Alliance Health at Marie Esther: Staffing, Turnover, and Inspection Record
Alliance Health at Marie Esther is a 78-bed nonprofit nursing home in Marlborough, Massachusetts, part of Alliance Health & Human Services. In the CMS August 2026 release it reported 2.22 nurse aide hours per resident per day, about the same as the Massachusetts average of 2.26, and 61.2% nursing staff turnover (Massachusetts average 38.2%).
Alliance Health at Marie Esther
720 Boston Post RoadMarlborough, MA 01752
Middlesex County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Alliance Health at Marie Esther, nurse aides logged 2.22 hours per resident per day, about the same as the Massachusetts average. With about 33 residents a day, that works out to roughly 73 aide hours a day, or about 9 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 7% below the all-days figure.
| Hours per resident per day | This home | Massachusetts avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.22 | 2.26 | 2.32 |
| Licensed practical nurses | 0.90 | 0.95 | 0.86 |
| Registered nurses | 0.64 | 0.65 | 0.69 |
| All nursing staff | 3.76 | 3.86 | 3.86 |
| All nursing staff, weekends | 3.51 | 3.48 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
61.2% of nursing staff at Alliance Health at Marie Esther left over the year CMS measured, against a Massachusetts average of 38.2% and a US average of 45.8%. Registered nurse turnover was 78.6%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Sep 5, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 5 health deficiencies (Massachusetts average 7.2). CMS lists 1 fine totaling $7,901 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Sep 28, 2023 | Fine | $7,901 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Alliance Health at Marie Esther holds 4 of 5 overall; the Massachusetts average is 3.0.
About Alliance Health at Marie Esther
- Ownership: Non profit - Corporation
- Chain: Alliance Health & Human Services, 8 homes
- Legal name: Marie Esther Health Center Inc
- Medicare and Medicaid certified since: Feb 18, 1994
- Councils: resident council
- Area: urban
Nursing homes near Alliance Health at Marie Esther
The closest homes by distance, with the same CMS figures. Select a column to sort.
| The Reservoir Center for Health & Rehabilitation Marlborough | 2.6 | 144 | 2.21 | 3.95 | 33.6% | 3 | None |
| Sudbury Pines Extended Care Sudbury | 3.2 | 92 | 2.70 | 3.97 | 34.9% | 2 | None |
| Oak Knoll Rehabilitation and Healthcare Center Framingham | 4.1 | 123 | 2.08 | 3.79 | 41.4% | 3 | $211,819 |
| Marlborough Hills Rehabilitation & Health Care Cen Marlborough | 4.2 | 186 | 1.97 | 3.39 | 27.3% | 1 | $71,202 |
| St Patrick's Manor Framingham | 4.8 | 333 | 2.41 | 4.09 | 30.1% | 4 | $33,157 |
| Carlyle House Framingham · many days without an RN | 5.3 | 55 | 2.71 | 4.36 | 42.9% | 1 | $25,263 |
| Vantage at Sudbury LLC Sudbury | 5.5 | 142 | 2.02 | 3.59 | 31.9% | 2 | $15,672 |
| Casa de Ramana Rehabilitation Center Framingham | 5.6 | 124 | 1.94 | 3.58 | 24.1% | 4 | $8,512 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.