All states › Maine › Machias › Marshall Health Care and Rehab
16 Beal Street Machias, ME 04654 · Washington County
CMS certification number 205109 · See this home on Medicare Care Compare
Is Marshall Health Care and Rehab a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Marshall Health Care and Rehab as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Maine average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.70 hours per resident per day at Marshall Health Care and Rehab, below the Maine median of 4.31 (US median: 3.72). About 1.04 of those hours are from registered nurses. On weekends it falls to 3.40 hours, 8% below its all-week average. 28.8% of nursing staff left within a year (Maine median 45.2%). That is lower than most homes in Maine, a sign of a steadier team.
About this nursing home
Paying for care at Marshall Health Care and Rehab: Medicare and Medicaid
Marshall Health Care and Rehab is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Maine's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on June 26, 2025 and found 7 deficiencies. In total, inspectors issued 30 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 30 citations at Marshall Health Care and Rehab across 5 inspection dates, 2 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on June 26, 2025. The most common areas cited were resident assessment and care planning (6) and quality of life and care (5). The most serious was cited under the CMS rule to "provide appropriate treatment and care according to orders, resident’s preferences and goals" (tag F0684, level G, June 26, 2025). 3 citations were under CMS's abuse, neglect and exploitation rules.
August 19, 2025 · 1 citation · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
June 26, 2025 · 7 citations, includes actual harm
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EEnsure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EEnsure 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.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DDevelop, implement, and/or maintain an effective training program for all new and existing staff members.
June 12, 2024 · 13 citations
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
EEnsure that the resident and his/her doctor meet face-to-face at all required visits.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EDevelop and implement policies and procedures for flu and pneumonia vaccinations.
DEnsure each resident receives an accurate assessment.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide enough food/fluids to maintain a resident's health.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
DSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
BProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
April 23, 2024 · 1 citation · includes complaint inspection
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
April 5, 2023 · 8 citations
EEnsure that residents are fully informed and understand their health status, care and treatments.
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EEnsure 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.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DPASARR screening for Mental disorders or Intellectual Disabilities
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Questions to ask on a tour of Marshall Health Care and Rehab
- Inspectors cited the home at the actual-harm level on June 26, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on August 19, 2025. How are staff trained, and how are concerns reported?
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $31,308 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Sep 3, 2026 | Fine | $20,950 |
| Jun 26, 2025 | Fine | $10,358 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 3/5 | 5/5 | 1/5 |
| August 2026 | 3/5 | 3/5 | 5/5 | 1/5 |
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Location
Hospitals near Marshall Health Care and Rehab
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.5 mi
Down East Community Hospital MachiasEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 15m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Marshall Health Care and Rehab › All nursing homes in Machias ›
Compare Marshall Health Care and Rehab with the 3 closest homes side by side ›
Other First Atlantic Healthcare nursing homes in Maine
- Seaside Healthcare · Portland · 5 stars
- Katahdin Health Care · Millinocket · 5 stars
- Hawthorne House · Freeport · 4 stars
- Hibbard Skilled Nursing & Rehabilitation Center · Dover Foxcroft · 4 stars
- Stillwater Health Care · Bangor · 4 stars
- Caribou Rehab and Nursing Center · Caribou · 3 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 11 First Atlantic Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.