Washington County, Maine · Nursing home
Marshall Health Care And Rehab
3 of 5 overall from CMS
16 Beal Street, Machias, ME 04654
At a glance
- Overall rating 3 of 5 Below the state average of 3.1
- Nurse time per resident, per day 3.87 hours Below the state average of 4.34
- Nursing staff who left in a year 29.1% Below the state average of 46.7%
- Health citations in 3 years 30 1 at the harm level or above
- Fines in 3 years $10,358 1 fine
- Certified beds in use 92.7% of 64 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Marshall Health Care And Rehab is a 64-bed nursing home in Machias, Maine (Washington County). CMS rates it 3 of 5 stars overall as of Aug 2026. It reports 3.87 nurse staffing hours per resident per day, below the Maine average of 4.34. CMS lists 1 fine totaling $10,358 in the past three years.
- Certified beds
- 64
- Residents per day (average)
- 59.3
- Certified since
- 1993 (33 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of First Atlantic Healthcare (10 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Questions to ask Marshall Health Care And Rehab
Chosen from this home's public data.
- CMS lists 1 fine totaling $10,358 in the past three years. What changed after the most recent one?Penalties in CMS data
- What is the daily private-pay rate, and are Medicaid beds available now?CMS does not publish prices
- Can we visit at a mealtime and again on a weekend?General
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 3 of 5 Maine average 3.1
- Health inspections 3 of 5 Maine average 2.9
- Staffing 5 of 5 Maine average 4.1
- Quality measures 1 of 5 Maine average 2.8
The vertical line marks the Maine average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.87 h Maine average 4.34
- Nurse aides 2.55 h Maine average 2.83
- Licensed practical nurses 0.20 h Maine average 0.45
- Registered nurses 1.12 h Maine average 1.05
- All staff, weekends 3.61 h Maine average 3.92
How much nurse staffing is enough? All bars share one scale, 0 to 7 hours. The vertical line marks the Maine average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover29.1%
- Maine average46.7%
- Registered nurse turnover6.7%
- Maine average40.2%
- Administrators who left0
Inspection history
Inspectors cited 30 health deficiencies in the past three years. Of these, 1 involved actual harm; the rest were graded as no actual harm. 2 followed a complaint investigation. The most recent citation at the harm level or above was on Jun 26, 2025: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
| Inspection date | Health | Fire safety |
|---|---|---|
| Jun 26, 2025 | 8 | 2 |
| Jun 12, 2024 | 13 | 1 |
| Apr 5, 2023 | 9 | 19 |
Maine homes averaged 11.0 health deficiencies in the latest cycle; the national average is 9.3.
Health citations, past three years (30)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Sep 3, 2025)
-
GActual harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 21, 2025)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (Jul 21, 2025)
-
EPotential for more than minimal harm, pattern
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · Deficient, Provider has date of correction (Jul 21, 2025)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (Jul 21, 2025)
Show 25 more
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (Jul 21, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 21, 2025)
-
DPotential for more than minimal harm, isolated
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Administration · Deficient, Provider has date of correction (Jul 21, 2025)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (Jul 1, 2024)
-
EPotential for more than minimal harm, pattern
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Nursing and Physician Services · Deficient, Provider has date of correction (Aug 27, 2024)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Aug 27, 2024)
-
EPotential for more than minimal harm, pattern
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control · Deficient, Provider has date of correction (Jul 1, 2024)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 1, 2024)
-
DPotential for more than minimal harm, isolated
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 1, 2024)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Jul 19, 2024)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Jul 1, 2024)
-
DPotential for more than minimal harm, isolated
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 1, 2024)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 1, 2024)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Jul 1, 2024)
-
DPotential for more than minimal harm, isolated
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration · Deficient, Provider has date of correction (Aug 27, 2024)
-
BPotential for minimal harm, pattern
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights · Deficient, Provider has date of correction (Jul 2, 2024)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 10, 2024)
-
EPotential for more than minimal harm, pattern
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights · Deficient, Provider has date of correction (May 5, 2023)
-
EPotential for more than minimal harm, pattern
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (May 8, 2023)
-
EPotential for more than minimal harm, pattern
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · Deficient, Provider has date of correction (May 5, 2023)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (May 5, 2023)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 8, 2023)
-
DPotential for more than minimal harm, isolated
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 5, 2023)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (May 5, 2023)
-
DPotential for more than minimal harm, isolated
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (May 5, 2023)
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Jun 26, 2025 | Fine | $10,358 |
Maine homes averaged 0.4 fines and $7,431 in fine amounts; the national averages are 0.9 and $31,093.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Maine
- Size47 of 78 by certified beds
- Maine average residents per day65.2
- ChainFirst Atlantic Healthcare
- Chain average overall rating3.4 of 5
- Resident or family councilResident
- Homes in Washington County2
Common questions
What is the CMS star rating for Marshall Health Care And Rehab?
Marshall Health Care And Rehab has an overall rating of 3 of 5 stars from CMS as of Aug 2026. Its health inspection rating is 3, staffing is 5 and quality measures is 1.
How many beds does Marshall Health Care And Rehab have?
Marshall Health Care And Rehab has 64 certified beds. It averages 59.3 residents per day, about 92.7% of its certified beds.
How much nursing care do residents get at Marshall Health Care And Rehab?
The home reports 3.87 hours of nurse staffing per resident per day, including 1.12 hours from registered nurses. The Maine average is 4.34 hours and 1.05 hours from registered nurses.
Has Marshall Health Care And Rehab been fined?
Yes. CMS lists 1 fine totaling $10,358 in the past three years.
Does Marshall Health Care And Rehab accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Nearest nursing homes
- 2 of 5 Eastport Memorial Nursing Home 26beds 93.5%in use 4.06nurse hours a day
- 2 of 5 Orono Commons 80beds 92.6%in use 3.54nurse hours a day
- 3 of 5 Maine Veterans Home - Bangor 120beds 90.7%in use 5.13nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Washington County
Who to call in Maine
These offices serve residents of every nursing home in Maine.
- Long-term care ombudsman Maine Long-Term Care Ombudsman Program 1-800-499-0229 A free advocate for residents and their families.
- File a complaint about a nursing home Division of Licensing and Certification 1-800-383-2441 The state agency that inspects nursing homes.
Maine staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Aug 1, 2026. CMS Certification Number 205109. Check the official record on Medicare.gov
See something shown incorrectly? Tell us. To change the underlying record, the home must contact CMS or its state survey agency.