Nursing Homes in Marlborough, Massachusetts

Marlborough has 3 Medicare-certified nursing homes with 408 beds. The city average CMS rating is 3.0 stars, which is at Massachusetts's state average of 2.9 stars. 0 facilities earn a B grade or better and are recommended for family consideration.

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Worth Considering

Facilities graded A or B that meet our quality standards

0 recommended 1 mixed 1 avoid
See our top picks

City Average

3.0

+0.10 vs state

Total Beds

408

across 3 facilities

High Risk Facilities

1

0 under CMS review

0 with abuse citations

Nurse Availability

35 min

RN time per resident daily

Below CMS recommendation

Well Staffed

1

exceed staffing threshold

33% of facilities

Zero Fines

0 /3

passed all inspections

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Trend

0

improved vs last year

0 declined

B+

Top Rated in Marlborough

Alliance Health At Marie Esther

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Fines · Deficiencies · Ownership Data · Quality Comparisons

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About Nursing Home Care in Marlborough

The nursing home market in Marlborough, MA, is concerning for families seeking care options. The standout is Guardian Center for Nursing and Rehabilitation, which, while not without its issues, remains the best choice in a market that lacks high-quality alternatives. Overall, families should approach this area with caution, as the options are limited and the average rating hovers around 3.0 stars.

In addition to Guardian Center for Nursing and Rehabilitation, families might consider visiting New Horizons at Marlborough for its relatively good staffing levels, which can contribute to better resident care. However, it's important to note that none of the nursing homes in Marlborough have a clean record, so exploring nearby cities like Westborough or Framingham could yield better options.

On the flip side, families should skip Marlborough Hills Rehabilitation & Health Care Center. This facility has received significant fines totaling $68K and has a concerning Grade F rating, indicating serious deficiencies in care. Another facility to avoid is Royal Health Group, which has also faced scrutiny for inadequate staffing. When visiting any facility, always trust your instincts—if something feels off during your tour, don’t hesitate to continue your search elsewhere.

Marlborough at a Glance

Good News

  • 1 community-run facility (non-profit)
  • 1 facility has more nurses than required
  • 1 facility earned 5-star CMS rating

Be Aware

  • 1 facility has serious problems—check before visiting
  • Some facilities have less nurse time than recommended

What's Changing

  • 3 facilities stayed the same
  • Overall: Marlborough is stable

Questions Marlborough Families Should Ask

Based on what we found in local inspection data

1

How many RN hours per resident do you provide daily?

CMS recommends 0.75 hrs; Marlborough avg is 0.59 hrs (35 min)

2

Have you received any fines in the past 3 years?

0 of 3 Marlborough facilities have zero fines

3

What were your most recent inspection findings?

Ask for specifics—1 local facility has serious deficiencies

4

What is your staff-to-resident ratio on weekends?

Weekend staffing often differs from weekday levels

Finding Quality Nursing Home Care in Marlborough, Massachusetts

Marlborough, Massachusetts's Middlesex County seat, has 3 Medicare-certified nursing homes with approximately 408 beds. Families have solid options to choose from.

Marlborough vs. Massachusetts: Near State Average

Marlborough nursing homes perform near the state average on key quality metrics. The city's average CMS rating of 3.00 stars is close to Massachusetts's statewide average of 2.90 stars.

0 of 3 facilities earn a B grade or better. Families should still research carefully, as 1 facility has significant concerns.

Understanding Our Trust Score System

The Trust Score is a 0-100 rating calculated from CMS's official nursing home database. The score combines five data categories:

  • Health Inspection Results — Recent deficiencies, their severity, and patterns over time
  • Staffing Levels — RN hours, total nursing hours, and weekend staffing
  • Quality Measures — Clinical outcomes like falls, pressure ulcers, and rehospitalizations
  • Penalties — Fines, payment denials, and enforcement actions
  • Complaints — Substantiated complaints and their severity

In Marlborough, 0 facilities score a B grade or better, indicating they meet quality benchmarks across these categories. We recommend families prioritize these facilities and carefully research any facility rated C or below before visiting.

Staffing: A Significant Concern in Marlborough

Staffing levels are among the most important predictors of nursing home quality. Research consistently shows that facilities with more nursing staff—especially registered nurses—have better outcomes for residents.

Marlborough facilities average 0.59 RN hours per resident day, which falls below the CMS-recommended threshold of 0.75 hours. The typical Marlborough resident receives approximately 35 minutes of RN attention daily—compared to the 45 minutes experts recommend.

1 Marlborough facilities exceed CMS staffing recommendations. Families prioritizing staffing should look for facilities with the "Top Staffing" badge and ask specifically about RN hours during facility visits.

Ownership: Mix of For-Profit and Non-Profit

Marlborough has 1 non-profit nursing homes and 2 for-profit facilities. 3 of 3 facilities are chain-owned, with the remainder independently operated.

Research suggests non-profit facilities often have higher staffing levels and fewer deficiencies on average, though ownership type alone does not guarantee quality. Families should evaluate each facility individually using inspection data, staffing levels, and recent deficiency reports.

Nearby Alternatives Worth Considering

Families may also want to consider nearby Massachusetts cities for additional options. The following Massachusetts cities offer multiple nursing home options:

Frequently Asked Questions

How many nursing homes are in Marlborough, Massachusetts?

Marlborough has 3 Medicare-certified nursing homes with a total of 408 beds. The city average CMS rating is 3.0 stars, which is above Massachusetts's state average of 2.9 stars.

What are the best nursing homes in Marlborough?

Based on our Trust Score analysis of CMS inspection data, the top-rated nursing homes in Marlborough include:

  • Alliance Health At Marie Esther — Grade B+, 83/100 Trust Score
  • Reservoir Center For Health & Rehabilitation, The — Grade C, 53/100 Trust Score
  • Marlborough Hills Rehabilitation & Hlth Care Ctr — Grade F, 16/100 Trust Score

These facilities have strong inspection records and staffing levels.

Which Marlborough nursing homes should I avoid?

We flag 1 facility in Marlborough as high-risk based on patterns of serious deficiencies, substantial fines, or placement on CMS's Special Focus Facility list. These facilities are marked with warning indicators in our listings above.

We recommend avoiding facilities with: Grade D or F, recent "Immediate Jeopardy" citations (indicating serious harm or risk to residents), or those on CMS's Special Focus Facility list.

The Bottom Line on Marlborough Nursing Homes

Marlborough offers typical nursing home options for the state. Focus your search on the 0 facilities graded A or B, particularly those with zero fines and strong staffing. Avoid the 1 high-risk facilities flagged in our analysis.

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