Nursing homeActive
Alliance Health At Marie Esther
720 Boston Post Road, Marlborough, MA 01752508485379178 certified beds · 33 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
7
● 0● 6● 1
Penalties · 3 yrs
$7,901
1 fine
Last survey
2025-09-05
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 3
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Massachusetts Department of Public Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-09-05 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2024-07-09 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2023-09-28 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2023-04-14 | Standard | 010 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Massachusetts Department of Public Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-16Record 225619-20250905-F695
F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-10-16Record 225619-20250905-F727
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-16Record 225619-20250905-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-16Record 225619-20250905-F812
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-16Record 225619-20250905-F883
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-10-25Record 225619-20230928-F600
F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-22Record 225619-20230414-F676
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2023-09-28 | Civil money penalty | $7,901 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.64
Facility
Massachusetts
National
Massachusetts 0.65 · National 0.69
Total nurse hours per resident day3.76
Facility
Massachusetts
National
Massachusetts 3.86 · National 3.86
Weekend total nurse hours3.51
Facility
Massachusetts
National
Massachusetts 3.48 · National 3.42
Total nursing staff turnover61%
Facility
Massachusetts
National
Massachusetts 38% · National 46%
Registered nurse turnover79%
Facility
Massachusetts
National
Massachusetts 43% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Massachusetts | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.8% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 8.5% | 3.4% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 0.0% | 21.4% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 7.0% | 1.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 21.5% | 16.4% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 1.1% | 5.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 14.9% | 19.5% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Alliance Health Inc Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Alliance Health Management Services LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Barkoudah, Wael Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Cooper, Stephen Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Alliance Health Management Services LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Barkoudah, Wael Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Brunetti, Tammy Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Calkins, Andrew Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Cooper, Stephen Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Corridan, Linda Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Dedham Institution For Savings Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Grady, Francis Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Grady, Francis Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Gray, Alfred Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Janisko, Jerome Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Jennings, Michael Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Jones, Erik Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Kemp, Paul Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Lavallee, Thomas Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Mourtzinos, Arthur Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Riley, James Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Robbins, Christopher Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Zampine, Peter Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Part of a chain
Alliance Health & Human Services — 8 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Massachusetts.
No county cost figures on file for Middlesex.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Reservoir Center For Health & Rehabilitation, The Marlborough | 2.6 mi | 2026-01-13 | 2230 |
| Sudbury Pines Extended Care Sudbury | 3.2 mi | 2026-04-22 | 3290 |
| Oak Knoll Rehabilitation And Healthcare Center Framingham | 4.1 mi | 2026-02-13 | 0112 |
| Marlborough Hills Rehabilitation & Health Care Cen Marlborough | 4.2 mi | 2026-06-16 | 1282 |
| St Patrick's Manor Framingham | 4.8 mi | 2026-05-12 | 3123 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |