nursing home in Machias, ME
Marshall Health Care and Rehab
16 Beal Street, Machias, ME 04654 · (207) 255-3387
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★5
- Quality measures★★★★★1
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Marshall Health Care and Rehab at a glance
Marshall Health Care and Rehab is a 64-bed for-profit nursing home in Machias, Maine (Washington County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Maine average of 3.1.
Residents receive about 3.9 hours of nursing care per day (1.1 of them from registered nurses), worse than the state average of 4.3 hours.
Its most recent standard health inspection (June 26, 2025) found 7 health citations. The Maine average is 10.8.
Federal regulators fined it 1 time in the past three years, totaling $10,358.
Nursing staff turnover is 29.1% per year (state average 46.7%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 64
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- First Atlantic Healthcare
- Medicare-certified since
- January 1, 1993
- Resident/family council
- Resident
- County
- Washington County
- CMS Certification Number
- 205109
Ratings
| Measure | This facility | Maine avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3.1 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 5 / 5 | 4.1 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 2.5 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 3.3 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Maine avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.87 hrs | 4.34 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 1.12 hrs | 1.05 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.55 hrs | 2.83 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.61 hrs | 3.92 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 29.1% | 46.7% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 6.7% | 40.2% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Maine avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 7 | 11 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 69 | 81.3 | 80.6 | Better |
Penalties
| Measure | This facility | Maine avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 0 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $10,358 | $7,386 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Maine avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 64 | 75 | 107 | |
| Average residents per day | 59 | 65 | 86 | |
| Occupancy | 92.7% | 88.5% | 80.9% |
Long-stay residents
| Measure | This facility | Maine avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 5.9% | 4.1% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 6.5% | 4.3% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 18.2% | 20.2% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 3.8% | 2.2% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.5% | 1.1% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 32.5% | 24.4% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 35.5% | 25.6% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 5.5% | 5.2% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 11.6% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 16.6% | 17.4% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 38.6% | 29.2% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 95.5% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 92.3% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Maine avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 81.3% | 74.5% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 89.2% | 72.7% | 82% | Better |
Inspection citations
State inspectors cited this home for 30 health deficiencies and 22 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| August 19, 2025 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected September 3, 2025 |
| June 26, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected August 1, 2025 |
| June 26, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected August 1, 2025 |
| June 26, 2025 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | G Actual harm, isolated | Corrected July 21, 2025 |
| June 26, 2025 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected July 21, 2025 |
| June 26, 2025 Standard | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Nursing and Physician Services Deficiencies · Tag F0711 | E Potential harm, pattern | Corrected July 21, 2025 |
| June 26, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected July 21, 2025 |
| June 26, 2025 Standard | Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies · Tag F0940 | D Potential harm, isolated | Corrected July 21, 2025 |
| June 26, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected July 21, 2025 |
| June 26, 2025 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected July 21, 2025 |
| June 12, 2024 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | F Potential harm, widespread | Corrected July 23, 2024 |
| June 12, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected August 27, 2024 |
| June 12, 2024 Standard | Ensure that the resident and his/her doctor meet face-to-face at all required visits. Nursing and Physician Services Deficiencies · Tag F0712 | E Potential harm, pattern | Corrected August 27, 2024 |
| June 12, 2024 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected July 1, 2024 |
| June 12, 2024 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | E Potential harm, pattern | Corrected July 1, 2024 |
| June 12, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected July 1, 2024 |
| June 12, 2024 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected July 1, 2024 |
| June 12, 2024 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected July 19, 2024 |
| June 12, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected July 1, 2024 |
| June 12, 2024 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected July 1, 2024 |
| June 12, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected July 1, 2024 |
