Federal inspection record · CMS data as of October 1, 2026

Regalcare At Courtyard-Medford

200 Governors Avenue, Medford, MA · (781) 391-5400

CMS overall rating

1 of 5

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Certified beds
224
Residents per day
176
Ownership
For-Profit
Chain
Regalcare
Medicare / Medicaid
Medicare + Medicaid
Certified since
February 10, 1992

1

How this home got 1 star

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Massachusetts.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Massachusetts homes

Regalcare At Courtyard-Medford carries 97 inspection points. That is fewer than 11% of Massachusetts's 339 rated homes.

5★4★3★2★1★+11 homes above 148.505102550100inspection points → fewer is better on the leftThis home · 97 pts · 1★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Massachusetts: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–6 pts
  • 4★ 6–24 pts
  • 3★ 24–41 pts
  • 2★ 41–76 pts
  • 1★ over 76 pts

Bars show every rated home in Massachusetts by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

60 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 4 20 pts
H 2 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 36 4 pts
E 16 8 pts
F 2 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (6)

  1. H

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    March 11, 2025 · Standard inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected March 26, 2025

  2. H

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    March 11, 2025 · Standard inspection · Quality of Life and Care · F686 · Corrected March 26, 2025

  3. G

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    March 11, 2025 · Standard inspection · Quality of Life and Care · F684 · Corrected March 26, 2025

  4. G

    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.

    March 11, 2025 · Standard inspection · Pharmacy Service · F758 · Corrected March 26, 2025

  5. G

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    March 21, 2024 · Standard inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected March 12, 2024

  6. G

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    March 21, 2024 · Standard inspection · Freedom from Abuse, Neglect, and Exploitation · F604 · Corrected March 12, 2024

Everything else, by area of care

Quality of Life and Care16E
  1. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    April 2, 2026 · Standard · F686 · Corrected April 11, 2026

  2. D

    Provide or obtain dental services for each resident.

    April 2, 2026 · Standard · F791 · Corrected April 2, 2026

  3. E

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    March 11, 2025 · Standard · F677 · Corrected March 26, 2025

  4. E

    Provide activities to meet all resident's needs.

    March 11, 2025 · Standard · F679 · Corrected March 26, 2025

  5. E

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    March 11, 2025 · Standard · F689 · Corrected March 26, 2025

  6. D

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    March 11, 2025 · Standard · F676 · Corrected March 26, 2025

  7. D

    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.

    March 11, 2025 · Standard · F688 · Corrected March 27, 2025

  8. D

    Provide enough food/fluids to maintain a resident's health.

    March 11, 2025 · Standard · F692 · Corrected March 26, 2025

  9. D

    Provide routine and 24-hour emergency dental care for each resident.

    March 11, 2025 · Standard · F790 · Corrected March 26, 2025

  10. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    September 9, 2024 · Complaint · F698 · Corrected October 4, 2024

  11. E

    Provide safe and appropriate respiratory care for a resident when needed.

    March 21, 2024 · Standard · F695 · Corrected April 24, 2024

  12. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    March 21, 2024 · Standard · F677 · Corrected April 24, 2024

  13. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    March 21, 2024 · Standard · F684 · Corrected April 24, 2024

  14. D

    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.

    March 21, 2024 · Standard · F688 · Corrected April 24, 2024

  15. D

    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.

    March 21, 2024 · Standard · F693 · Corrected April 24, 2024

  16. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    March 21, 2024 · Standard · F698 · Corrected April 24, 2024

Resident Assessment and Care Planning12E
  1. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    April 2, 2026 · Standard · F658 · Corrected April 8, 2026

  2. D

    Assure that each resident’s assessment is updated at least once every 3 months.

    November 28, 2025 · Complaint · F638 · Corrected December 26, 2025

  3. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    November 28, 2025 · Complaint · F842 · Corrected December 26, 2025

  4. E

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    March 11, 2025 · Standard · F842 · Corrected March 26, 2025

  5. D

    Ensure each resident receives an accurate assessment.

