Alliance Health at Marie Esther
720 BOSTON POST ROAD, Marlborough, MA 01752
Marlborough, Massachusetts · CMS verdict
CMS rates Alliance Health at Marie Esther at 4 of 5 stars overall - above-average on the federal scale, and above the Massachusetts average of 3.0.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Alliance Health at Marie Esther in Marlborough, Massachusetts holds a CMS overall rating of 4 of 5 stars and a PlainElderCare Quality & Compliance Index of 78 of 100 (grade C). The 78-bed facility operates where a semi-private nursing-home room in Massachusetts runs a median of $14,448 per month. Figures are from CMS Nursing Home Compare.
PlainElderCare Quality & Compliance Index
A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 4 of 5 stars. How this is calculated.
How the 78 is built
Each segment is a dimension's weighted points toward the score, summing to 78.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Data insights
Quality ratings
CMS's most recent Care Compare release (data as of April 2026) puts Alliance Health at Marie Esther's overall quality rating at 4 out of 5 stars, a composite of three sub-ratings: health inspection (4/5), staffing (4/5), and quality measures (4/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Marlborough, Massachusetts, this facility operates 78 certified beds with an average daily census of roughly 33 residents - an occupancy rate of about 42%. The facility is classified under non profit - corporation ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 42% occupancy, this facility is running well below its certified bed capacity, worth asking why directly.
Same-ownership peers
Within Massachusetts, Alliance Health at Marie Esther is one of 79 non profit - corporation nursing homes CMS rates. Its 4-star overall rating sits above the non profit - corporation-segment average of 3.8 stars, ahead of roughly 35% of same-ownership peers in the state. Peer comparisons within the same ownership type are more apples-to-apples than a state-wide average, since for-profit, non-profit, and government operators tend to differ systematically in staffing and reinvestment.
Inspection record
On the regulatory side, federal and state surveyors have documented a moderate number of deficiencies at this facility (7 total). CMS has levied 1 enforcement penalty - civil money penalties or denials of payment, during the same window. This volume of findings is worth reading past the count: CMS's F-tag scale separates isolated, low-harm citations from widespread or immediate-jeopardy ones, and only the full report shows which this facility has.
Where these figures come from
The figures above come directly from the U.S. Centers for Medicare \& Medicaid Services Nursing Home Compare dataset for federal quality ratings, combined with the CareScout 2025 Cost of Care Survey of more than 15,000 elder-care providers nationwide and U.S. Census American Community Survey income data. Cost figures are monthly medians, refreshed annually with each new CareScout release; quality ratings are refreshed quarterly from the CMS Provider Information File. Read these state and county medians as benchmarks, then verify current rates with individual providers and consult care managers before making placement decisions. See our methodology for source vintage.
How Alliance Health at Marie Esther compares to Massachusetts
CMS five-star sub-ratings (0–5) for this facility against the Massachusetts facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Massachusetts state average. Higher is better on all four CMS measures.
Where Alliance Health at Marie Esther ranks in Massachusetts
Among the 338 CMS-rated nursing homes in Massachusetts, Alliance Health at Marie Esther’s 4-star overall rating is higher than 60% of them. The bars show how all Massachusetts homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
62 Massachusetts homes share this 4-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 78 |
| Residents | 33 |
| Ownership | Non profit - Corporation |
| County | Middlesex |
| Penalties | 1 |
| Deficiencies | 7 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Alliance Health at Marie Esther? ▾
4 out of 5 stars is Alliance Health at Marie Esther's current CMS overall rating, built from a health inspection rating of 4/5, a staffing rating of 4/5, and a quality measures rating of 4/5.
How much does a nursing home cost per month in Massachusetts? ▾
In Massachusetts, a semi-private nursing home room runs a median $14,448/month ($173,375/year) per the CareScout 2025 survey; private rooms average $15,817/month.
What services does Alliance Health at Marie Esther offer? ▾
Alliance Health at Marie Esther operates as a skilled nursing facility (78 beds with approximately 33 current residents) under non profit - corporation ownership. CMS inspections have recorded 7 deficiencies and 1 penalties there.
Does Alliance Health at Marie Esther have any deficiencies or penalties? ▾
Alliance Health at Marie Esther has multiple deficiencies (7 total) and 1 penalties recorded by CMS. A count in this range makes it worth asking staff or the facility directly which findings were minor paperwork versus resident-care issues.
What are the alternatives to a nursing home in Massachusetts? ▾
In Massachusetts, alternatives include assisted living ($9,600/mo), home health aides ($7,627/mo), and adult day care ($2,427/mo).
Elder Care Guides
Explore PlainElderCare
Related Resources
Compare cost and CMS quality across the state on the Massachusetts elder-care overview, or see how facilities rank nationwide in our highest-rated states ranking.
Weigh nursing care against assisted living, home health, and adult day care, with national median costs, on our care types comparison, and learn how to fund it in our paying for elder care guide.
Source: CMS Nursing Home Compare. Provider ID: 225619.
Read our methodology - how this data is sourced, computed, and verified.