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 27 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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 December 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 20, 2024).

  12. 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 December 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 20, 2024).

  13. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 15, 2024).

  14. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of December 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 26, 2024).

  15. 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.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 18, 2024).

  16. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of May 21, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 6, 2025).

  17. No harm, with potential for more than minimal harm

    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 D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of May 21, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 6, 2025).

  18. No harm, with potential for more than minimal harm

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0742, Quality of Life and Care Deficiencies. Inspection of May 21, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 6, 2025).

  19. No harm, with potential for more than minimal harm

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0553, Resident Rights Deficiencies. Inspection of March 19, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 14, 2025).

  20. No harm, with potential for more than minimal harm

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0623, Resident Rights Deficiencies. Inspection of March 19, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 14, 2025).

  21. No harm, with potential for more than minimal harm

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0552, Resident Rights Deficiencies. Inspection of December 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 18, 2024).

  22. No harm, with potential for more than minimal harm

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0553, Resident Rights Deficiencies. Inspection of December 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 18, 2024).

  23. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of December 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 18, 2024).

  24. No harm, with potential for more than minimal harm

    Ensure services provided by the nursing facility meet professional standards of quality.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of December 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 18, 2024).

  25. No harm, with potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of December 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 18, 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.