The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited June 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
Marshall Healthcare Facility
Registered name: Marshall Health Care And Rehab
MACHIAS, ME · Medicare-certified · 64 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
3 of 5 overall
Marshall Healthcare Facility in Machias, ME has a 3 out of 5 star overall rating, with strong staffing at 5 stars but low quality measures at 1 star. It was recently fined $10,358 and has a recent federal penalty; reported nurse staffing is 3.87 hours per resident per day, below the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
3.8743 hrs/resident/day
Quality measures
Last inspection: August 19, 2025Penalties, last 24 months: $10,358recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8743.
Staffing detail
- Registered nurses
- 1.12
- Licensed practical nurses
- 0.20
- Nurse aides
- 2.55
- Weekend nursing
- 3.61
Hours per resident per day.
Total staff turnover: 29%
Registered nurse turnover: 7%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
16.7%17.6%Worsening
Residents with a fall causing major injury
4.4%8.5%Worsening
Residents with pressure ulcers (bedsores)
6.2%6.1%No change
Residents with a urinary tract infection
0%8.9%Worsening
Residents who lost too much weight
4.9%5.4%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
25%37.8%Worsening
Residents whose ability to walk got worse
—35.5%—
Long-stay residents on antianxiety or sleep medication
11.9%17.9%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
2.1%0%Improving
Residents with new or worsening incontinence
33.9%33.1%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—81.2%—
Short-stay residents given the pneumonia vaccine
92.2%92.2%No change
What the inspectors found
The nursing home failed to ensure the resident’s doctor reviewed their care and properly wrote, signed, and dated required notes and orders during visits. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 711 — 42 CFR §483.30 — S/S: E
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited June 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $10,358 was recorded.
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 13 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $10,358 in total fines.
- $10,358
Federal fine
Jun 26, 2025
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of FIRST ATLANTIC HEALTHCARE · 10 homes · 3.4 stars avg
- Occupancy
- 59.3 residents on an average day (93% of 64 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 33 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.