Courtyard Nursing Care Center
200 Governors Avenue, Medford, MA 02155


Courtyard Nursing Care Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 225545. The address is 200 Governors Avenue, Medford, MA 02155. The zip code is 02155. The phone number is 7813915400.


Courtyard Nursing Care Center · 200 Governors Avenue, Medford, MA 02155

Federal Provider Number 225545
Provider Name COURTYARD NURSING CARE CENTER
Address 200 GOVERNORS AVENUE
MEDFORD, MA 02155
Phone Number 7813915400
SSA County Code 90
County Name Middlesex
Ownership Type For profit - Partnership
Certified Beds 224
Certified Beds Residents 218
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name COURTYARD NURSING CARE CENTER PARTNERSHIP
Date First Approved to Provide Medicare Medicaid Services 02/10/1992
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 4
Health Inspection Rating 3
Quality Measure Rating 4
Staffing Rating 4
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 2.16147
Reported LPN Staffing Hours per Resident per Day 0.61789
Reported RN Staffing Hours per Resident per Day 0.94106
Reported Licensed Staffing Hours per Resident per Day 1.55894
Reported Total Nurse Staffing Hours per Resident per Day 3.72042
Reported Physical Therapist Staffing Hours per Resident Per Day 0.09312
Expected CNA Staffing Hours per Resident per Day 2.46081
Expected LPN Staffing Hours per Resident per Day 0.60553
Expected RN Staffing Hours per Resident per Day 0.94041
Expected Total Nurse Staffing Hours per Resident per Day 4.00675
Adjusted CNA Staffing Hours per Resident per Day 2.15523
Adjusted LPN Staffing Hours per Resident per Day 0.84694
Adjusted RN Staffing Hours per Resident per Day 0.74771
Adjusted Total Nurse Staffing Hours per Resident per Day 3.74284
Cycle 1 Total Number of Health Deficiencies 1
Cycle 1 Number of Standard Health Deficiencies 1
Cycle 1 Health Deficiency Score 4
Cycle 1 Standard Survey Health Date 11/08/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 4
Cycle 2 Total Number of Health Deficiencies 6
Cycle 2 Number of Standard Health Deficiencies 4
Cycle 2 Number of Complaint Health Deficiencies 2
Cycle 2 Health Deficiency Score 56
Cycle 2 Standard Health Survey Date 09/22/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 56
Cycle 3 Total Number of Health Deficiencies 2
Cycle 3 Number of Standard Health Deficiencies 2
Cycle 3 Health Deficiency Score 8
Cycle 3 Standard Health Survey Date 07/21/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 8
Total Weighted Health Survey Score 22
Number of Facility Reported Incidents 1
Number of Fines 1
Total Amount of Fines in Dollars $3900.00
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Courtyard Nursing Care Center

Owner Name Role Association Date
BACH, PAUL (Individual) DIRECTOR since 12/01/2003
BERG, MICHAEL (Individual) OFFICER since 12/01/2012
BERG, MICHAEL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2012
BLINN, RICHARD (Individual) OFFICER since 12/01/2012
BLINN, RICHARD (Individual) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2012
COURTYARD JV LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/21/2013
CULLEROT, KENNETH (Individual) OFFICER since 03/02/2015
DAVIS, KEITH (Individual) MANAGING EMPLOYEE since 03/02/2015
DAVIS, KEITH (Individual) OPERATIONAL/MANAGERIAL CONTROL since 03/02/2015
DONNA REIS 1995 FAM TR (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
EDWARDS, JAN (Individual) OFFICER since 03/02/2015
FC GEN OPERATIONS INVESTMENT LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
FC-GEN OPERATIONS INVESTMENT LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
FISHMAN, STEVEN (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
GAZELLE GEN LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
GEN MANAGEMENT LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
GEN OPERATIONS I LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
GEN OPERATIONS II, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
GENERAL ELECTRIC CAPITAL CORPORATION (Organization) 5% OR GREATER SECURITY INTEREST since 02/02/2015
GENESIS HEALTHCARE INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/01/2015
GENESIS HEALTHCARE LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
GENESIS HEALTHCARE LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2012
GENESIS HOLDINGS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
GERIATRIC AND MEDICAL COMPANIES, INC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2003
GHC JV HOLDINGS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/21/2013
HCCF MANAGEMENT GROUP XI LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
HOLLINES, PAUL (Individual) MANAGING EMPLOYEE since 08/21/2013
LABATE, WENDY (Individual) OFFICER since 12/01/2012
LM LONG TERM CARE SERVICES, INC. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/21/2013
MIDWAY GEN CAPITAL LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
NANIA, JAMES (Individual) OFFICER since 08/21/2013
ONEX PARTNERS LP (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
PICHETTE, SHEILA (Individual) OFFICER since 08/21/2013
SENIOR CARE GENESIS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
SENIOR CARE HOLDINGS, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
SHERMAN, MICHAEL (Individual) OFFICER since 12/01/2012
SHERMAN, MICHAEL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2012
SL GEN LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
SUN HEALTHCARE GROUP, INC. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/01/2015
TURILLI, MICHAEL (Individual) DIRECTOR since 08/21/2013
TURILLI, MICHAEL (Individual) OFFICER since 08/21/2013
WHIPPLE, CHARLES (Individual) OFFICER since 08/21/2013
WHITMAN, ARNOLD (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
ZAC PROPERTIES XI LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012

