Alliance Health at Marie Esther
720 Boston Post Road · Marlborough, MA · 01752 · 5084853791
78 certified beds Non profit - Corporation Chain: Alliance Health & Human Services
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
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Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
64% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
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Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.83 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.90 | 0.55–0.75 |
| Weekend hours / resident-day | 3.47 | ≈ weekday level |
| Nursing turnover / year | 64% | median 45% |
| Fines (3-yr window) | 1 · $7,901 |
Inspection citations (7 in the current record)
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Potential for harm · D September 5, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected October 16, 2025 · Quality of Life and Care
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Potential for harm · F September 5, 2025
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected October 16, 2025 · Nursing and Physician Services
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Potential for harm · D September 5, 2025
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.
Corrected October 16, 2025 · Pharmacy Service
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Potential for harm · D September 5, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 16, 2025 · Nutrition and Dietary
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Potential for harm · D September 5, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected October 16, 2025 · Infection Control
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Actual harm · G September 28, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 25, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 14, 2023
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected May 22, 2023 · Quality of Life and Care
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 28, 2023 | Fine | $7,901 |
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 225619 · certified since February 18, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.