Elder Care Record

Michigan › Calhoun County › Marshall

Marshall Nursing and Rehabilitation Community

575 N Madison Street, Marshall, MI 49068

CCN 235174 · For-profit, limited liability company · 60 certified beds · chain Atrium Centers

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Marshall Nursing and Rehabilitation Community is a For-profit, limited liability company nursing home in Marshall, Michigan, certified for 60 beds and caring for about 50 residents a day.

CMS gives it 1 of 5 stars overall, below the Michigan median of 3; the health inspection rating is 1, staffing 2 and quality measures 2.

Inspectors recorded 77 health deficiencies across the three most recent survey cycles (26, 25, 26 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 128.3 per 100 beds, more than the state median of 29.4.

CMS lists 5 penalties in the period covered: fines totalling $106K and 3 payment denials.

Reported nurse staffing is 3.3 hours per resident per day (0.5 RN), close to the Michigan median of 3.8; nursing staff turnover is 53.6%.

77health deficiencies, 3 survey cycles3 at actual harm or worse
$106Kfines listed by CMS5 penalties in period
3.3nurse hours per resident per daystate median 3.8
84%occupancy (residents ÷ beds)50 residents a day

Compared with county, state and nation

MeasureThis facilityCalhoun Co. medianMichigan medianUS average
Overall star rating1233.0
Health citations, 3 cycles77402928.7
Citations per 100 beds128.358.529.426.8
Total nurse hours per resident day3.33.43.83.9
RN hours per resident day0.50.60.70.7
Nursing staff turnover53.6%43.0%44.6%45.8%
Fines listed$105,860$0$0—

County and state figures are medians across facilities (8 in the county, 422 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)26
Cycle 225
Cycle 326

Dark bar: this facility. Grey bar: Michigan average per facility for the same cycle, as published by CMS. Standard health survey dates: 8 Sep 2025, 20 Sep 2024.

Severity mix: J ×1 G ×2 D ×52 E ×12 F ×10

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
14 May 2026F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EComplaint investigation17 Jun 2026
24 Mar 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation20 Apr 2026
24 Mar 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation20 Apr 2026
24 Mar 2026F0610Respond appropriately to all alleged violations.DComplaint investigation20 Apr 2026
4 Mar 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DComplaint investigation23 Mar 2026
4 Mar 2026F0880Provide and implement an infection prevention and control program.DComplaint investigation23 Mar 2026
5 Feb 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation25 Feb 2026
8 Sep 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey9 Dec 2025
8 Sep 2025F0880Provide and implement an infection prevention and control program.FStandard survey9 Dec 2025
8 Sep 2025F0679Provide activities to meet all resident's needs.EStandard survey9 Dec 2025
8 Sep 2025F0680Ensure the activities program is directed by a qualified professional.EStandard survey9 Dec 2025
8 Sep 2025F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard survey9 Dec 2025
8 Sep 2025F0865Have a plan that describes the process for conducting QAPI and QAA activities.EStandard survey9 Dec 2025
8 Sep 2025F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EStandard survey22 Oct 2025
8 Sep 2025F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard survey9 Dec 2025
8 Sep 2025F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard survey9 Dec 2025
8 Sep 2025F0637Assess the resident when there is a significant change in conditionDStandard survey22 Oct 2025
8 Sep 2025F0641Ensure each resident receives an accurate assessment.DStandard survey22 Oct 2025
8 Sep 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey22 Oct 2025
8 Sep 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey22 Oct 2025
8 Sep 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey9 Dec 2025
8 Sep 2025F0761Ensure 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.DStandard survey22 Oct 2025
8 Sep 2025F0791Provide or obtain dental services for each resident.DStandard survey22 Oct 2025
8 Sep 2025F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey22 Oct 2025
8 Sep 2025F0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.DStandard survey22 Oct 2025
20 Aug 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation24 Sep 2025
29 May 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation1 Jul 2025
29 May 2025F0761Ensure 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.DComplaint investigation1 Jul 2025
12 Feb 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.FComplaint investigation9 Apr 2025
12 Feb 2025F0880Provide and implement an infection prevention and control program.EComplaint investigation9 Apr 2025
20 Sep 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard survey17 Oct 2024
20 Sep 2024F0697Provide safe, appropriate pain management for a resident who requires such services.GStandard survey17 Oct 2024
20 Sep 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.FStandard survey17 Oct 2024
20 Sep 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey17 Oct 2024
20 Sep 2024F0814Dispose of garbage and refuse properly.FStandard survey17 Oct 2024
20 Sep 2024F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FStandard survey20 Nov 2024
20 Sep 2024F0761Ensure 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.EStandard survey20 Nov 2024
20 Sep 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey17 Oct 2024
20 Sep 2024F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EStandard survey20 Nov 2024
20 Sep 2024F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DStandard survey17 Oct 2024
20 Sep 2024F0641Ensure each resident receives an accurate assessment.DStandard survey17 Oct 2024
20 Sep 2024F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey17 Oct 2024
20 Sep 2024F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard survey20 Nov 2024
20 Sep 2024F0692Provide enough food/fluids to maintain a resident's health.DStandard survey17 Oct 2024
20 Sep 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey17 Oct 2024
20 Sep 2024F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey17 Oct 2024
20 Sep 2024F0700Try 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.DStandard survey17 Oct 2024
20 Sep 2024F0759Ensure medication error rates are not 5 percent or greater.DStandard survey20 Nov 2024
20 Sep 2024F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard survey17 Oct 2024
20 Sep 2024F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard survey17 Oct 2024
30 Aug 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation16 Sep 2024
24 May 2024F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.FComplaint investigation24 Jul 2024
24 May 2024F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EComplaint investigation25 Jun 2024
24 May 2024F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DComplaint investigation25 Jun 2024
24 May 2024F0730Observe each nurse aide's job performance and give regular training.DComplaint investigation25 Jun 2024
24 May 2024F0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.DComplaint investigation25 Jun 2024
24 May 2024F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DComplaint investigation25 Jun 2024
24 May 2024F0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.DComplaint investigation25 Jun 2024
14 Mar 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation19 Apr 2024
14 Mar 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation19 Apr 2024
14 Mar 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation19 Apr 2024
14 Mar 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation19 Apr 2024
11 Oct 2023F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.JComplaint investigation30 Oct 2023
11 Oct 2023F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint investigation30 Oct 2023
11 Oct 2023F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint investigation30 Oct 2023
11 Oct 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation23 Nov 2023
11 Oct 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation23 Nov 2023
2 Aug 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey5 Sep 2023
2 Aug 2023F0583Keep residents' personal and medical records private and confidential.DStandard survey5 Sep 2023
2 Aug 2023F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey5 Sep 2023
2 Aug 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey5 Sep 2023
2 Aug 2023F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey5 Sep 2023
2 Aug 2023F0758Implement 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.DStandard survey5 Sep 2023
2 Aug 2023F0761Ensure 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.DStandard survey5 Sep 2023
2 Aug 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey5 Sep 2023
2 Aug 2023F0880Provide and implement an infection prevention and control program.DComplaint investigation5 Sep 2023
2 Aug 2023F0881Implement a program that monitors antibiotic use.DComplaint investigation5 Sep 2023

