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

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