    March 11, 2025 · Standard · F641 · Corrected March 26, 2025

  6. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    March 11, 2025 · Standard · F658 · Corrected March 26, 2025

  7. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    January 28, 2025 · Complaint · F842 · Corrected February 12, 2025

  8. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    December 19, 2024 · Complaint · F842 · Corrected January 3, 2025

  9. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    September 9, 2024 · Complaint · F842 · Corrected October 4, 2024

  10. E

    Ensure services provided by the nursing facility meet professional standards of quality.

    March 21, 2024 · Standard · F658 · Corrected April 24, 2024

  11. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    March 21, 2024 · Standard · F656 · Corrected April 24, 2024

  12. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    March 21, 2024 · Standard · F842 · Corrected April 24, 2024

Resident Rights8F
  1. F

    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.

    March 11, 2025 · Standard · F584 · Corrected March 26, 2025

  2. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    March 11, 2025 · Standard · F550 · Corrected March 26, 2025

  3. D

    Ensure that residents are fully informed and understand their health status, care and treatments.

    March 11, 2025 · Standard · F552 · Corrected March 26, 2025

  4. D

    Allow residents to self-administer drugs if determined clinically appropriate.

    March 11, 2025 · Standard · F554 · Corrected March 26, 2025

  5. E

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    July 9, 2024 · Complaint · F580 · Corrected August 9, 2024

  6. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    March 21, 2024 · Standard · F550 · Corrected April 24, 2024

  7. D

    Ensure that residents are fully informed and understand their health status, care and treatments.

    March 21, 2024 · Standard · F552 · Corrected April 24, 2024

  8. D

    Allow residents to self-administer drugs if determined clinically appropriate.

    March 21, 2024 · Standard · F554 · Corrected April 24, 2024

Pharmacy Service7E
  1. D

    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.

    April 2, 2026 · Standard · F761 · Corrected April 13, 2026

  2. E

    Ensure medication error rates are not 5 percent or greater.

    March 11, 2025 · Standard · F759 · Corrected March 26, 2025

  3. E

    Ensure that residents are free from significant medication errors.

    July 9, 2024 · Complaint · F760 · Corrected August 9, 2024

  4. E

    Ensure medication error rates are not 5 percent or greater.

    March 21, 2024 · Standard · F759 · Corrected April 24, 2024

  5. E

    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.

    March 21, 2024 · Standard · F761 · Corrected April 24, 2024

  6. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    March 21, 2024 · Standard · F755 · Corrected April 24, 2024

  7. D

    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.

    March 21, 2024 · Standard · F758 · Corrected April 24, 2024

Nursing and Physician Services3E
  1. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    March 11, 2025 · Standard · F725 · Corrected March 26, 2025

  2. E

    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.

    March 11, 2025 · Standard · F726 · Corrected March 26, 2025

  3. E

    Observe each nurse aide's job performance and give regular training.

    March 11, 2025 · Standard · F730 · Corrected March 26, 2025

Nutrition and Dietary3E
  1. E

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    March 11, 2025 · Standard · F804 · Corrected March 26, 2025

  2. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    March 11, 2025 · Standard · F812 · Corrected March 26, 2025

  3. D

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    March 21, 2024 · Standard · F812 · Corrected April 24, 2024

Administration2D
  1. D

    Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.

    April 3, 2025 · Complaint · F777 · Corrected April 25, 2025

  2. D

    Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.

    March 11, 2025 · Standard · F844 · Corrected March 26, 2025

Environmental1F
  1. F

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    March 11, 2025 · Standard · F925 · Corrected March 26, 2025

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    March 11, 2025 · Standard · F604 · Corrected March 26, 2025

Infection Control1D
  1. D

    Provide and implement an infection prevention and control program.

    March 21, 2024 · Standard · F880 · Corrected April 24, 2024

Inspection history

  1. 2026-04-02

    6 health deficiencies · 3 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (3 deficiencies)

  2. 2025-03-11

    30 health deficiencies · 10 fire-safety deficiencies

    Top issue: Quality of Life and Care (9 deficiencies)

  3. 2024-03-21

    24 health deficiencies · 9 fire-safety deficiencies

    Top issue: Quality of Life and Care (7 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 50 min of nursing staff time a day, 41 min of it from a registered nurse.

This home

3 h 50 min

Massachusetts average

3 h 56 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 22% of nursing staff and 33% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$165,163 in federal fines on record over the past three years.

