Marlborough Hills Rehabilitation & Health Care Cen
MARLBOROUGH HILLS REHABILITATION & HEALTH CARE CEN in MARLBOROUGH, MA — inspection on October 14, 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.
Inspection Findings
During an interview of 09/17/25 at 3:15 P.M., the Director of Nursing (DON) said Facility staff had not transferred Resident #1 utilizing a Hoyer lift in accordance with his/her plan of care, as required. On 10/14/25, the Facility was found to be in Past Non-Compliance effective 09/24/25, and provided the Surveyor with a plan of correction which addressed the area of concern as evidenced by: A) The Facility discussed the area of concern at Quality Assurance Performance Improvement Committee meeting in September 2025 and initiated a Quality Improvement Plan. B) 09/17/25, the Facility implemented disciplinary actions for CNA#1 and CNA #2. C) 09/17/25, the Assistant Director of Nursing (ADON) conducted audits of all residents utilizing mechanical lift for compliance with transfer status, and skin condition to identify inconsistencies against observed head to toe assessments. D) 09/17/25, the Staff Development Coordinator (SDC) initiated education to facility CNAs on providing safe transfers. E) 09/18/25, the SDC initiated education to facility CNAs on the importance of adherence to information on the individual resident Care Cards and upholding safe transfers. F) 09/23/25, the SDC conducted clinical competency assessments on transferring Residents using a mechanical lift for CNA #1 and CNA #2. G) The SDC will conduct follow up audits consisting of random visual observations of mechanical lift transfers three times a week for three months. H) The Facility will continue to monitor compliance at monthly and quarterly Quality Assurance Meetings. I) The Director of Nurses and/or designee are responsible for overall compliance.
Facility ID:
Frequently Asked Questions
More Reports
Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.