MARLBOROUGH HILLS REHABILITATION & HEALTH CARE CEN
MARLBOROUGH HILLS REHABILITATION & HEALTH CARE CEN is a 186-bed nursing home in MARLBOROUGH, Massachusetts. CMS has certified it for Medicare and Medicaid since 1967-01-01. It averages 169.1 residents a day.
What harm was found in the violations cited at MARLBOROUGH HILLS REHABILITATION & HEALTH CARE CEN?
CMS lists 42 health-inspection deficiencies for MARLBOROUGH HILLS REHABILITATION & HEALTH CARE CEN since 2022-12-05, 31 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-06-16.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-16 | F0607, F0609 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2025-10-14 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2025-05-21 | F0656, F0689, F0742 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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 |
| 2025-03-19 | F0553, F0623 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D |
| 2025-03-11 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2025-03-11 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2025-03-11 | F0838, F0880 | 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. / Provide and implement an infection prevention and control program. | F |
| 2025-03-11 | F0760 | Ensure that residents are free from significant medication errors. | E |
| 2025-03-11 | F0552, F0609, F0641, F0655, F0694, F0698, F0726 | Ensure that residents are fully informed and understand their health status, care and treatments. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure each resident receives an accurate assessment. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / 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 |
| 2025-03-11 | F0732 | Post nurse staffing information every day. | B |
| 2024-02-28 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2023-12-22 | F0552, F0553, F0656, F0658, F0755, F0761, F0842 | Ensure that residents are fully informed and understand their health status, care and treatments. / Allow resident to participate in the development and implementation of his or her person-centered plan of care. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2023-11-30 | F0658, F0842 | Ensure services provided by the nursing facility meet professional standards of quality. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2022-12-05 | F0725, F0730 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Observe each nurse aide's job performance and give regular training. | E |
| 2022-12-05 | F0655, F0656, F0684, F0689, F0695, F0698, F0744, F0842, F0883 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
Why was MARLBOROUGH HILLS REHABILITATION & HEALTH CARE CEN fined?
| Date | Type | Amount |
|---|---|---|
| 2025-03-11 | Fine | $71,202 |
How is MARLBOROUGH HILLS REHABILITATION & HEALTH CARE CEN staffed relative to the MA average?
| Measure | This facility | MA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.38691 | 3.86193 |
| Total nursing staff turnover (%) | 27.3 | 38.2 |
| Average number of residents per day | 169.1 | 98.5 |
Who owns MARLBOROUGH HILLS REHABILITATION & HEALTH CARE CEN, and what chain is it in?
MARLBOROUGH HILLS REHABILITATION & HEALTH CARE CEN is registered with CMS as For profit - Limited Liability company, operates under the legal business name MARLBORO HILLS MA SNF LLC and belongs to the ATHENA HEALTHCARE SYSTEMS chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | ATHENA HEALTH CARE SYSTEMS MA III LLC | since 06/01/2014 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | CHAKALOS-SANTILLI, VALERIE, CURTIS, DIANE, MOSIER, MICHAEL, REZENDES, LORRIE, SANTILLI, LAWRENCE, SENRA, PRISCILLA | since 04/26/2017 |
| W-2 MANAGING EMPLOYEE | MOSIER, MICHAEL | since 06/01/2014 |
| CORPORATE OFFICER | SANTILLI, LAWRENCE | since 07/01/2018 |
| OPERATIONAL/MANAGERIAL CONTROL | ATHENA HEALTH CARE ASSOCIATES, INC. | since 06/01/2014 |
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