Machias, ME

Marshall Health Care And Rehab

3-star overall rating with 3-star inspections with $10,358 in total fines with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

16 Beal Street, Machias, ME

(207) 255-3387

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

64

Certified beds

Average residents

56

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

First Atlantic Healthcare

Operator or chain grouping

Approved since

1993-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

10 facilities

Chain averages 3 overall / 3 health / 4 staffing / 3 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

1.11

Registered nurse staffing · state 1.03 · national 0.68

LPN hours / resident day

0.21

Licensed practical nurse staffing · state 0.47 · national 0.87

Aide hours / resident day

2.40

Nurse aide staffing · state 2.86 · national 2.35

Total nurse hours

3.72

All reported nurse hours · state 4.35 · national 3.89

Licensed hours

1.32

RN + LPN hours · state 1.49 · national 1.54

Weekend hours

3.40

Weekend nurse staffing · state 3.91 · national 3.43

Weekend RN hours

0.90

Weekend registered nurse coverage · state 0.73 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

1.14

CMS adjusted RN staffing hours

Adjusted total hours

3.84

CMS adjusted total nurse staffing hours

Case-mix index

1.33

Higher values indicate more complex resident acuity

RN turnover

20%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

34%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,827

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

47.48

Composite VBP score used to determine payment impact.

Payment multiplier

1.0010

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.89

Performance 18.70% · Measure score 5.89 · Achievement 5.89 · This facility did not have sufficient data to calculate a baseline period measure result.

Healthcare-associated infections

3.57

Performance 6.77% · Measure score 3.57 · Achievement 3.57 · This facility did not have sufficient data to calculate a baseline period measure result.

Total nurse turnover

4.01

Baseline 40.00% · Performance 47.27% · Measure score 4.01 · Achievement 4.01 · Improvement 0

Adjusted total nurse staffing

5.52

Baseline 3.27 hours · Performance 4.65 hours · Measure score 5.52 · Achievement 5.52 · Improvement 4.99

