All citations for Marlborough Hills Rehabilitation & Health Care Cen

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Marlborough Hills Rehabilitation & Health Care Cen

Last standard health inspection on record

March 11, 2025

Showing 1 to 25 of 69 citations

Immediate jeopardy to resident health or safety
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Isolated (one or a few residents). CMS level J.
Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of March 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 3, 2025).
Harm to a resident
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Isolated (one or a few residents). CMS level G.
Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of March 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 3, 2025).
No harm, with potential for more than minimal harm
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Widespread (many residents). CMS level F.
Health citation F-0838, Administration Deficiencies. Inspection of March 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 3, 2025).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Widespread (many residents). CMS level F.
Health citation F-0880, Infection Control Deficiencies. Inspection of March 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 3, 2025).
No harm, with potential for more than minimal harm
Conduct testing and exercise requirements.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of March 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 28, 2025).
No harm, with potential for more than minimal harm
Provide at least two remote exits on each floor or fire section of the building.
Widespread (many residents). CMS level F.
Fire safety citation K-0252, Egress Deficiencies. Inspection of March 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 28, 2025).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of March 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 28, 2025).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Widespread (many residents). CMS level F.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of March 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 28, 2025).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of March 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 28, 2025).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of March 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 28, 2025).
No harm, with potential for more than minimal harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Widespread (many residents). CMS level F.
Fire safety citation K-0521, Services Deficiencies. Inspection of March 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 28, 2025).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of March 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 28, 2025).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of March 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 28, 2025).
No harm, with potential for more than minimal harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Widespread (many residents). CMS level F.
Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 28, 2025).
No harm, with potential for more than minimal harm
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Widespread (many residents). CMS level F.
Fire safety citation K-0927, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 28, 2025).
No harm, with potential for more than minimal harm
Develop and maintain an Emergency Preparedness Program (EP).
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of December 22, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (January 9, 2024).
No harm, with potential for more than minimal harm
Address patient/client population and determine types of services needed.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0007, Emergency Preparedness Deficiencies. Inspection of December 22, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (January 12, 2024).
No harm, with potential for more than minimal harm
Develop a communication plan.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0029, Emergency Preparedness Deficiencies. Inspection of December 22, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (January 9, 2024).
No harm, with potential for more than minimal harm
List the names and contact information of those in the facility.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of December 22, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (January 5, 2024).
No harm, with potential for more than minimal harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Widespread (many residents). CMS level F.
Fire safety citation K-0211, Egress Deficiencies. Inspection of December 22, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (January 20, 2024).
No harm, with potential for more than minimal harm
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Widespread (many residents). CMS level F.
Fire safety citation K-0225, Egress Deficiencies. Inspection of December 22, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (January 15, 2024).
No harm, with potential for more than minimal harm
Provide at least two remote exits on each floor or fire section of the building.
Widespread (many residents). CMS level F.
Fire safety citation K-0252, Egress Deficiencies. Inspection of December 22, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (February 5, 2024).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of December 22, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (January 11, 2024).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Widespread (many residents). CMS level F.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of December 22, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (January 20, 2024).
No harm, with potential for more than minimal harm
Provide a written emergency evacuation plan.
Widespread (many residents). CMS level F.
Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of December 22, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (January 16, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.