Federal inspection record · CMS data as of October 1, 2026
Marshall Health Care And Rehab
16 Beal Street, Machias, ME · (207) 255-3387
- Certified beds
- 64
- Residents per day
- 61
- Ownership
- For-Profit
- Chain
- First Atlantic Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1993
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Maine.
-
Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★−1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Maine homes
Marshall Health Care And Rehab carries 69 inspection points. That is fewer than 49% of Maine's 77 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Maine: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–24 pts
- 4★ 24–55 pts
- 3★ 55–78 pts
- 2★ 78–115.5 pts
- 1★ over 115.5 pts
Bars show every rated home in Maine by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
30 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Resident Assessment and Care Planning6E
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure each resident receives an accurate assessment.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
Pharmacy Service4E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
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
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Quality of Life and Care4E
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nursing and Physician Services3E
- E
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
- E
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
- D
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Resident Rights3E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- B
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- E
Ensure that residents are fully informed and understand their health status, care and treatments.
Nutrition and Dietary3E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
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.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration2D
- D
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
- D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Infection Control1E
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspection history
2025-06-26
7 health deficiencies · 2 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2024-06-12
14 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
2023-04-05
9 health deficiencies · 19 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 42 min of nursing staff time a day, 1 h 3 min of it from a registered nurse.
This home
3 h 42 min
Maine average
4 h 23 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 29% of nursing staff and 13% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$31,308 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-09-03 | Fine | $20,950 |
| 2025-06-26 | Fine | $10,358 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts worse | 1.6 | 1.3 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days4.3 pts worse | 6.0 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.9 pts better | 100.0% | 93.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.1 pts better | 100.0% | 95.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.1 pts worse | 6.1% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms11.2 pts better | 0.5% | 11.7% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.2 pts worse | 5.3% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.4 pts worse | 19.0% | 17.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2 pts better | 17.5% | 19.5% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened10.1 pts worse | 34.0% | 23.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased8 pts worse | 32.3% | 24.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better | 0.5% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.6 pts worse | 4.7% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.4 pts worse | 33.6% | 28.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.2 pts worse | 5.6% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16.5 pts better | 89.2% | 72.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit18.6 pts worse | 34.0% | 15.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.5 pts better | 0.0% | 1.5% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine15 pts better | 92.2% | 77.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.5 pts worse | 27.1% | 20.6% | 23.4% |
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Who owns and runs it
18 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Faraday Holdings, LLC | 5% Or Greater Direct Ownership Interest · Organization | 67% | 1 facilities |
| Kwb Holdings, LLC | 5% Or Greater Direct Ownership Interest · Organization | 33% | 4 facilities |
| Bowden, Kenneth | Adp Of The SNF · Individual | 0% | 11 facilities |
| Coffin, Craig | Trustee Of The SNF · Individual | 0% | 11 facilities |
| Coffin, Craig | Adp Of The SNF · Individual | 0% | 11 facilities |
| Faraday Holdings, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| First Atlantic Healthcare Inc | Operational/Managerial Control · Organization | 0% | 12 facilities |
| First Atlantic Healthcare Inc | Adp Of The SNF · Organization | 0% | 12 facilities |
| Howard, Raymond | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Howard, Raymond | Adp Of The SNF · Individual | 0% | 1 facilities |
| Kwb Holdings, LLC | Adp Of The SNF · Organization | 0% | 4 facilities |
| Otis-Higgins, Andrea | Operational/Managerial Control · Individual | 0% | 12 facilities |
| Otis-Higgins, Andrea | Adp Of The SNF · Individual | 0% | 12 facilities |
| Pelkey, Wanda | Corporate Officer · Individual | 0% | 12 facilities |
| Pelkey, Wanda | Operational/Managerial Control · Individual | 0% | 12 facilities |
| Pelkey, Wanda | Adp Of The SNF · Individual | 0% | 12 facilities |
| Schoppee, Siana | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Schoppee, Siana | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
22 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke8F
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
- F
Construct fire resistant interior walls.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Provide properly protected cooking facilities.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Install corridor and hallway doors that block smoke.
Emergency Preparedness4F
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Conduct risk assessment and an All-Hazards approach.
Miscellaneous4F
- F
Have simulated fire drills held at unexpected times.
- F
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.
- D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- C
Have restrictions on the use of flammable curtains.
Egress3F
- F
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.
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
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.
Gas, Vacuum, and Electrical Systems3F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Meet requirements for the use of electrical equipment.
- D
Ensure proper usage of power strips and extension cords.
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Other homes nearby
-
Eastport Memorial Nursing Home
Eastport, ME
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 11 min
- Fines
- $0
-
Orono Commons
Orono, ME · Genesis Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 29 min
- Fines
- $10,358
-
Maine Veterans Home - Bangor
Bangor, ME · Maine Veterans' Home
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 5 h 2 min
- Fines
- $74,698