Penalties

DateTypeAmountDetail
20 Aug 2025Payment denial—19 days
30 Aug 2024Payment denial—33 days
30 Aug 2024Fine$52,007
11 Oct 2023Payment denial—22 days
11 Oct 2023Fine$53,853

Staffing

Total nursing3.34 h
Nurse aides1.84 h
LPN0.95 h
RN0.55 h
Weekend total2.83 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Michigan average. Turnover: nursing staff 53.6%, RNs 66.7%; 3 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityMichigan medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay12.3%9.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay3.9%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.9%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay0.0%2.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay5.9%10.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay13.1%4.7%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay18.4%13.5%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Atrium Marshall Llc. Chain: Atrium Centers (26 facilities).

OrganisationRole in the CMS recordInterestSince
Atrium Centers, LLC5% or greater direct ownership interest100%10/01/2007
Lument Real Estate Capital LLC5% or greater mortgage interestNOT APPLICABLE05/01/2022
Amicus Capital Holdings IncOperational/managerial controlNOT APPLICABLE08/18/2021
Atrium Centers Management LLCOperational/managerial controlNOT APPLICABLE10/01/2007
Atrium Centers, LLCOperational/managerial controlNOT APPLICABLE08/20/2019
Amicus Capital Holdings IncAdp of the snfNOT APPLICABLE08/18/2021
Amicus Capital Holdings, Inc. Employee Stock Ownership TrustAdp of the snfNOT APPLICABLE08/18/2021
Amicus Properties LLCAdp of the snfNOT APPLICABLE01/01/2021
Broad River RehabilitationAdp of the snfNOT APPLICABLE09/01/2021
Evergreen Two LLCAdp of the snfNOT APPLICABLE01/09/2026
Forvis Mazars LLPAdp of the snfNOT APPLICABLE06/01/2023
Leaderstat LtdAdp of the snfNOT APPLICABLE01/01/2025
Ocs Real Estate Holdings LLCAdp of the snfNOT APPLICABLE01/01/2021
Omnicare LLCAdp of the snfNOT APPLICABLE01/01/2025
Orion Properties Sixteen Alpha LLCAdp of the snfNOT APPLICABLE05/01/2022

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Calhoun County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Evergreen Manor Senior Care CenterBattle Creek914441617.6—2 Apr 2026
The Oaks At Battle CreekBattle Creek774342127.3—5 Jun 2026
Majestic Care of Battle CreekBattle Creek653323858.5—16 Jan 2026
Pinnacle Care of Battle Creekabuse iconSFF CandidateBattle Creek82211113137.8$134K18 Jun 2026
The Laurels of BedfordBattle Creek1232234032.5—12 Jun 2026
Calhoun County Medical Care Facilityabuse iconBattle Creek1201211210.0—24 Apr 2026
Medilodge of Marshallabuse iconMarshall981135859.2$17K17 Jun 2026

All 8 facilities in Calhoun County

Questions and answers

How many deficiencies has Marshall Nursing and Rehabilitation Community been cited for?

77 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Michigan median is 29 per facility.

Has Marshall Nursing and Rehabilitation Community been fined?

Yes. CMS lists fines totalling $106K in the period covered, plus 3 payment denials.

How does staffing at Marshall Nursing and Rehabilitation Community compare?

Reported total nurse staffing is 3.3 hours per resident per day against a Michigan median of 3.8 and a national average of 3.9.

Who operates Marshall Nursing and Rehabilitation Community?

It is part of the Atrium Centers chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Atrium Centers, LLC, Amicus Capital Holdings Inc and Atrium Centers Management LLC. Individual owners and managers are not listed on this site.

When was Marshall Nursing and Rehabilitation Community last inspected?

The most recent survey or investigation in the CMS record is dated 14 May 2026; the most recent standard health survey was 8 Sep 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.