| June 12, 2024 Standard | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Nursing and Physician Services Deficiencies · Tag F0711 | D Potential harm, isolated | Corrected July 1, 2024 |
| June 12, 2024 Standard | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | D Potential harm, isolated | Corrected August 27, 2024 |
| June 12, 2024 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | B No harm, pattern | Corrected July 2, 2024 |
| April 23, 2024 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected May 10, 2024 |
| April 5, 2023 Fire safety | Construct fire resistant interior walls. Smoke Deficiencies · Tag K0331 | F Potential harm, widespread | Corrected May 3, 2023 |
| April 5, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected May 3, 2023 |
| April 5, 2023 Fire safety | Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency. Miscellaneous Deficiencies · Tag K0791 | F Potential harm, widespread | Corrected May 3, 2023 |
| April 5, 2023 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected May 3, 2023 |
| April 5, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected May 3, 2023 |
| April 5, 2023 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Corrected May 3, 2023 |
| April 5, 2023 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected May 3, 2023 |
| April 5, 2023 Fire safety | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Tag E0037 | F Potential harm, widespread | Corrected May 3, 2023 |
| April 5, 2023 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | F Potential harm, widespread | Corrected May 3, 2023 |
| April 5, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected May 3, 2023 |
| April 5, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected May 3, 2023 |
| April 5, 2023 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | D Potential harm, isolated | Corrected May 3, 2023 |
| April 5, 2023 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected May 3, 2023 |
| April 5, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected May 3, 2023 |
| April 5, 2023 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected May 3, 2023 |
| April 5, 2023 Fire safety | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0919 | D Potential harm, isolated | Corrected May 3, 2023 |
| April 5, 2023 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected May 3, 2023 |
| April 5, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected May 3, 2023 |
| April 5, 2023 Fire safety | Have restrictions on the use of flammable curtains. Miscellaneous Deficiencies · Tag K0751 | C No harm, widespread | Corrected May 3, 2023 |
| April 5, 2023 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | E Potential harm, pattern | Corrected May 5, 2023 |
| April 5, 2023 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected May 8, 2023 |
| April 5, 2023 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected May 5, 2023 |
| April 5, 2023 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0803 | E Potential harm, pattern | Corrected May 5, 2023 |
| April 5, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected May 5, 2023 |
| April 5, 2023 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected May 5, 2023 |
| April 5, 2023 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected May 5, 2023 |
| April 5, 2023 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected May 8, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $10,358 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| June 26, 2025 | Fine | $10,358 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| FARADAY HOLDINGS, LLC Organization | 5% or greater direct ownership interest | 67% | 06/30/2019 |
| KWB HOLDINGS, LLC Organization | 5% or greater direct ownership interest | 33% | 06/30/2019 |
| BOWDEN, KENNETH Individual | adp of the snf | NOT APPLICABLE | 06/30/2019 |
| COFFIN, CRAIG Individual | adp of the snf | NOT APPLICABLE | 06/30/2019 |
| FARADAY HOLDINGS, LLC Organization | adp of the snf | NOT APPLICABLE | 06/30/2019 |
| FIRST ATLANTIC HEALTHCARE INC Organization | adp of the snf | NOT APPLICABLE | 02/23/2025 |
| HOWARD, RAYMOND Individual | adp of the snf | NOT APPLICABLE | 01/01/2025 |
| KWB HOLDINGS, LLC Organization | adp of the snf | NOT APPLICABLE | 06/30/2019 |
| OTIS-HIGGINS, ANDREA Individual | adp of the snf | NOT APPLICABLE | 05/11/2015 |
| PELKEY, WANDA Individual | adp of the snf | NOT APPLICABLE | 10/01/2024 |
| SCHOPPEE, SIANA Individual | adp of the snf | NOT APPLICABLE | 07/01/2023 |
| PELKEY, WANDA Individual | corporate officer | NOT APPLICABLE | 10/01/2024 |
| FIRST ATLANTIC HEALTHCARE INC Organization | operational/managerial control | NOT APPLICABLE | 06/30/2019 |
| HOWARD, RAYMOND Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| OTIS-HIGGINS, ANDREA Individual | operational/managerial control | NOT APPLICABLE | 05/11/2015 |
| PELKEY, WANDA Individual | operational/managerial control | NOT APPLICABLE | 10/01/2024 |
| SCHOPPEE, SIANA Individual | operational/managerial control | NOT APPLICABLE | 07/01/2023 |
| COFFIN, CRAIG Individual | trustee of the snf | NOT APPLICABLE | 10/01/2024 |
Other nursing homes near Marshall Health Care and Rehab
- ★★★★★2Below average
Frequently asked questions
What is Marshall Health Care and Rehab's rating?
Marshall Health Care and Rehab has 3 out of 5 stars on the CMS overall star rating. The average for Maine nursing homes is 3.1 stars.
How many inspection citations did Marshall Health Care and Rehab receive?
Its most recent standard health inspection found 7 citations, compared with a Maine average of 10.8. Every citation is listed on this page with its severity.
Does Marshall Health Care and Rehab accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Marshall Health Care and Rehab?
It is for profit - corporation and part of First Atlantic Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Marshall Health Care and Rehab and how do I contact it?
Marshall Health Care and Rehab is at 16 Beal Street, Machias, ME 04654. Phone: (207) 255-3387.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.