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.04%
10.72%
0.7 pts better
No Different than the National Rate · Eligible stays 54 · Observed rate 7.41% · Lower 95% interval 6.87%
Discharge to community 43.96%
50.57%
6.6 pts worse
No Different than the National Rate · Eligible stays 52 · Observed rate 36.54% · Lower 95% interval 33.36%
Medicare spending per beneficiary 0.85
1.02
0.2 pts better
Drug regimen review with follow-up 97.3%
95.27%
2 pts better
Numerator 36 · Denominator 37
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 37
Discharge self-care score 31.25%
53.69%
22.4 pts worse
Numerator 10 · Denominator 32
Discharge mobility score 43.75%
50.94%
7.2 pts worse
Numerator 14 · Denominator 32
Pressure ulcers or injuries, new or worsened 2.7%
2.29%
0.4 pts worse
Numerator 1 · Denominator 37 · Adjusted rate 2.42%
Healthcare-associated infections requiring hospitalization 6.77%
7.12%
0.4 pts better
No Different than the National Rate · Eligible stays 39 · Observed rate 5.13% · Lower 95% interval 3.52%
Staff COVID-19 vaccination coverage 4.21%
8.2%
4 pts worse
Numerator 4 · Denominator 95
Staff flu vaccination coverage 88.66%
42%
46.7 pts better
Numerator 86 · Denominator 97
Discharge function score 53.13%
56.45%
3.3 pts worse
Numerator 17 · Denominator 32
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.3
1.4
0.1 pts better
1.9
0.6 pts better
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.2 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 6.6
2.1
4.5 pts worse
1.8
4.8 pts worse
Long Stay · 20240701-20250630 · Adjusted 6.6 · Observed 6.3 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
90.7%
9.3 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
95.5%
4.5 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 2.7%
4.3%
1.6 pts better
3.3%
0.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.0% · Q3 4.4% · Q4 2.1% · 4Q avg 2.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 1.7%
10.7%
9 pts better
11.4%
9.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.7%
Percentage of long-stay residents who lose too much weight 8.0%
5.5%
2.5 pts worse
5.4%
2.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 12.8% · Q3 4.9% · Q4 7.0% · 4Q avg 8.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 21.2%
17.0%
4.2 pts worse
19.6%
1.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 29.5% · Q2 26.5% · Q3 11.9% · Q4 15.9% · 4Q avg 21.2%
Percentage of long-stay residents who received an antipsychotic medication 19.3%
21.0%
1.7 pts better
16.7%
2.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 15.9% · Q3 16.2% · Q4 21.6% · 4Q avg 19.3% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.0%
About the same
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 40.0%
29.6%
10.4 pts worse
16.3%
23.7 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 40.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 37.4%
25.7%
11.7 pts worse
14.9%
22.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 39.0% · Q2 40.0% · Q3 25.0% · Q4 43.9% · 4Q avg 37.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.4%
1.3%
0.1 pts worse
1.0%
0.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.9% · Q3 2.1% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 1.1%
2.7%
1.6 pts better
1.7%
0.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 4.3% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 38.4%
29.8%
8.6 pts worse
19.8%
18.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 35.3% · Q2 34.1% · Q3 33.9% · Q4 50.0% · 4Q avg 38.4%
Percentage of long-stay residents with pressure ulcers 5.7%
4.4%
1.3 pts worse
5.1%
0.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 4.0% · Q3 6.2% · Q4 7.0% · 4Q avg 5.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 87.9%
71.2%
16.7 pts better
81.7%
6.2 pts better
Short Stay · 2024Q4-2025Q3 · Q1 85.7% · Q2 87.9% · Q3 92.2% · Q4 85.5% · 4Q avg 87.9%
Percentage of short-stay residents who had an outpatient emergency department visit 26.6%
15.6%
11 pts worse
12.0%
14.6 pts worse
Short Stay · 20240701-20250630 · Adjusted 26.6% · Observed 24.3% · Expected 10.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.4%
1.4 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3 · Q2 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 81.2%
74.5%
6.7 pts better
79.7%
1.5 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 81.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 24.1%
20.5%
3.6 pts worse
23.9%
0.2 pts worse
Short Stay · 20240701-20250630 · Adjusted 24.1% · Observed 18.9% · Expected 18.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-26 · Fire 2025-06-26

8 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-06-12 · Fire 2024-06-12

14 health deficiencies

Top issue: Resident Assessment and Care Planning (5 deficiencies)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2023-04-05 · Fire 2023-04-05

8 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

19 fire-safety deficiencies

Top issue: Smoke (6 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-06-26

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-08-01

D · Potential for more than minimal harm 2025-06-26

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-08-01

F · Potential for more than minimal harm 2024-06-12

K222 · Egress Deficiencies

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.

Corrected 2024-07-23

F · Potential for more than minimal harm 2023-04-05

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2023-05-03

F · Potential for more than minimal harm 2023-04-05

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-05-03

F · Potential for more than minimal harm 2023-04-05

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-05-03

F · Potential for more than minimal harm 2023-04-05

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2023-05-03

F · Potential for more than minimal harm 2023-04-05

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-05-03

F · Potential for more than minimal harm 2023-04-05

K331 · Smoke Deficiencies

Fire Safety

Construct fire resistant interior walls.

Corrected 2023-05-03

F · Potential for more than minimal harm 2023-04-05

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-05-03

F · Potential for more than minimal harm 2023-04-05

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-05-03

F · Potential for more than minimal harm 2023-04-05

K791 · Miscellaneous Deficiencies

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.

Corrected 2023-05-03

F · Potential for more than minimal harm 2023-04-05

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-05-03

D · Potential for more than minimal harm 2023-04-05

K222 · Egress Deficiencies

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.