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

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.3 pts worse2.11.81.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better1.11.41.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.5 pts worse88.4%92.9%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine13.3 pts worse80.2%93.5%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.7 pts worse4.1%3.4%3.2%
Percentage of long-stay residents who have depressive symptoms31.5 pts worse48.9%17.4%13.5%
Percentage of long-stay residents who lose too much weight1.4 pts better3.6%5.0%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication2.2 pts worse21.7%19.5%19.5%
Percentage of long-stay residents who received an antipsychotic medication6.5 pts worse28.0%21.5%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts worse0.2%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened4.8 pts worse18.7%13.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased6.7 pts worse22.5%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts worse1.0%0.7%0.7%
Percentage of long-stay residents with a urinary tract infection1.5 pts better0.2%1.7%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.8 pts worse27.2%20.4%18.3%
Percentage of long-stay residents with pressure ulcers0.6 pts worse4.8%4.2%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16.4 pts worse62.5%78.9%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit1 pts better10.8%11.8%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.9 pts better0.5%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine17.6 pts worse60.5%78.1%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission4.8 pts better20.9%25.7%23.4%

·

Who owns and runs it

3 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Mirlis, Eliyahu5% Or Greater Direct Ownership Interest · Individual99%27 facilities
Morry, AlexContracted Managing Employee · Individual0%1 facilities
Nisar, SairaContracted Managing Employee · Individual0%4 facilities

·

Fire safety

22 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Emergency Preparedness8F
  1. F

    Establish procedures for tracking staff and patients during an emergency.

    March 11, 2025 · E18 · Corrected May 1, 2025

  2. F

    Establish policies and procedures including evacuation.

    March 11, 2025 · E20 · Corrected May 1, 2025

  3. F

    Establish policies and procedures for sheltering.

    March 11, 2025 · E22 · Corrected April 19, 2025

  4. F

    List the names and contact information of those in the facility.

    March 11, 2025 · E30 · Corrected May 1, 2025

  5. F

    Address patient/client population and determine types of services needed.

    March 11, 2025 · E7 · Corrected May 1, 2025

  6. F

    Establish emergency prep training and testing.

    March 21, 2024 · E36 · Corrected April 30, 2024

  7. F

    Establish staff and initial training requirements.

    March 21, 2024 · E37 · Corrected April 30, 2024

  8. F

    Conduct testing and exercise requirements.

    March 21, 2024 · E39 · Corrected April 30, 2024

Smoke6F
  1. F

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    April 2, 2026 · K321 · Corrected June 26, 2026

  2. F

    Inspect, test, and maintain automatic sprinkler systems.

    April 2, 2026 · K353 · Corrected June 26, 2026

  3. F

    Provide properly protected cooking facilities.

    March 11, 2025 · K324 · Corrected April 19, 2025

  4. F

    Inspect, test, and maintain automatic sprinkler systems.

    March 11, 2025 · K353 · Corrected April 19, 2025

  5. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    March 21, 2024 · K345 · Corrected April 30, 2024

  6. F

    Inspect, test, and maintain automatic sprinkler systems.

    March 21, 2024 · K353 · Corrected April 30, 2024

Miscellaneous5F
  1. F

    Provide a written emergency evacuation plan.

    March 11, 2025 · K711 · Corrected May 9, 2025

  2. F

    Have simulated fire drills held at unexpected times.

    March 11, 2025 · K712 · Corrected May 9, 2025

  3. F

    Provide a written emergency evacuation plan.

    March 21, 2024 · K711 · Corrected April 30, 2024

  4. F

    Have simulated fire drills held at unexpected times.

    March 21, 2024 · K712 · Corrected April 30, 2024

  5. F

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    March 21, 2024 · K761 · Corrected April 30, 2024

Gas, Vacuum, and Electrical Systems3F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    April 2, 2026 · K918 · Corrected June 26, 2026

  2. F

    Have generator or other power source capable of supplying service within 10 seconds.

    March 11, 2025 · K918 · Corrected April 19, 2025

  3. F

    Have generator or other power source capable of supplying service within 10 seconds.

    March 21, 2024 · K918 · Corrected April 30, 2024

·

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