★★★☆☆CMS 3/5144 bedsFor-profitMedicaid
- Nurse hours
- 3.95 /day
- Staff turnover
- 34%
- Serious cites
- 0
Reservoir Center runs 144 beds in Marlborough under for-profit LLC ownership, and its staffing sits at 3.95 nurse hours per resident day, a bit above the national average of 3.86, though weekends dip roughly 10% below its own weekday coverage. Turnover is where it separates itself: 33.6% against a national average of 45.8%, meaning fewer unfamiliar faces than at the typical home. Twenty-eight deficiencies appear on the current record, but none at the harm level and none abuse-related, with a single fine of $3,145 and an inspection dated January 2026. CMS gives it 4 stars each for staffing and quality measures, 3 for health inspections.
★★★★☆CMS 4/578 bedsNon-profitMedicaid
- Nurse hours
- 3.76 /day
- Staff turnover
- 61%
- Serious cites
- 0
Alliance Health At Marie Esther is a 78-bed nonprofit home in Marlborough, and its inspection record is genuinely solid, a four-star health inspection rating and a recent survey from September 2025. But seven deficiencies sit on the current record, including one at the harm level and one tied to abuse, plus a $7,901 fine.
Where the numbers get uncomfortable is staffing. At 3.76 nurse hours per resident day, it runs slightly under the national average, weekends fall about 7% below its own weekday levels, and annual turnover hits 61.2% against a national 45.8%. The quality measure rating sits at two stars. A stable inspection history, but the people providing daily care are stretched and cycling through fast.
★☆☆☆☆CMS 1/5186 bedsFor-profitMedicaid
- Nurse hours
- 3.39 /day
- Staff turnover
- 27%
- Serious cites
- 0
Marlborough Hills runs 186 beds under for-profit LLC ownership, and its nurse staffing sits at 3.39 hours per resident day, roughly 12% under the national average, with weekends dipping about 9% below its own weekday levels. That thin coverage matters more given what inspectors found: 40 deficiencies on the current record, two at harm or jeopardy level and one tied to abuse, plus a $71,202 fine, from a March 2025 inspection. Staff turnover of 27.3% is genuinely lower than the 45.8% national figure, so there's some consistency in the workforce. But a 1/5 health inspection rating and 1/5 quality measure rating against 2/5 for staffing tell you where the trouble concentrates.