MARLBOROUGH HILLS REHABILITATION & HLTH CARE CTR
121 NORTHBORO ROAD, MARLBOROUGH, MA 01752 · CCN 225063
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 186
- Avg residents/day
- 170.7
- Phone
- 5084854040
Inspection history vs Massachusetts & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Massachusetts avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-03-11 | 19 | 8.9 | 9.5 | +10.1 worse |
| 2 | 2023-12-22 | 7 | 10.0 | 9.8 | -3.0 better |
| 3 | 2022-12-05 | 14 | 12.7 | 9.3 | +1.3 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 6 |
| Resident assessment and care planning | 4 |
| Nursing and physician services | 2 |
| Resident rights | 3 |
| Pharmacy service | 1 |
| Administration | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.33 | 30.8% |
| RN staffing (reported) | 0.34 | 45.5% |
| Total nurse staffing (adjusted) | 3.47 | — |
Fines & penalties
- Total fines
- $71,202
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- ATHENA HEALTHCARE SYSTEMS
- Facilities in chain
- 24
- Chain avg overall
- 1.70 / 5
Inspection citations (40)1 immediate jeopardy1 actual harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-10-14 · Health · corrected 2025-09-24
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-05-21 · Health · corrected 2025-06-06
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-21 · Health · corrected 2025-06-06
Potential for more than minimal harm
- DF0742Provide 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.2025-05-21 · Health · corrected 2025-06-06
Potential for more than minimal harm
- DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2025-03-19 · Health · corrected 2025-04-14
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2025-03-19 · Health · corrected 2025-04-14
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-03-11 · Health · corrected 2025-04-03
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-03-11 · Health · corrected 2025-04-03
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-03-11 · Health · corrected 2025-04-03
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-03-11 · Health · corrected 2025-04-03
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-03-11 · Health · corrected 2025-04-03
Actual harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-11 · Health · corrected 2025-04-03
Immediate jeopardy
- DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2025-03-11 · Health · corrected 2025-04-03
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-03-11 · Health · corrected 2025-04-03
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-03-11 · Health · corrected 2025-04-03
Potential for more than minimal harm
- BF0732Post nurse staffing information every day.2025-03-11 · Health · corrected 2025-04-03
Potential for minimal harm
- EF0760Ensure that residents are free from significant medication errors.2025-03-11 · Health · corrected 2025-04-03
Potential for more than minimal harm
- FF0838Conduct 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.2025-03-11 · Health · corrected 2025-04-03
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2025-03-11 · Health · corrected 2025-04-03
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-02-28 · Health · corrected 2024-03-14
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-12-22 · Health · corrected 2024-01-18
Potential for more than minimal harm
- DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2023-12-22 · Health · corrected 2024-01-18
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-12-22 · Health · corrected 2024-01-18
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-12-22 · Health · corrected 2024-01-18
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-12-22 · Health · corrected 2024-01-18
Potential for more than minimal harm
- DF0761Ensure 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.2023-12-22 · Health · corrected 2024-01-18
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-12-22 · Health · corrected 2024-01-18
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-11-30 · Health · corrected 2024-01-12
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-11-30 · Health · corrected 2024-01-12
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2022-12-05 · Health · corrected 2022-12-26
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-12-05 · Health · corrected 2022-12-26
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-12-05 · Health · corrected 2022-12-26
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-12-05 · Health · corrected 2022-12-26
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-12-05 · Health · corrected 2022-12-26
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-12-05 · Health · corrected 2022-12-26
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2022-12-05 · Health · corrected 2022-12-26
Potential for more than minimal harm
- EF0730Observe each nurse aide's job performance and give regular training.2022-12-05 · Health · corrected 2022-12-26
Potential for more than minimal harm
- DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2022-12-05 · Health · corrected 2022-12-26
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-12-05 · Health · corrected 2022-12-26
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2022-12-05 · Health · corrected 2022-12-26
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| ATHENA HEALTH CARE SYSTEMS MA III LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2014-06-01 |
| SANTILLI, LAWRENCE | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 62% | 2018-07-01 |
| MOSIER, MICHAEL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7% | 2014-06-01 |
| CHAKALOS-SANTILLI, VALERIE | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | 2015-07-01 |
| SENRA, PRISCILLA | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2020-12-15 |
| ATHENA HEALTH CARE ASSOCIATES, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2014-06-01 |
| SANTILLI, LAWRENCE | Individual | CORPORATE OFFICER | — | 2018-07-01 |
| CURTIS, DIANE | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2014-06-01 |
| MOSIER, MICHAEL | Individual | W-2 MANAGING EMPLOYEE | — | 2014-06-01 |
| REZENDES, LORRIE | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2017-04-26 |
Other facilities in MARLBOROUGH
| Name | Overall | Beds |
|---|---|---|
| ALLIANCE HEALTH AT MARIE ESTHER | ★★★★☆ | 78 |
| RESERVOIR CENTER FOR HEALTH & REHABILITATION, THE | ★★★☆☆ | 144 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.