents. Specifically, for Resident #2 and Resident #33 the facility failed to ensure an Abnormal Involuntary Movement Scale (AIMS, a clinical outcome checklist completed by a healthcare provider to assess the presence and severity of adverse outcomes, such as abnormal movements of the face, limbs, and body in patients) assessment was completed.
Inspectors wroteBased on observation and interview, the facility failed to distribute food in a sanitary manner during the breakfast meal. Specifically, ensure the management of pests to prevent the potential contamination of food.
Inspectors wroteBased on observation, record review and interviews for two Residents (#17 and #49) of 41 sampled Residents, the facility failed to ensure nursing maintained accurate documentation. 1.) For Resident #17 the facility failed to ensure nursing maintained accurate documentation in the medical record for a.) nebulizer tubing changes documented as completed and b.) wound treatments documented as completed. 2.) For Resident #49 the facility failed to ensure nursing maintained accurate documentation in the medical record for an implanted port valved catheter that the Resident did not have.
Inspectors wroteBased on observation, record review and interview the facility failed to ensure infection control practices were implemented to prevent the spread of infection on one of six resident care units. Specifically, 1. staff failed to remove gloves and perform hand hygiene when exiting a resident room and 2. failed to adhere to infection control practices, when staff removed food that was handled and consumed by a resident and placed the food on another resident's tray where it was consumed by the other resident, increasing the risk of communicable infection.
22 fire safety citations on file: 3 on April 2, 2026, 10 on March 11, 2025, 9 on March 21, 2024.
| Date | Penalty | Amount or length |
|---|---|---|
| March 11, 2025 | Fine | $148,362 |
| March 21, 2024 | Fine | $16,801 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Massachusetts | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.76 | 3.86 | 3.86 |
| Registered nurses | 0.63 | 0.65 | 0.69 |
| All nursing staff on weekends | 3.51 | 3.48 | 3.42 |
| Nurse aides | 2.25 | ||
| Licensed practical nurses | 0.88 | ||
| Nursing staff turnover (share who left in a year) | 27.4% | 38.2% | 45.8% |
| Registered nurse turnover | 42.3% | 42.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.27 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.86 on weekdays and 3.51 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.59 in April to June 2025 to 3.76 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.76 | 0.63 | 3.86 | 3.51 | 0.0% | 0 of 90 | 179 |
| Oct to Dec 2025 | 3.62 | 0.63 | 3.72 | 3.38 | 0.0% | 0 of 92 | 179 |
| Jul to Sep 2025 | 3.50 | 0.62 | 3.60 | 3.25 | 0.0% | 0 of 92 | 181 |
| Apr to Jun 2025 | 3.59 | 0.64 | 3.71 | 3.30 | 0.6% | 0 of 91 | 174 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Massachusetts, Jan to Mar 2026 | 3.79 | 0.61 | 3.94 | 3.41 | 5.0% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Massachusetts, all employers | |||
| CNAs (nursing assistants) | $22.44 | $21.32 to $23.94 | 38,130 |
| LPNs and LVNs | $38.57 | $34.91 to $40.66 | 13,210 |
| Registered nurses | $50.27 | $42.05 to $65.44 | 88,200 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Massachusetts | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 25.0 | 16.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.2 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.6 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.5 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.4 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 20.5 | 15.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.0 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 27.1 | 21.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 17.5 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.8 | 11.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.5 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Regalcare at Courtyard-Medford's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (47.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
47.6% this home
No different from the national rate
US median of homes 51.5% · Massachusetts: 121 better, 19 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 168 eligible stays.
12.1% this home
No different from the national rate
US median of homes 10.7% · Massachusetts: 4 better, 15 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 159 eligible stays.
8.4% this home
No different from the national rate
US median of homes 7.1% · Massachusetts: 5 better, 4 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 96 eligible stays.
29.8% this home
Median of homes: Massachusetts51.6% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 57 residents counted.
0.0% this home
Median of homes: Massachusetts0.4% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 86 residents counted.
4.9% this home
Median of homes: Massachusetts2.0% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 86 residents counted.
95.0% this home
Median of homes: Massachusetts99.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 20 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: 200 GOVERNORS OPCO LLC. CMS links this home to Regalcare, a group of 9 nursing homes averaging 1.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Mirlis, Eliyahu | 5% or greater direct ownership interest | Individual | 99% | 05/01/2024 |
| Morry, Alex | Contracted managing employee | Individual | 05/01/2024 | |
| Nisar, Saira | Contracted managing employee | Individual | 05/01/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.