SNF
RESERVOIR CENTER FOR HEALTH & REHABILITATION, THE
CCN: 225326 · MARLBOROUGH, MA 01752 · Middlesex County
Overview
- Address
- 400 BOLTON STREET, MARLBOROUGH, MA 01752
- Phone
- 5084816123
- Certified beds
- 144
- Avg daily residents
- 135 (94% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1990-07-01
- Setting
- Urban
3 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.88 | 4.09 | 3.66 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.61 | 0.72 | 0.58 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.04 | 0.91 | 0.98 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.23 | 2.47 | 2.10 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.65 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.02 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.55
hrs / resident / day
RN (weekend)
0.36
hrs / resident / day
Total nurse (adjusted, weekend)
3.35
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
37.1%
annual
RN turnover
29.4%
annual
Administrators departed
0
last 12 months
Resident acuity
Nursing Case-Mix Index
1.45
higher acuity than avg
Case-Mix Index Ratio
1.05
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2024-10-02 | 13 | 13 | 3 | 52 | 1 | 52 |
| Cycle 2/3 (prior) | 2023-07-11 | 4 | 3 | 1 | 32 | 1 | 32 |
Total weighted health score
47.0
lower is better
Deficiencies (36)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
1 A/B/C No actual harm — minor
34 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-10-15 | 2024-11-08 |
| 0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-10-15 | 2024-11-08 |
| 0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2024-10-15 | 2024-11-08 |
| 0760 | Ensure that residents are free from significant medication errors. | D | 2024-10-15 | 2024-11-08 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-10-02 | 2024-11-04 |
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-10-02 | 2024-11-04 |
| 0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | B | 2024-10-02 | 2024-11-04 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-10-02 | 2024-11-04 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2024-10-02 | 2024-11-04 |
| 0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | 2024-10-02 | 2024-11-04 |
| 0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2024-10-02 | 2024-11-04 |
| 0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-10-02 | 2024-11-04 |
| 0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2024-10-02 | 2024-11-04 |
| 0742 | 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. | D | 2024-10-02 | 2024-11-04 |
| 0760 | Ensure that residents are free from significant medication errors. | D | 2024-10-02 | 2024-11-04 |
| 0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2024-10-02 | 2024-11-04 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2024-10-02 | 2024-11-04 |
| 0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2023-07-11 | 2023-08-02 |
| 0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | 2023-07-11 | 2023-08-02 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-07-11 | 2023-08-02 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2021-10-26 | 2021-12-15 |
| 0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2021-10-26 | 2021-12-15 |
| 0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2021-10-26 | 2021-12-15 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2021-10-26 | 2021-12-15 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2021-10-26 | 2021-12-15 |
| 0679 | Provide activities to meet all resident's needs. | D | 2021-10-26 | 2021-12-15 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2021-10-26 | 2021-12-15 |
| 0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2021-10-26 | 2021-12-15 |
| 0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | 2021-10-26 | 2021-12-15 |
| 0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2021-10-26 | 2021-12-15 |
| 0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2021-10-26 | 2021-12-15 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2021-10-26 | 2021-12-15 |
| 0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | D | 2021-10-26 | 2021-12-15 |
| 0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2021-10-26 | 2021-12-15 |
| 0886 | Perform COVID19 testing on residents and staff. | E | 2021-10-26 | 2021-12-15 |
| 0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | E | 2021-10-26 | 2021-12-15 |
Penalties (1)
Fines issued
1
last 3 years
Total fines
$3,145
| Date | Type | Fine amount |
|---|---|---|
| 2023-07-24 | Fine | $3,145 |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 8.5% Medicaid 52.8% Other 38.7%
Operating performance
Operating Margin
-10.6%
Total Margin
-9.8%
Occupancy Rate
83.9%
Cost per Resident Day
$41
Revenue & costs
Net Patient Revenue
$16.0M
Total Costs
$1.8M
Net Income
-$1.6M
Balance sheet
Total Assets
$7.8M
Total Liabilities
$18.2M
Fund Balance
-$10.4M
Current Ratio
0.41
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: NATIONAL HEALTH CARE ASSOCIATES
- Chain ID
363- Facilities in chain
- 43
- Legal business name
- VK MARLBOROUGH, LLC
Chain-average star ratings (for peer context)
Overall
3.0
Health
2.7
Staffing
2.8
QM
4.1
Owner / manager organizations (1)
| Organization | Role | Association |
|---|---|---|
| VK HEALTH FACILITIES LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 01/15/2013 |
Owner / manager individuals (5)
| Name | Role | Association |
|---|---|---|
| IDUMWONYI, EGHOSA | OPERATIONAL/MANAGERIAL CONTROL | since 09/16/2024 |
| SHALLER, CAITLIN | OPERATIONAL/MANAGERIAL CONTROL | since 03/01/2023 |
| BOKOW, BARRY | CORPORATE DIRECTOR | since 01/28/2013 |
| GILMARTIN, THOMAS | CORPORATE DIRECTOR | since 01/28/2013 |
| OSTREICHER, MARVIN | CORPORATE DIRECTOR | since 01/28/2013 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $41 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.41 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 52.8% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 8.5% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-1,586,470 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $15,992,456 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 83.9% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -10.6% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $7,829,873 | metrics.total_assets |
| Cost Report | Total Costs ($) | $1,820,389 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-10,365,127 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $18,195,000 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -9.8% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.98237 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.10499 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.57718 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.66455 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.34887 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 134.8 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.90790 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.46747 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.71563 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 4.09100 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.60579 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.7 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 3.0 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 4.1 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 2.8 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 363 | Chain ID |
| Provider Information | Chain Name | NATIONAL HEALTH CARE ASSOCIATES | Chain Name |
| Provider Information | City/Town | MARLBOROUGH | City/Town |
| Provider Information | CMS Certification Number (CCN) | 225326 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Middlesex | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1990-07-01 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 3 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 42.3594 | Latitude |
| Provider Information | Legal Business Name | VK MARLBOROUGH, LLC | Legal Business Name |
| Provider Information | Location | 400 BOLTON STREET,MARLBOROUGH,MA,01752 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -71.552 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 144 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 43 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 1 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.44926 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.05198 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 3 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Limited Liability company | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 400 BOLTON STREET | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | RESERVOIR CENTER FOR HEALTH & REHABILITATION, THE | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 090 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 4 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 52 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 3 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 13 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2024-10-02 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 52 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 13 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 3 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2023-07-11 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 32 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 1 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 32 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 4 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.36066 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 29.4 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.65249 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.04091 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.23043 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.02033 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.61158 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.88292 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 3 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 3 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | MA | State |
| Provider Information | Telephone Number | 5084816123 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 3145.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.54843 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 1 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 37.1 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 47.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 01752 | ZIP Code |