Alliance Health At Marie Esther is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1994-02-18. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (508) 485-3791 or your local Medicaid office to verify current eligibility.

Alliance Health At Marie Esther holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 4 out of 5 stars. This is made up of three components: Health Inspection (4★), Staffing (4★), and Quality of Resident Care (4★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 74.0/100, placing it #6426 of 14703 facilities nationally and #148 of 341 in Massachusetts. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Alliance Health At Marie Esther receives a reported average of 3 hours 54 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 51 minutes; Licensed Practical Nurse (LPN) — 53 minutes; Nurse Aide — 2 hours 10 minutes. On weekends, total nurse staffing is 3 hours 24 minutes per resident per day. The CMS Staffing Rating for this facility is 4 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 57.5%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 1 fine(s) totaling $7,901. 2 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $7,901, and 0 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 29.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Alliance Health At Marie Esther ranks 6426th out of 14,703 facilities (composite score: 74.0/100), placing it in the above average nationwide. Within MA, it ranks 148th out of 341 nursing homes. In Marlborough, it ranks 2nd out of 3 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 3. For 2026 staffing: total nurse hours rank #5,492 nationally and RN hours rank #3,158 nationally (#48 in MA). Our composite quality score of 74.0/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Marlborough, visit: https://nursinghomesnearme.org/massachusetts/marlborough/