Marlborough Hills Rehabilitation & Health Care Cen

CMS star ratings

Overall★★★★★ 1/5

State avg 3.0

Health inspections★★★★★ 1/5

State avg 3.0

Staffing★★★★★ 2/5

State avg 3.1

Quality measures★★★★★ 1/5

State avg 3.3

Long-stay quality★★★★★ 1/5

Short-stay quality★★★★★ 2/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing: 3.39 (state 3.86 · U.S. 3.86)
Registered nurses (RN): 0.53 (state 0.65 · U.S. 0.69)
Licensed practical nurses: 0.89 (state 0.95 · U.S. 0.86)
Nurse aides: 1.97 (state 2.26 · U.S. 2.32)
Weekend total: 3.07 (state 3.48 · U.S. 3.42)
Nursing staff turnover: 27.3 (state 38.2 · U.S. 45.8)%
RN turnover: 53.3 (state 42.6 · U.S. 42.9)%
Administrators who left: 3 in the last year

Inspections

Last standard inspection: March 11, 2025
Health deficiencies (last cycle): 16.0 (state 7.2 · U.S. 9.3)
From complaints: 3
Citations on record (3 years): 42 health · 27 fire safety · includes immediate jeopardy

Date	Citation	Severity	Status
2026-06-16	Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-07-16
2026-06-16	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-07-16
2025-10-14	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-09-24
2025-05-21	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-06-06
2025-05-21	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-06-06
2025-05-21	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. F0742 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-06-06
2025-03-19	Allow resident to participate in the development and implementation of his or her person-centered plan of care. F0553 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-04-14
2025-03-19	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-04-14
2025-03-11	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies	J Immediate jeopardy to resident health or safety	Corrected 2025-04-03
2025-03-11	Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies	G Actual harm	Corrected 2025-04-03
2025-03-11	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. F0838 · Administration Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-04-03
2025-03-11	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-04-03
2025-03-11	Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-04-03
2025-03-11	Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-04-03
2025-03-11	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-04-03
2025-03-11	Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-04-03
2025-03-11	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-04-03
2025-03-11	Provide for the safe, appropriate administration of IV fluids for a resident when needed. F0694 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-04-03
2025-03-11	Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-04-03
2025-03-11	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. F0726 · Nursing and Physician Services Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-04-03
2025-03-11	Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies	B No actual harm, potential for minimal harm	Corrected 2025-04-03
2024-02-28	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-03-14
2023-12-22	Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-01-18
2023-12-22	Allow resident to participate in the development and implementation of his or her person-centered plan of care. F0553 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-01-18
2023-12-22	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-01-18
2023-12-22	Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-01-18
2023-12-22	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-01-18
2023-12-22	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. F0761 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-01-18
2023-12-22	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-01-18
2023-11-30	Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-01-12
2023-11-30	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-01-12
2022-12-05	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2022-12-26
2022-12-05	Observe each nurse aide's job performance and give regular training. F0730 · Nursing and Physician Services Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2022-12-26
2022-12-05	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-12-26
2022-12-05	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-12-26
2022-12-05	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-12-26
2022-12-05	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-12-26
2022-12-05	Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-12-26
2022-12-05	Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-12-26
2022-12-05	Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. F0744 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-12-26
2022-12-05	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-12-26
2022-12-05	Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-12-26

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $71,202 in fines.

Date	Type	Amount
2025-03-11	Fine	$71,202

Ownership & management

Name	Role	Since
Athena Health Care Systems Ma III LLC (organization)	5%+ Direct Ownership Interest · 100%
Chakalos-Santilli, Valerie (individual)	5%+ Indirect Ownership Interest · 6%
Curtis, Diane (individual)	5%+ Indirect Ownership Interest
Mosier, Michael (individual)	5%+ Indirect Ownership Interest · 7%
Rezendes, Lorrie (individual)	5%+ Indirect Ownership Interest
Santilli, Lawrence (individual)	5%+ Indirect Ownership Interest · 62%
Senra, Priscilla (individual)	5%+ Indirect Ownership Interest
Santilli, Lawrence (individual)	Corporate Officer · NOT APPLICABLE
Athena Health Care Associates, INC. (organization)	Operational/managerial Control · NOT APPLICABLE
Mosier, Michael (individual)	W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Marlborough Hills Rehabilitation & Health Care Cen?

Marlborough Hills Rehabilitation & Health Care Cen has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Massachusetts.

How many beds does Marlborough Hills Rehabilitation & Health Care Cen have?

It has 186 certified beds and cares for about 169 residents per day.

Has Marlborough Hills Rehabilitation & Health Care Cen been fined?

Yes. CMS lists 1 penalty totaling $71,202 in the last three years.

Who owns Marlborough Hills Rehabilitation & Health Care Cen?

It is part of Athena Healthcare Systems and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Marlborough Hills Rehabilitation & Health Care Cen?

(508) 485-4040. The facility is located at 121 Northboro Road, Marlborough, MA 01752.

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Contact & location

Facility details