Home / Massachusetts / Marlborough
720 Boston Post Road, Marlborough, MA 01752 · Middlesex County · (508) 485-3791
78 certified beds, about 33 residents a day · Non profit - Corporation · Medicare and Medicaid since 1994
CMS Care Compare ratings, data as of September 1, 2026 · CCN 225619 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on September 5, 2025, inspectors cited 5 health deficiencies (the Massachusetts average is 6.8, the national average 9.2).
Of 7 health citations since April 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $7,901 in the last three years; the largest was $7,901, and the latest is dated September 28, 2023.
Nurses and nurse aides worked 3.76 hours per resident per day, against 3.86 across Massachusetts and 3.86 nationally. Registered nurses accounted for 0.64 of those hours.
61.2% of nursing staff left within the year CMS measured (Massachusetts average 38.2%).
CMS links it to Alliance Health & Human Services, an affiliated group of 8 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 7 health citations on file.
Inspectors wroteBased on record review, and interview, the facility failed to provide the services of a Registered Nurse (RN) for at least eight consecutive hours a day, seven days a week as required, placing all facility residents at risk for not having their clinical needs met either directly by the RN or indirectly by the Licensed Practical Nurse (LPN) or Certified Nurse's Aides (CNA) that the RN was responsible for overseeing with provision of resident care. Specifically, the facility failed to have an RN working at least eight consecutive hours over a 24-hour period on three days (8/16/25, 8/30/25, and 8/31/25).
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that respiratory care and services consistent with professional standards of practice were provided for one Resident (#1) out of a total sample of 12 residents. Specifically, for Resident #1, the facility failed to provide portable oxygen as ordered by the Physician when the Resident was out of bed (OOB) and participating in activities away from the stationary oxygen source.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that medications were stored in a safe and secure manner for one Resident (#22) out of a total sample of 12 residents. Specifically, for Resident #22, the facility failed to ensure that:-One over-the-counter medication was secured and was not left at the Resident's bedside table and readily accessible to other residents on the unit.-One prescribed medication was secured and was not left at the Resident's bedside table and readily accessible to other residents on the unit.- A Physician's order was obtained for the use of one over-the-counter and one prescribed medication.- A self-assessment of medication was completed to ensure the Resident was capable of self-administering medications.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow professional standards of practice for food safety to prevent the potential of foodborne illness to residents who are at high risk. Specifically, the facility failed to utilize pasteurized eggs in the preparation of over easy (eggs fried on both sides with a runny yolk) eggs to safely accommodate the resident's choice during the breakfast meals and ensure that the unpasteurized eggs being used were cooked until all parts of the egg are completely firm to prevent the potential spread of foodborne illness.
Inspectors wroteBased on interview, and record reviews, the facility failed to offer the Pneumococcal Vaccination as recommended to two Residents (#2 and #22) of five applicable residents, out of a total sample of 12 residents, putting the Residents at risk for developing facility acquired Pneumonia. Specifically, the facility failed to ensure that:1. Resident #2 had no medical contraindication to, or had been offered, received, or declined any Pneumococcal Vaccination after admission to the facility.2. Resident #22 did not have medical contraindication to, or had been offered, received, or declined any Pneumococcal Vaccination after admission to the facility.
Inspectors wroteBased on records reviewed and interviews, for one of three sampled residents (Resident #1), who had severe cognitive impairment and was dependent on staff for care, the Facility failed to ensure he/she was free from physical abuse from a staff member when on 09/09/23, Resident #1 became combative during care and Certified Nurse Aide (CNA) #1 in response to Resident #1's behavior, hit Resident #1 on the top of his/her right hand, the incident was witnessed by CNA #2 and CNA #3, who were present and also assisted CNA #1 with Resident #1 at the time of the incident. A cognitively intact person would experience pain and mental anguish after being hit by a caregiver.
Inspectors wroteBased on observations, interviews and record review, the facility failed to ensure its staff provided appropriate treatment and services to maintain one Resident's (#25) comfort during dining, out of a total sample of 12 residents. Specifically, the facility failed to get Resident #25 out of bed for meals per preference, when the Resident required assistance from staff with transfers, and voiced concerns with choking and discomfort when eating while lying in bed.
