Courtyard Nursing Care Center - Medford Nursing Home
General Information
UPDATEFederal Provider Number
225545
Provider Name
COURTYARD NURSING CARE CENTER
Provider Address
200 GOVERNORS AVENUE
MEDFORD, MA 2155
MEDFORD, MA 2155
Provider Phone Number
(781) 391-5400
Provider SSA County
90
Provider County Name
Middlesex
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
224
Number of Residents in Certified Beds
208
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COURTYARD NURSING CARE CENTER PARTNERSHIP
Date First Approved to Provide Medicare and Medicaid services
1992-02-10
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.34111
Reported LPN Staffing Hours per Resident per Day
0.79519
Reported RN Staffing Hours per Resident per Day
0.87236
Reported Licensed Staffing Hours per Resident per Day
1.66755
Reported Total Nurse Staffing Hours per Resident per Day
4.00866
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09279
Expected CNA Staffing Hours per Resident per Day
2.43041
Expected LPN Staffing Hours per Resident per Day
0.61071
Expected RN Staffing Hours per Resident per Day
1.00900
Expected Total Nurse Staffing Hours per Resident per Day
4.05013
Adjusted CNA Staffing Hours per Resident per Day
2.36354
Adjusted LPN Staffing Hours per Resident per Day
1.08072
Adjusted RN Staffing Hours per Resident per Day
0.64601
Adjusted Total Nurse Staffing Hours per Resident per Day
3.98963
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-07-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-06-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-07-16
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
10.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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