Marshall Health Care and RehabCMS ratings, inspections and fines
- Address
- 16 Beal Street, Machias, ME 04654
- CCN
- 205109
- Ownership type
- For-profit, corporation
- Certified beds
- 64
- Residents per day
- 59
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Marshall Health Care and Rehab an overall rating of 3 of 5 stars. The last standard survey was on 26 Jun 2025. The latest survey cycle has 8 health citations. The median for nursing homes in Maine is 10. CMS lists 1 fine of $10,358 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Washington County median | Maine median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 3 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 3 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 5 | 5.0 | 4.0 | 2.9 |
| Quality measure rating | 1 | 4.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 2 homes in the county, 78 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Maine median |
|---|---|---|---|
| Cycle 1 (latest) | 26 Jun 2025 | 8 | 10 |
| Cycle 2 | 12 Jun 2024 | 13 | 12 |
| Cycle 3 | No date | 9 | 7 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | C0 |
Survey cycle 1 (latest): 8 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 19 Aug 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 3 Sep 2025 |
| 26 Jun 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 21 Jul 2025 |
| 26 Jun 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Standard survey | 21 Jul 2025 |
| 26 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 21 Jul 2025 |
| 26 Jun 2025 | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | E | Standard survey | 21 Jul 2025 |
| 26 Jun 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 21 Jul 2025 |
| 26 Jun 2025 | F0761 | 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 | Standard survey | 21 Jul 2025 |
| 26 Jun 2025 | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | D | Standard survey | 21 Jul 2025 |
Survey cycle 2: 13 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 12 Jun 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard survey | 2 Jul 2024 |
| 12 Jun 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 1 Jul 2024 |
| 12 Jun 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 1 Jul 2024 |
| 12 Jun 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 19 Jul 2024 |
| 12 Jun 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 1 Jul 2024 |
| 12 Jun 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 1 Jul 2024 |
| 12 Jun 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 1 Jul 2024 |
| 12 Jun 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 1 Jul 2024 |
| 12 Jun 2024 | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | Standard survey | 1 Jul 2024 |
| 12 Jun 2024 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | Standard survey | 27 Aug 2024 |
| 12 Jun 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 27 Aug 2024 |
| 12 Jun 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Standard survey | 27 Aug 2024 |
| 12 Jun 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 1 Jul 2024 |
Survey cycle 3: 9 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 23 Apr 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 10 May 2024 |
| 5 Apr 2023 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Standard survey | 5 May 2023 |
| 5 Apr 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 8 May 2023 |
| 5 Apr 2023 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 5 May 2023 |
| 5 Apr 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 8 May 2023 |
| 5 Apr 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 5 May 2023 |
| 5 Apr 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 5 May 2023 |
| 5 Apr 2023 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Standard survey | 5 May 2023 |
| 5 Apr 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 5 May 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 26 Jun 2025 | Fine | $10,358 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Maine median | Maine average (CMS) |
|---|---|---|---|
| All nurse staff | 3.87 | 4.20 | 4.34 |
| Registered nurses (RN) | 1.12 | 1.00 | 1.05 |
| Licensed practical nurses (LPN) | 0.20 | 0.45 | |
| Nurse aides | 2.55 | 2.83 | |
| All nurse staff, weekends | 3.61 | 3.80 | 3.92 |
- Nurse staff turnover in a year
- 29.1%
- Nurse staff turnover, Maine median
- 46.9%
- RN turnover in a year
- 6.7%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Maine median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 32.5% | 24.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.8% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.9% | 3.8% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 35.5% | 25.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.5% | 4.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 18.2% | 19.4% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Marshall Healthcare
- Chain
- First Atlantic Healthcare (10 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Faraday Holdings, LLC | 5% or greater direct ownership interest | 67% | 30 Jun 2019 |
| KWB Holdings, LLC | 5% or greater direct ownership interest | 33% | 30 Jun 2019 |
| First Atlantic Healthcare Inc | Operational/managerial control | 30 Jun 2019 | |
| Faraday Holdings, LLC | Adp of the snf | 30 Jun 2019 | |
| First Atlantic Healthcare Inc | Adp of the snf | 23 Feb 2025 | |
| KWB Holdings, LLC | Adp of the snf | 30 Jun 2019 |
The site shows organisations only. It does not show the names of persons.
Other homes in Washington County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Eastport Memorial Nursing Home | Eastport | 2 of 5 | 12 | $0 | 11 Feb 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Maine Department of Health and Human Services: file a complaintThe complaint page of the State Survey Agency for Maine, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Marshall Health Care and Rehab (CCN 205109). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/marshall-health-care-and-rehab-machias-me-205109/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Marshall Health Care and Rehab last inspected?
- The latest inspection with a citation in the CMS record was on 19 Aug 2025. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 12 Jun 2024.
- Who operates Marshall Health Care and Rehab?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain First Atlantic Healthcare. The CMS ownership file names First Atlantic Healthcare Inc for operational or managerial control. This site does not show the names of persons.
- Is Marshall Health Care and Rehab a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Maine as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.