F

MARLBOROUGH HILLS REHABILITATION & HLTH CARE CTR

121 NORTHBORO ROAD, MARLBOROUGH, MA 01752
Score: 15 / 100

Marlborough Hills Rehabilitation & Hlth Care Ctr has received an F grade based on CMS data, with a score of 15/100 — placing it among the lowest-rated nursing facilities in Massachusetts. Families considering this Marlborough facility should carefully review its inspection history and quality metrics.

Staffing levels are a potential concern at Marlborough Hills Rehabilitation & Hlth Care Ctr, with 3.33 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.

Recent CMS inspections identified 40 deficiencies at Marlborough Hills Rehabilitation & Hlth Care Ctr, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured..

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.33 3.8 Below Average
Registered Nurses (RN) 0.34 0.7 Below Average
Licensed Practical Nurses (LPN) 1.04 0.7 Above Average
Certified Nursing Assistants (CNA) 1.95 2.4 Below Average
Weekend Total Nursing 2.93 3.8 Below Average
Weekend RN Hours 0.19 0.7 Below Average

🔍 Inspection & Deficiency History

40
Total Deficiencies
Oct 13, 2025
Most Recent Inspection
⚪ 1 Minor 🟠 38 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0656 Severity D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Oct 13, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0656 Severity D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    May 20, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0689 Severity D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    May 20, 2025 · Quality of Life and Care Deficiencies
  • Tag 0742 Severity D
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty,
    May 20, 2025 · Quality of Life and Care Deficiencies
  • Tag 0553 Severity D
    Allow resident to participate in the development and implementation of his or her person-centered plan of care.
    Mar 18, 2025 · Resident Rights Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 3.9% 4.5% Better
Falls with major injury 2.5% 3.0% Better
On antipsychotic medication 40.6% 14.5% Worse
Urinary tract infections 1.5% 2.5% Better
ADL decline (daily activities) 26.5% 14.0% Worse
Excessive weight loss 5.2% 7.5% Better
New/worsened incontinence 24.1% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $71,202

How This Grade Was Calculated

This facility's grade of F is based on a score of 15 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -7 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
186
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Partial
Last Inspection
Mar 10, 2025
Deficiencies (Cycle 1)
19