Alliance Health at Marie Esther
720 Boston Post Road, Marlborough, MA 01752 · Middlesex County · 78 certified beds · avg 33 residents/day · certified since Feb 18, 1994
Part of chain: ALLIANCE HEALTH & HUMAN SERVICES (8 facilities, chain avg rating 3.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Sep 28, 2023 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Oct 25, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (7)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Sep 5, 2025 | F · Potential for harm, facility-wide | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Sep 5, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Sep 5, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Sep 5, 2025 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Sep 5, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Sep 28, 2023 | ▲ G · Actual harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Apr 14, 2023 | D · Potential for harm, one-off | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 1 | G ▲ |
| 2025 | 5 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $7,901.
| Date | Type | Amount / length |
|---|---|---|
| Sep 28, 2023 | Fine | $7,901 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Massachusetts avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.31 | 3.89 | 3.95 | top 21% in Massachusetts; top 29% in the U.S. |
| Registered Nurse hours | 0.74 | 0.65 | 0.69 | top 25% in Massachusetts; top 33% in the U.S. |
| Weekend total nurse staffing | 4.01 | 3.51 | 3.50 | top 17% in Massachusetts; top 22% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.30 | 0.46 | 0.48 | bottom 27% in Massachusetts; bottom 32% in the U.S. |
| Total nursing staff turnover (%) | 61.2 | 38.2 | 45.8 | bottom 4% in Massachusetts; bottom 15% in the U.S. |
| RN turnover (%) | 78.6 | 42.6 | 42.9 | bottom 4% in Massachusetts; bottom 6% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.76, RN 0.64, weekend 3.51. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: 3/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Alliance Health INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/15/2013 |
| Alliance Health Management Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/24/2019 |
| Alliance Health Management Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/24/2019 |
| Barkoudah, Wael | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/23/2025 |
| Barkoudah, Wael | Individual | ADP of the SNF | NOT APPLICABLE | 08/23/2025 |
| Brunetti, Tammy | Individual | Corporate Director | NOT APPLICABLE | 03/06/2019 |
| Calkins, Andrew | Individual | Corporate Director | NOT APPLICABLE | 02/24/2019 |
| Cooper, Stephen | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/09/2021 |
| Cooper, Stephen | Individual | ADP of the SNF | NOT APPLICABLE | 04/03/2025 |
| Corridan, Linda | Individual | Corporate Director | NOT APPLICABLE | 02/24/2019 |
| Dedham Institution for Savings | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 12/31/2024 |
| Grady, Francis | Individual | Corporate Director | NOT APPLICABLE | 07/15/2013 |
| Grady, Francis | Individual | Corporate Officer | NOT APPLICABLE | 06/22/2016 |
| Gray, Alfred | Individual | Corporate Director | NOT APPLICABLE | 03/06/2019 |
| Janisko, Jerome | Individual | Corporate Director | NOT APPLICABLE | 02/24/2019 |
| Jennings, Michael | Individual | Corporate Director | NOT APPLICABLE | 09/25/2024 |
| Jones, Erik | Individual | Corporate Director | NOT APPLICABLE | 02/24/2019 |
| Kemp, Paul | Individual | Corporate Officer | NOT APPLICABLE | 06/22/2016 |
| Lavallee, Thomas | Individual | Corporate Officer | NOT APPLICABLE | 06/22/2016 |
| Mourtzinos, Arthur | Individual | Corporate Director | NOT APPLICABLE | 02/24/2019 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "How many hours a day is a registered nurse physically in the building, including weekends?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "How do you help residents maintain their daily living skills, and how do you measure whether it's working?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Reservoir Center for Health & Rehabilitation, the | 2.6 mi | Marlborough, MA | ★★★☆☆ | 3/5 | |
| Sudbury Pines Extended Care | 3.2 mi | Sudbury, MA | ★★☆☆☆ | 2/5 | |
| Oak Knoll Rehabilitation and Healthcare Center | 4.1 mi | Framingham, MA | ★★★☆☆ | 3/5 | |
| Marlborough Hills Rehabilitation & Health Care Cen | 4.2 mi | Marlborough, MA | ★☆☆☆☆ | 1/5 | |
| St Patrick's Manor | 4.8 mi | Framingham, MA | ★★★★☆ | 3/5 | |
| Carlyle House | 5.3 mi | Framingham, MA | ★☆☆☆☆ | 2/5 | |
| Vantage at Sudbury LLC | 5.5 mi | Sudbury, MA | ★★☆☆☆ | 2/5 | |
| Casa de Ramana Rehabilitation Center | 5.6 mi | Framingham, MA | ★★★★☆ | 4/5 | |
| Whittier Westborough Transitional Care Unit | 6.1 mi | Westborough, MA | ★★★★★ | 4/5 | |
| Bethany Skilled Nursing Facility | 6.7 mi | Framingham, MA | ★★★★★ | 5/5 | |
| Beaumont Rehab & Skilled Nursing Ctr - Westboro | 7.1 mi | Westborough, MA | ★★★☆☆ | 3/5 | |
| Waterview Lodge LLC, Rehabilitation & Healthcare | 7.5 mi | Ashland, MA | ★★★☆☆ | 2/5 |
Compare this facility with the 3 closest →
All facilities in Marlborough →
Facility data as of CMS processing date 2026-08-01. CCN 225619.