Federal inspection record · CMS data as of October 1, 2026
Marshall Nursing and Rehabilitation Community
575 N Madison Street, Marshall, MI · (269) 781-4281
- Certified beds
- 60
- Residents per day
- 47
- Ownership
- For-Profit
- Chain
- Atrium Centers
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 29, 1969
1
How this home got 1 star
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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Michigan.
-
Staffing
★★★★★no change
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
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Michigan homes
Marshall Nursing and Rehabilitation Community carries 191.75 inspection points. That is fewer than 10% of Michigan's 420 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Michigan: 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★ 0–18 pts
- 4★ 18–46 pts
- 3★ 46–78 pts
- 2★ 78–123 pts
- 1★ over 123 pts
Bars show every rated home in Michigan 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
79 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 (3)
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Provide safe, appropriate pain management for a resident who requires such services.
-
J
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Everything else, by area of care
Quality of Life and Care20E
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Assist a resident in gaining access to vision and hearing services.
- E
Provide activities to meet all resident's needs.
- E
Ensure the activities program is directed by a qualified professional.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide or obtain dental services for each resident.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide 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.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Try 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.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Assessment and Care Planning9E
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Assess the resident when there is a significant change in condition
- D
Ensure each resident receives an accurate assessment.
- D
Ensure each resident receives an accurate assessment.
- 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.
Resident Rights8F
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- D
Honor 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.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- F
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Honor 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.
Nutrition and Dietary8F
- E
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Dispose of garbage and refuse properly.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Pharmacy Service7F
- D
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
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
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.
- D
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.
- F
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.
- D
Ensure medication error rates are not 5 percent or greater.
Infection Control6F
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Educate 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.
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Nursing and Physician Services5F
- E
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- E
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- D
Observe each nurse aide's job performance and give regular training.
- D
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Freedom from Abuse, Neglect, and Exploitation5F
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- F
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Administration5E
- E
Have a plan that describes the process for conducting QAPI and QAA activities.
- E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- D
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
- D
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
- D
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Environmental3F
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspection history
2026-08-06
19 health deficiencies · 7 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
2025-09-08
23 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
2024-09-20
37 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (13 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 38 min of nursing staff time a day, 36 min of it from a registered nurse.
This home
3 h 38 min
Michigan average
4 h 2 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 63% of nursing staff and 75% of registered nurses left in the past year, along with 3 administrators.
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
$52,007 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-08-20 | Payment Denial · 19 day denial | $0 |
| 2024-08-30 | Fine | $52,007 |
| 2024-08-30 | Payment Denial · 33 day denial | $0 |
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 | 2.0 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts worse | 2.0 | 1.6 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine13.4 pts worse | 82.0% | 95.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.6 pts worse | 88.9% | 95.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3 pts better | 0.0% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5.6 pts worse | 10.1% | 4.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.8 pts worse | 8.3% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication9.3 pts better | 10.1% | 19.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.8 pts worse | 18.5% | 14.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened5 pts better | 6.1% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.3 pts worse | 11.0% | 10.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder2.3 pts worse | 3.0% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.3 pts better | 1.2% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.8 pts worse | 21.2% | 19.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers9.6 pts worse | 14.6% | 5.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.7 pts worse | 73.7% | 83.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.5 pts better | 11.2% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better | 0.0% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine0.7 pts worse | 80.8% | 81.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission8.2 pts worse | 32.1% | 23.9% | 23.4% |
·
Who owns and runs it
37 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 |
|---|---|---|---|
| Atrium Centers, LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 17 facilities |
| Albright Ross, Susan | Operational/Managerial Control · Individual | 0% | 25 facilities |
| Albright Ross, Susan | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 25 facilities |
| Albright Ross, Susan | Adp Of The SNF · Individual | 0% | 25 facilities |
| Amicus Capital Holdings Inc | Operational/Managerial Control · Organization | 0% | 13 facilities |
| Amicus Capital Holdings Inc | Adp Of The SNF · Organization | 0% | 13 facilities |
| Amicus Capital Holdings, Inc. Employee Stock Ownership Trust | Adp Of The SNF · Organization | 0% | 12 facilities |
| Amicus Properties LLC | Adp Of The SNF · Organization | 0% | 13 facilities |
| Anderson, Curt | Operational/Managerial Control · Individual | 0% | 12 facilities |
| Anderson, Curt | Adp Of The SNF · Individual | 0% | 12 facilities |
| Atrium Centers Management LLC | Operational/Managerial Control · Organization | 0% | 26 facilities |
| Atrium Centers, LLC | Operational/Managerial Control · Organization | 0% | 17 facilities |
| Bailey, Essel | Corporate Director · Individual | 0% | 23 facilities |
| Broad River Rehabilitation | Adp Of The SNF · Organization | 0% | 20 facilities |
| Cherry, Jill | Operational/Managerial Control · Individual | 0% | 12 facilities |
| Cherry, Jill | Adp Of The SNF · Individual | 0% | 12 facilities |
| Evergreen Two LLC | Adp Of The SNF · Organization | 0% | 4 facilities |
| Finney, Donald | Corporate Director · Individual | 0% | 23 facilities |
| Forvis Mazars Llp | Adp Of The SNF · Organization | 0% | 295 facilities |
| Gardner, Leslie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Gardner, Leslie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hendershot, Neil | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hendershot, Neil | Adp Of The SNF · Individual | 0% | 1 facilities |
| Israel, Robert | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Israel, Robert | Adp Of The SNF · Individual | 0% | 2 facilities |
| Johnson, Cindy | Managing Control - Governing Body · Individual | 0% | 11 facilities |
| Johnson, Cindy | Operational/Managerial Control · Individual | 0% | 11 facilities |
| Johnson, Cindy | Adp Of The SNF · Individual | 0% | 11 facilities |
| La Rocco, Chrissie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| La Rocco, Chrissie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Leaderstat Ltd | Adp Of The SNF · Organization | 0% | 13 facilities |
| Lument Real Estate Capital LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 44 facilities |
| Ocs Real Estate Holdings LLC | Adp Of The SNF · Organization | 0% | 13 facilities |
| Omnicare LLC | Adp Of The SNF · Organization | 0% | 43 facilities |
| Orion Properties Sixteen Alpha LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Paredes, Miguel | Adp Of The SNF · Individual | 0% | 12 facilities |
| Plante & Moran Pllc | Adp Of The SNF · Organization | 0% | 65 facilities |
·
Fire safety
21 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke10F
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Properly provide smoke detection systems in areas open to corridors.
- F
Install corridor and hallway doors that block smoke.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Provide properly protected cooking facilities.
- E
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems5F
- F
Ensure proper usage of power strips and extension cords.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
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
Install emergency lighting that can last at least 1 1/2 hours.
- E
Have exits that are accessible at all times.
Services1F
- F
Have properly installed electrical wiring and gas equipment.
Construction1F
- F
Meet other general requirements.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
·
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