02155 · Nursing Home

Glen Ridge Nursing Care Center 120 Murray Street, Medford, MA 02155
Medford Rehabilitation and Nursing Center 300 Winthrop Street, Medford, MA 02155

Medford · Nursing Home

Rogue Valley Manor 1200 Mira Mar Avenue, Medford, OR 97504
Glen Ridge Nursing Care Center 120 Murray Street, Medford, MA 02155
Hearthstone Nursing and Rehabilitation Center 2901 E. Barnett Road, Medford, OR 97504
Medford Care Center 185 Tuckerton Road, Medford, NJ 08055
Medford Leas One Medford Leas Way, Medford, NJ 08055
Medford Rehabilitation and Nursing Center 300 Winthrop Street, Medford, MA 02155
Avamere Health Services of Rogue Valley 625 Stevens Street, Medford, OR 97504
Medford Multicare Center for Living 3115 Horseblock Road, Medford, NY 11763
Avamere At Three Fountains 835 Crater Lake Avenue, Medford, OR 97504
Servant Living Center 616 South Front Street, Medford, OK 73759
Aspirus Care & Rehab-medford 135 S Gibson St, Medford, WI 54451

MA · Nursing Home

Cape Heritage Rehabilitation & Health Care Center 37 Route 6a, Sandwich, MA 02563
Royal Wood Mill Center 800 Essex Street, Lawrence, MA 01841
Wingate At Chestnut Hill 615 Heath Street, Chestnut Hill, MA 02467
Tcu At Webster 340 Thompson Road - 1st Floor, Webster, MA 01570
North Adams Commons Nursing & Rehabilitation Cente 175 Franklin Street, North Adams, MA 01247
Berkeley Retirement Home,the 150 Berkeley Street, Lawrence, MA 01841
Heritage Hall North 55 Cooper Street, Agawam, MA 01001
Liberty Commons 390 Orleans Road, North Chatham, MA 02650
Life Care Center of Leominster 370 West Street, Leominster, MA 01453
Christopher House of Worcester 10 Mary Scano Drive, Worcester, MA 01605
Sachem Center for Health & Rehabilitation 66 Central Street, East Bridgewater, MA 02333
Brockton Health Center 2 Beaumont Avenue, Brockton, MA 02302
Holy Trinity Eastern Orthodox N & R Center 300 Barber Avenue, Worcester, MA 01606
Marian Manor 130 Dorchester Avenue, Boston, MA 02127
Beaumont Rehab & Skilled Nursing Ctr - Westboro 3 Lyman Street, Westborough, MA 01581
Countryside Health Care of Milford Countryside Drive, Milford, MA 01757
Colony Center for Health & Rehabilitation 277 Washington Street, Abington, MA 02351
Lighthouse Nursing Care Center 204 Proctor Avenue, Revere, MA 02151
German Center for Extended Care 2222 Centre Street, Boston, MA 02132
Seashore Point and Wellness Rehabilitation 100 Alden Street, Provincetown, MA 02657
Franklin Health and Rehabilitation Center LLC 130 Chestnut Street, Franklin, MA 02038
Care One At Peabody 199 Andover Street, Peabody, MA 01960
Stone Rehabilitation and Senior Living 277 Elliot Street, Newton Upper Falls, MA 02164
Royal Meadow View Center 134 North Street, North Reading, MA 01864
Brentwood Rehabilitation and Healthcare Ctr (the) 56 Liberty Street, Danvers, MA 01923
Wingate At Worcester 59 Acton Street, Worcester, MA 01604
Timothy Daniels House 84 Elm Street, Holliston, MA 01746
Gloucester Rehabilitation Center 272 Washington Street, Gloucester, MA 01930
Kindred Transitional Care & Rehab-westborough 8 Colonial Drive, Westborough, MA 01581
Willow Manor 30 Princeton Boulevard, Lowell, MA 01851
Sancta Maria Nursing Facility 799 Concord Avenue, Cambridge, MA 02138
Rivercrest Long Term Care Deaconess Road, W Concord, MA 01742
Benjamin Healthcare Center 120 Fisher Avenue, Boston, MA 02120
New Bedford Jewish Convalescent Home, Inc 200 Hawthorn Street, New Bedford, MA 02740
Benchmark Snr Living At The Commons In Lincoln Snf 3 Harvest Circle, Lincoln, MA 01773
Life Care Center of West Bridgewater 765 West Center Street, West Bridgewater, MA 02379
Beaumont At University Campus 378 Plantation Street, Worcester, MA 01605
Linden Ponds 400 Linden Ponds Way, Hingham, MA 02043
New England Health Center 61 Old Amherst Road, P O Box 405, Sunderland, MA 01375
D'youville Senior Care 981 Varnum Avenue, Lowell, MA 01854