Marlborough Hills Rehabilitation & Health Care CenCMS ratings, inspections and fines
- Address
- 121 Northboro Road, Marlborough, MA 01752
- CCN
- 225063
- Ownership type
- For-profit, limited liability company
- Certified beds
- 186
- Residents per day
- 169
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Marlborough Hills Rehabilitation & Health Care Cen an overall rating of 1 of 5 stars. The last standard survey was on 11 Mar 2025. The latest survey cycle has 16 health citations. The median for nursing homes in Massachusetts is 6. CMS lists 1 fine of $71,202 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in Massachusetts (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Middlesex County median | Massachusetts median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 4.0 | 3.0 | 2.9 |
| Quality measure rating | 1 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 72 homes in the county, 341 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Massachusetts median |
|---|---|---|---|
| Cycle 1 (latest) | 11 Mar 2025 | 16 | 6 |
| Cycle 2 | 22 Dec 2023 | 12 | 8 |
| Cycle 3 | No date | 14 | 10 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | C0 |
Survey cycle 1 (latest): 16 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 16 Jun 2026 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 16 Jul 2026 |
| 16 Jun 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 16 Jul 2026 |
| 14 Oct 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 24 Sep 2025 |
| 11 Mar 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 3 Apr 2025 |
| 11 Mar 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 3 Apr 2025 |
| 11 Mar 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 3 Apr 2025 |
| 11 Mar 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 3 Apr 2025 |
| 11 Mar 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 3 Apr 2025 |
| 11 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Standard survey | 3 Apr 2025 |
| 11 Mar 2025 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 3 Apr 2025 |
| 11 Mar 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 3 Apr 2025 |
| 11 Mar 2025 | F0726 | 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. | D | Standard survey | 3 Apr 2025 |
| 11 Mar 2025 | F0732 | Post nurse staffing information every day. | B | Standard survey | 3 Apr 2025 |
| 11 Mar 2025 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 3 Apr 2025 |
| 11 Mar 2025 | F0838 | 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. | F | Standard survey | 3 Apr 2025 |
| 11 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 3 Apr 2025 |
Survey cycle 2: 12 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 21 May 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 6 Jun 2025 |
| 21 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 6 Jun 2025 |
| 21 May 2025 | F0742 | 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. | D | Complaint investigation | 6 Jun 2025 |
| 19 Mar 2025 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Complaint investigation | 14 Apr 2025 |
| 19 Mar 2025 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint investigation | 14 Apr 2025 |
| 22 Dec 2023 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 18 Jan 2024 |
| 22 Dec 2023 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Standard survey | 18 Jan 2024 |
| 22 Dec 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 18 Jan 2024 |
| 22 Dec 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 18 Jan 2024 |
| 22 Dec 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 18 Jan 2024 |
| 22 Dec 2023 | F0761 | 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. | D | Standard survey | 18 Jan 2024 |
| 22 Dec 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 18 Jan 2024 |
Survey cycle 3: 14 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 28 Feb 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 14 Mar 2024 |
| 30 Nov 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 12 Jan 2024 |
| 30 Nov 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 12 Jan 2024 |
| 5 Dec 2022 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 26 Dec 2022 |
| 5 Dec 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 26 Dec 2022 |
| 5 Dec 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 26 Dec 2022 |
| 5 Dec 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 26 Dec 2022 |
| 5 Dec 2022 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 26 Dec 2022 |
| 5 Dec 2022 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 26 Dec 2022 |
| 5 Dec 2022 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 26 Dec 2022 |
| 5 Dec 2022 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 26 Dec 2022 |
| 5 Dec 2022 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard survey | 26 Dec 2022 |
| 5 Dec 2022 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 26 Dec 2022 |
| 5 Dec 2022 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 26 Dec 2022 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 11 Mar 2025 | Fine | $71,202 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Massachusetts median | Massachusetts average (CMS) |
|---|---|---|---|
| All nurse staff | 3.39 | 3.70 | 3.86 |
| Registered nurses (RN) | 0.53 | 0.60 | 0.65 |
| Licensed practical nurses (LPN) | 0.89 | 0.95 | |
| Nurse aides | 1.97 | 2.26 | |
| All nurse staff, weekends | 3.07 | 3.30 | 3.48 |
- Nurse staff turnover in a year
- 27.3%
- Nurse staff turnover, Massachusetts median
- 37.7%
- RN turnover in a year
- 53.3%
- Administrators who left in a year
- 3
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Massachusetts median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 29.9% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.5% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.8% | 1.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.3% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 30.2% | 14.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.3% | 3.8% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 31.4% | 19.6% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Marlboro Hills Ma SNF LLC
- Chain
- Athena Healthcare Systems (22 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Athena Health Care Systems Ma III LLC | 5% or greater direct ownership interest | 100% | 1 Jun 2014 |
| Athena Health Care Associates, Inc. | Operational/managerial control | 1 Jun 2014 |
The site shows organisations only. It does not show the names of persons.
Other homes in Middlesex County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Reservoir Center for Health & Rehabilitation, The | Marlborough | 3 of 5 | 8 | $0 | 13 Jan 2026 | |
| Alliance Health at Marie Esther | Marlborough | 4 of 5 | 5 | $7,901 | 5 Sep 2025 | |
| Sudbury Pines Extended Care | Sudbury | 2 of 5 | 5 | $0 | 22 Apr 2026 | |
| Carlyle House | Framingham | 1 of 5 | 7 | $25,263 | 29 Jul 2025 | |
| Oak Knoll Rehabilitation and Healthcare Center | Framingham | 3 of 5 | 1 | $211,819 | 13 Feb 2026 | |
| St Patrick's Manor | Framingham | 4 of 5 | 0 | $33,157 | 12 May 2026 | |
| Waterview Lodge LLC, Rehabilitation & Healthcare | Ashland | 3 of 5 | 13 | $0 | 25 Feb 2026 | |
| Casa De Ramana Rehabilitation Center | Framingham | 4 of 5 | 0 | $8,512 | 5 Mar 2026 | |
| Bethany Skilled Nursing Facility | Framingham | 5 of 5 | 0 | $9,318 | 4 Jun 2025 | |
| Vantage at Sudbury LLC | Sudbury | 2 of 5 | 10 | $15,672 | 5 Mar 2026 | |
| Eliot Center for Health and Rehabilitation | Natick | 3 of 5 | 7 | $0 | 14 Apr 2026 | |
| Royal Wayland Rehabilitation and Nursing Center | Wayland | 5 of 5 | 0 | $10,725 | 28 May 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Marlborough Hills Rehabilitation & Health Care Cen (CCN 225063). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/marlborough-hills-rehabilitation-health-care-cen-marlborough-ma-225063/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Marlborough Hills Rehabilitation & Health Care Cen last inspected?
- The latest inspection with a citation in the CMS record was on 16 Jun 2026. It was a complaint investigation. It gave 2 citations. The standard survey before the last one was on 22 Dec 2023.
- Who operates Marlborough Hills Rehabilitation & Health Care Cen?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Athena Healthcare Systems. The CMS ownership file names Athena Health Care Associates, Inc. for operational or managerial control. This site does not show the names of persons.
- Is Marlborough Hills Rehabilitation & Health Care Cen a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in Massachusetts as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.