Marlborough Hills Rehabilitation & Health Care Cen

121 Northboro Road · Marlborough, MA · 01752 · 5084854040

186 certified beds For profit - Limited Liability company Chain: Athena Healthcare Systems

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results are getting worse cycle over cycle, not better.

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Red flags

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

$71,202 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 34
Serious harm & abuse 20% 64
Staffing 20% 62
Federal penalties 15% 62
Trend 10% 26
Context 5% 75

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: 2 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day3.253.48 min · 4.1 strong
RN hours / resident-day0.410.55–0.75
Weekend hours / resident-day2.91≈ weekday level
Nursing turnover / year25%median 45%
Fines (3-yr window)1 · $71,202

Inspection citations (40 in the current record)

  • Potential for harm · D October 14, 2025 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected September 24, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 21, 2025 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected June 6, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 21, 2025 · found via complaint

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

    Corrected June 6, 2025 · Quality of Life and Care

  • Potential for harm · D May 21, 2025 · found via complaint

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

    Corrected June 6, 2025 · Quality of Life and Care

  • Potential for harm · D March 19, 2025 · found via complaint

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Corrected April 14, 2025 · Resident Rights

  • Potential for harm · D March 19, 2025 · found via complaint

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected April 14, 2025 · Resident Rights

  • Immediate jeopardy · J March 11, 2025

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

    Corrected April 3, 2025 · Quality of Life and Care

  • Actual harm · G March 11, 2025

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

    Corrected April 3, 2025 · Quality of Life and Care

  • Potential for harm · D March 11, 2025

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

    Corrected April 3, 2025 · Resident Rights

  • Potential for harm · D March 11, 2025

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected April 3, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 11, 2025

    Ensure each resident receives an accurate assessment.

    Corrected April 3, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 11, 2025

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected April 3, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 11, 2025

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Corrected April 3, 2025 · Quality of Life and Care

  • Potential for harm · D March 11, 2025

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected April 3, 2025 · Quality of Life and Care

  • Potential for harm · D 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 April 3, 2025 · Nursing and Physician Services

  • Potential for harm · E March 11, 2025

    Ensure that residents are free from significant medication errors.

    Corrected April 3, 2025 · Pharmacy Service

  • Potential for harm · F March 11, 2025

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    Corrected April 3, 2025 · Administration

  • Potential for harm · F March 11, 2025

    Provide and implement an infection prevention and control program.

    Corrected April 3, 2025 · Infection Control

  • No harm found · B March 11, 2025

    Post nurse staffing information every day.

    Corrected April 3, 2025 · Nursing and Physician Services

  • Potential for harm · D February 28, 2024 · found via complaint

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

    Corrected March 14, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D December 22, 2023

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

    Corrected January 18, 2024 · Resident Rights

  • Potential for harm · D December 22, 2023

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Corrected January 18, 2024 · Resident Rights

  • Potential for harm · D December 22, 2023

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected January 18, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D December 22, 2023

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

    Corrected January 18, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D December 22, 2023

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected January 18, 2024 · Pharmacy Service

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

Federal penalties

DateTypeAmount / length
March 11, 2025Fine$71,202

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 225063 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.