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D
Poor

MARLBOROUGH HILLS REHABILITATION & HLTH CARE CTR

121 NORTHBORO ROAD · MARLBOROUGH, MA 01752

5084854040 · For profit - Limited Liability company

186 beds170.7 residents139 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

MARLBOROUGH HILLS REHABILITATION & HLTH CARE CTR receives an overall staffing grade of D (Poor). With 3.3275 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.3356 HPRD, below the recommended 0.75. It is 0.57 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 15.86% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.3275 HPRD — needs 0.15 more hours per resident per day.
⚠️RN staffing (0.3356 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.3275hrs/resident/day▼ 0.57
CMS benchmark: 3.48
RN HPRD
0.3356hrs/resident/day▼ 0.35
Recommended: 0.75
Weekend Drop-off
15.86%
3.4837 weekday → 2.9311 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.9475hrs/resident/day
Direct care aides
LPN HPRD
1.0444hrs/resident/day
Licensed practical nurses
Consistency
0.2849std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Middlesex County Average-0.65 HPRD
3.98
03.33 HPRD
vs. Massachusetts State Average-0.54 HPRD
3.87
03.33 HPRD
vs. National Average-0.57 HPRD
3.90
03.33 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
MARLBOROUGH HILLS REHABILITATION & HLTH CARE CTR ★
MARLBOROUGH · This facility
—
D
3.32750.3356★☆☆☆☆
RESERVOIR CENTER FOR HEALTH & REHABILITATION, THE
MARLBOROUGH
2.1 mi
B
3.88550.6124★★★☆☆
Alliance Health at Coleman
NORTHBOROUGH
3.7 mi
B
3.65650.6887★★★★☆
BEAUMONT REHAB & SKILLED NURSING CTR - WESTBORO
WESTBOROUGH
4.4 mi
C
3.56790.5269★★★★☆
WESTBOROUGH HEALTHCARE
WESTBOROUGH
4.9 mi
B
3.64030.5987★★☆☆☆
ST PATRICK'S MANOR
FRAMINGHAM
8.3 mi
C
3.64750.549★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

8
Inspections
40
Total Deficiencies
$71,202
Fines Assessed
Oct 14, 2025Health
1 deficiency cited
▼
May 21, 2025Health
3 deficiencies cited
▼
Mar 19, 2025Health
2 deficiencies cited
▼
Mar 11, 2025Health
13 deficiencies cited· Includes actual harm
▼
Feb 28, 2024Health
1 deficiency cited
▼
Dec 22, 2023Health
7 deficiencies cited
▼
Nov 30, 2023Health
2 deficiencies cited
▼
Dec 5, 2022Health
11 deficiencies cited
▼

Penalty History

Mar 11, 2025Fine
$71,202
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.