Corrected 2023-05-03

D · Potential for more than minimal harm 2023-04-05

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-05-03

D · Potential for more than minimal harm 2023-04-05

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-05-03

D · Potential for more than minimal harm 2023-04-05

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-05-03

D · Potential for more than minimal harm 2023-04-05

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-05-03

D · Potential for more than minimal harm 2023-04-05

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-05-03

D · Potential for more than minimal harm 2023-04-05

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2023-05-03

D · Potential for more than minimal harm 2023-04-05

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-05-03

C · Minimal harm 2023-04-05

K751 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of flammable curtains.

Corrected 2023-05-03

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-08-19

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-09-03

G · Actual harm 2025-06-26

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-07-21

E · Potential for more than minimal harm 2025-06-26

F711 · Nursing and Physician Services Deficiencies

Health

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Corrected 2025-07-21

E · Potential for more than minimal harm 2025-06-26

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-07-21

E · Potential for more than minimal harm 2025-06-26

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-07-21

D · Potential for more than minimal harm 2025-06-26

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-07-21

D · Potential for more than minimal harm 2025-06-26

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-07-21

D · Potential for more than minimal harm 2025-06-26

F940 · Administration Deficiencies

Health

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Corrected 2025-07-21

E · Potential for more than minimal harm 2024-06-12

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-07-01

E · Potential for more than minimal harm 2024-06-12

F712 · Nursing and Physician Services Deficiencies

Health

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Corrected 2024-08-27

E · Potential for more than minimal harm 2024-06-12

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-08-27

E · Potential for more than minimal harm 2024-06-12

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2024-07-01

D · Potential for more than minimal harm 2024-06-12

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-07-01

D · Potential for more than minimal harm 2024-06-12

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-07-01

D · Potential for more than minimal harm 2024-06-12

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2024-07-19

D · Potential for more than minimal harm 2024-06-12

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-07-01

D · Potential for more than minimal harm 2024-06-12

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-07-01

D · Potential for more than minimal harm 2024-06-12

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-07-01

D · Potential for more than minimal harm 2024-06-12

F711 · Nursing and Physician Services Deficiencies

Health

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Corrected 2024-07-01

D · Potential for more than minimal harm 2024-06-12

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2024-08-27

B · Minimal harm 2024-06-12

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-07-02

D · Potential for more than minimal harm 2024-04-23

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-05-10

E · Potential for more than minimal harm 2023-04-05

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2023-05-05

E · Potential for more than minimal harm 2023-04-05

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-05-08

E · Potential for more than minimal harm 2023-04-05

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-05-05

E · Potential for more than minimal harm 2023-04-05

F803 · Nutrition and Dietary Deficiencies

Health

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.

Corrected 2023-05-05

D · Potential for more than minimal harm 2023-04-05

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-05-08

D · Potential for more than minimal harm 2023-04-05

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2023-05-05

D · Potential for more than minimal harm 2023-04-05

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2023-05-05

D · Potential for more than minimal harm 2023-04-05

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-05-05

Penalties and ownership

What sits behind the stars

$10,358 2025-06-26

Fine

Fine · fine $10,358

Fine

Ownership

Coffin, Craig

5% Or Greater Indirect Ownership Interest · Individual

50% 11 facilities 2011-03-01
Forum Management LLC

5% Or Greater Direct Ownership Interest · Organization

34% 1 facilities 2011-03-01
Faraday Holdings, LLC

5% Or Greater Direct Ownership Interest · Organization

33% 1 facilities 2016-11-01
Bowden, Kenneth

5% Or Greater Indirect Ownership Interest · Individual

17% 11 facilities 2011-03-01
Coffin, Craig

5% Or Greater Direct Ownership Interest · Individual

15% 11 facilities 2011-03-01
Bowden, Kenneth

Operational/Managerial Control · Individual

0% 11 facilities 2011-03-01
Bowden, Kenneth

Corporate Officer · Individual

0% 11 facilities 2011-03-01
Coffin, Craig

Operational/Managerial Control · Individual

0% 11 facilities 2011-03-01
Coffin, Craig

Corporate Officer · Individual

0% 11 facilities 2011-03-01
First Atlantic Healthcare

Operational/Managerial Control · Organization

0% 8 facilities 2013-01-01

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