Skip to main content
Health Inspection

Marlborough Hills Rehabilitation & Health Care Cen

March 11, 2025 · Marlborough, MA · 121 Northboro Road
Citations 1
CMS Rating 1/5
Beds 186
Provider ID 225063
Healthcare Facility
Marlborough Hills Rehabilitation & Health Care Cen
Marlborough, MA  ·  View full profile →
Inspection Summary

MARLBOROUGH HILLS REHABILITATION & HEALTH CARE CEN in MARLBOROUGH, MA — inspection on March 11, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Advertisement

Inspection Findings

FF838
Minimal harm or 47646 Few Peripherally Inserted Central Catheter (PICC: a flexible tube inserted through a vein in one's arm and passed affected

Review of facility policy titled Central Venous Access Device flushing, dated January 2022, indicated but was not limited to the following:

- .A prescriber order is required for VAD flushing.

The order will be specific with regards to flush solution, volume and frequency.

- Document procedure in resident's medical records, including but not limited to: date and time, site assessment, flushing agent and volume flushed, any complication, resident's response to procedure, and any resident/caregiver education.

Resident #176 was admitted to the facility in February 2025 with diagnoses including Endocarditis, valve unspecified (infection of the heart's inner lining usually involving the heart valve).

Review of the most recent Minimum Data Set (MDS) assessment, dated 2/14/25, indicated that Resident #176:

-was cognitively intact as evidenced by a Brief Interview for Mental Status exam score of 15 out of a possible 15.

225063

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 225063 B.

Wing 03/11/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Marlborough Hills Rehabilitation & Hlth Care Ctr 121 Northboro Road Marlborough, MA 01752

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in MARLBOROUGH, MA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from MARLBOROUGH HILLS REHABILITATION & HEALTH CARE CEN or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

Advertisement