Regalcare at Courtyard-Medford

200 Governors Avenue · Medford, MA · 02155 · 7813915400

224 certified beds For profit - Limited Liability company Chain: Regalcare

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $148,362 in fines in the last 24 months.
  • Inspection results are getting worse cycle over cycle, not better.

Red flags

Special Focus Facility candidate

CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

3 abuse-related citations at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

4 actual-harm citations in the most recent cycle

Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.

$148,362 in federal fines in the last 24 months

1 fine — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 20
Serious harm & abuse 20% 30
Staffing 20% 73
Federal penalties 15% 43
Trend 10% 39
Context 5% 10

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.623.48 min · 4.1 strong
RN hours / resident-day0.630.55–0.75
Weekend hours / resident-day3.38≈ weekday level
Nursing turnover / year34%median 45%
Fines (3-yr window)2 · $165,163

Inspection citations (80 in the current record)

  • Potential for harm · D November 28, 2025 · found via complaint

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

    Corrected December 26, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D November 28, 2025 · found via complaint

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

    Corrected December 26, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 3, 2025 · found via complaint

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

    Corrected April 25, 2025 · Administration

  • Actual harm · H March 11, 2025

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

    Corrected March 26, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · G March 11, 2025

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

    Corrected March 26, 2025 · Quality of Life and Care

  • Actual harm · H March 11, 2025

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

    Corrected March 26, 2025 · Quality of Life and Care

  • Actual harm · G March 11, 2025

    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.

    Corrected March 26, 2025 · Pharmacy Service

  • Potential for harm · D March 11, 2025

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

    Corrected March 26, 2025 · Resident Rights

  • Potential for harm · D March 11, 2025

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

    Corrected March 26, 2025 · Resident Rights

  • Potential for harm · D March 11, 2025

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

    Corrected March 26, 2025 · Resident Rights

  • Potential for harm · F March 11, 2025

    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.

    Corrected March 26, 2025 · Resident Rights

  • Potential for harm · D March 11, 2025

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

    Corrected March 26, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 11, 2025

    Ensure each resident receives an accurate assessment.

    Corrected March 26, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 11, 2025

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

    Corrected March 26, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 11, 2025

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

    Corrected March 26, 2025 · Quality of Life and Care

  • Potential for harm · E March 11, 2025

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

    Corrected March 26, 2025 · Quality of Life and Care

  • Potential for harm · E March 11, 2025

    Provide activities to meet all resident's needs.

    Corrected March 26, 2025 · Quality of Life and Care

  • Potential for harm · D March 11, 2025

    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.

    Corrected March 27, 2025 · Quality of Life and Care

  • Potential for harm · E March 11, 2025

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

    Corrected March 26, 2025 · Quality of Life and Care

  • Potential for harm · D March 11, 2025

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

    Corrected March 26, 2025 · Quality of Life and Care

  • Potential for harm · E March 11, 2025

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

    Corrected March 26, 2025 · Nursing and Physician Services

  • Potential for harm · E March 11, 2025

    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.

    Corrected March 26, 2025 · Nursing and Physician Services

  • Potential for harm · E March 11, 2025

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

    Corrected March 26, 2025 · Nursing and Physician Services

  • Potential for harm · E March 11, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected March 26, 2025 · Pharmacy Service

  • Potential for harm · D March 11, 2025

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

    Corrected March 26, 2025 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
March 11, 2025Fine$148,362
March 21, 2024Fine$16,801

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 225545 · certified since February 10, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.