The nursing home failed to protect residents from abuse and neglect by others. Cited September 2023 — isolated incident, actual harm.
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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
Data as of July 1, 2026
4 of 5 overall
Alliance Health at Marie Esther in Marlborough, MA has a 4-star overall rating, with 4 stars for health inspections, 3 stars for staffing, and 2 stars for quality measures. It reports 3.76 nursing hours per resident per day versus the 4.1-hour federal benchmark, with no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.7631 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 3.7631.
Staffing detail
- Registered nurses
- 0.64
- Licensed practical nurses
- 0.90
- Nurse aides
- 2.22
- Weekend nursing
- 3.51
Hours per resident per day.
Total staff turnover: 61%
Registered nurse turnover: 79%
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
0%14.3%Worsening
Residents with pressure ulcers (bedsores)
0%9.2%Worsening
Residents with a urinary tract infection
3.2%7.4%Worsening
Residents who lost too much weight
4.5%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16%22.7%Worsening
Residents whose ability to walk got worse
—25.6%—
Long-stay residents on antianxiety or sleep medication
23.1%9.1%Improving
Short-stay residents newly given an antipsychotic
4%4.2%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
21.9%3.3%Improving
Residents with depressive symptoms
3.8%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
96.9%100%Improving
Short-stay residents given the pneumonia vaccine
96.2%94.7%Worsening
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 · 3.8 stars avg
- Occupancy
- 32.7 residents on an average day (42% 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.