6 fire safety citations on file: 1 on September 5, 2025, 2 on July 9, 2024, 3 on April 14, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| September 28, 2023 | Fine | $7,901 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Massachusetts | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.76 | 3.86 | 3.86 |
| Registered nurses | 0.64 | 0.65 | 0.69 |
| All nursing staff on weekends | 3.51 | 3.48 | 3.42 |
| Nurse aides | 2.22 | ||
| Licensed practical nurses | 0.90 | ||
| Nursing staff turnover (share who left in a year) | 61.2% | 38.2% | 45.8% |
| Registered nurse turnover | 78.6% | 42.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.35 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.87 on weekdays and 3.51 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.91 in April to June 2025 to 3.76 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.76 | 0.64 | 3.87 | 3.51 | 0.0% | 0 of 90 | 33 |
| Oct to Dec 2025 | 3.83 | 0.90 | 3.97 | 3.47 | 0.0% | 0 of 92 | 32 |
| Jul to Sep 2025 | 3.91 | 0.85 | 4.10 | 3.41 | 0.0% | 3 of 92 | 33 |
| Apr to Jun 2025 | 3.91 | 0.98 | 4.14 | 3.34 | 14.5% | 0 of 91 | 33 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Massachusetts, Jan to Mar 2026 | 3.79 | 0.61 | 3.94 | 3.41 | 5.0% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Massachusetts, all employers | |||
| CNAs (nursing assistants) | $22.44 | $21.32 to $23.94 | 38,130 |
| LPNs and LVNs | $38.57 | $34.91 to $40.66 | 13,210 |
| Registered nurses | $50.27 | $42.05 to $65.44 | 88,200 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Massachusetts | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 21.5 | 16.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.8 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 7.0 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 8.5 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.4 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 25.6 | 15.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.8 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 0.0 | 21.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 32.9 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 23.7 | 11.9 | 12.0 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Alliance Health at Marie Esther's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (65.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
65.7% this home
No different from the national rate
US median of homes 51.5% · Massachusetts: 121 better, 19 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 35 eligible stays.
10.1% this home
No different from the national rate
US median of homes 10.7% · Massachusetts: 4 better, 15 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 37 eligible stays.
6.3% this home
No different from the national rate
US median of homes 7.1% · Massachusetts: 5 better, 4 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 25 eligible stays.
69.0% this home
Median of homes: Massachusetts51.6% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 29 residents counted.
2.8% this home
Median of homes: Massachusetts0.4% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 36 residents counted.
2.8% this home
Median of homes: Massachusetts2.0% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 36 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Massachusetts99.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 14 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: MARIE ESTHER HEALTH CENTER INC. CMS links this home to Alliance Health & Human Services, a group of 8 nursing homes averaging 3.8 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Alliance Health Inc | 5% or greater direct ownership interest | Organization | 100% | 07/15/2013 |
| Dedham Institution for Savings | 5% or greater mortgage interest | Organization | 12/31/2024 | |
| Brunetti, Tammy | Corporate director | Individual | 03/06/2019 | |
| Calkins, Andrew | Corporate director | Individual | 02/24/2019 | |
| Corridan, Linda | Corporate director | Individual | 02/24/2019 | |
| Grady, Francis | Corporate director | Individual | 07/15/2013 | |
| Gray, Alfred | Corporate director | Individual | 03/06/2019 | |
| Janisko, Jerome | Corporate director | Individual | 02/24/2019 | |
| Jennings, Michael | Corporate director | Individual | 09/25/2024 | |
| Jones, Erik | Corporate director | Individual | 02/24/2019 | |
| Mourtzinos, Arthur | Corporate director | Individual | 02/24/2019 | |
| Riley, James | Corporate director | Individual | 02/24/2019 | |
| Robbins, Christopher | Corporate director | Individual | 02/24/2019 | |
| Zampine, Peter | Corporate director | Individual | 02/24/2019 | |
| Grady, Francis | Corporate officer | Individual | 06/22/2016 | |
| Kemp, Paul | Corporate officer | Individual | 06/22/2016 | |
| Lavallee, Thomas | Corporate officer | Individual | 06/22/2016 | |
| Alliance Health Management Services LLC | Operational/managerial control | Organization | 02/24/2019 | |
| Barkoudah, Wael | Operational/managerial control | Individual | 08/23/2025 | |
| Cooper, Stephen | Operational/managerial control | Individual | 08/09/2021 | |
| Alliance Health Management Services LLC | Adp of the SNF | Organization | 02/24/2019 | |
| Barkoudah, Wael | Adp of the SNF | Individual | 08/23/2025 | |
| Cooper, Stephen | Adp of the SNF | Individual | 04/03/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.