The nursing home failed to protect residents from abuse and neglect by others. Cited September 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
Nursing home report
ALLIANCE HEALTH AT MARIE ESTHER
MARLBOROUGH, MA · Medicare-certified · 78 beds
In good standing
Non-profitChain member
4 of 5 overall
Alliance Health at Marie Esther in Marlborough, MA has an overall rating of 4 out of 5 stars. Its health inspection and staffing ratings are both 4 stars, quality measures are 3 stars, reported nurse staffing is 3.83 hours per resident day versus the 4.1 federal benchmark, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.8276 hrs/resident/day
Quality measures
Last inspection: September 5, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8276.
Staffing detail
- Registered nurses
- 0.90
- Licensed practical nurses
- 0.69
- Nurse aides
- 2.24
- Weekend nursing
- 3.47
Hours per resident per day.
Total staff turnover: 64%
Registered nurse turnover: 80%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
0%0%No change
Residents with a fall causing major injury
3%10%Worsening
Residents with pressure ulcers (bedsores)
2.9%3.1%No change
Residents with a urinary tract infection
0%10%Worsening
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
14.8%43.5%Worsening
Residents whose ability to walk got worse
—22.1%—
Long-stay residents on antianxiety or sleep medication
18.5%8.7%Improving
Short-stay residents newly given an antipsychotic
—4%—
Residents with a long-term catheter
2.5%0%Improving
Residents with new or worsening incontinence
12.2%12.5%No change
Residents with depressive symptoms
3.4%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
97%100%Improving
Short-stay residents given the pneumonia vaccine
96.2%97%Improving
What the inspectors found
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited September 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited September 2025 — isolated incident, potential for harm.
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F-Tag 695 — 42 CFR §483.25(i) — S/S: D
The home failed to properly label and securely store medications and biologicals. Cited September 2025 — isolated incident, potential for harm.
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F-Tag 761 — 42 CFR §483.45(g) — S/S: D
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $7,901 in total fines.
- $7,901
Federal fine
Sep 28, 2023
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of ALLIANCE HEALTH & HUMAN SERVICES · 8 homes · 3.9 stars avg
- Occupancy
- 32 residents on an average day (41% of 78 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 32 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.