Nursing homeActive
Marshall Health Care And Rehab
16 Beal Street, Machias, ME 04654207255338764 certified beds · 59 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
5
since 2023
Deficiencies
30
● 1● 28● 1
Penalties · 3 yrs
$10,358
1 fine
Last survey
2025-08-19
Complaint
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 5
Quality 1
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Maine Division of Licensing and Certification · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-08-19 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-06-26 | Standard | 061 | CMS-2567 (Care Compare) | — |
| 2024-06-12 | Standard | 1120 | CMS-2567 (Care Compare) | — |
| 2024-04-23 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-04-05 | Standard | 080 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Maine Division of Licensing and Certification publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-03Record 205109-20250819-F609
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-07-21Record 205109-20250626-F684
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-21Record 205109-20250626-F550
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-21Record 205109-20250626-F689
F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-21Record 205109-20250626-F711
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-21Record 205109-20250626-F755
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-21Record 205109-20250626-F761
F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-21Record 205109-20250626-F940
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-01Record 205109-20240612-F641
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-01Record 205109-20240612-F644
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-19Record 205109-20240612-F655
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-01Record 205109-20240612-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-01Record 205109-20240612-F657
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-01Record 205109-20240612-F692
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-01Record 205109-20240612-F695
F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-01Record 205109-20240612-F711
F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-27Record 205109-20240612-F712
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-27Record 205109-20240612-F812
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-27Record 205109-20240612-F867
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-01Record 205109-20240612-F883
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity BPaperwork
Dignity & rights
Pattern; potential for minimal harm.Corrected 2024-07-02Record 205109-20240612-F623
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-10Record 205109-20240423-F607
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-05-05Record 205109-20230405-F552
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-08Record 205109-20230405-F609
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-05Record 205109-20230405-F645
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-05-08Record 205109-20230405-F684
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-05-05Record 205109-20230405-F755
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-05Record 205109-20230405-F756
F803Ensure 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.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-05-05Record 205109-20230405-F803
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-05Record 205109-20230405-F812
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-06-26 | Civil money penalty | $10,358 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.12
Facility
Maine
National
Maine 1.05 · National 0.69
Total nurse hours per resident day3.87
Facility
Maine
National
Maine 4.34 · National 3.86
Weekend total nurse hours3.61
Facility
Maine
National
Maine 3.92 · National 3.42
Total nursing staff turnover29%
Facility
Maine
National
Maine 47% · National 46%
Registered nurse turnover7%
Facility
Maine
National
Maine 40% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Maine | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 6.5% | 4.3% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 5.9% | 4.1% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 18.2% | 20.2% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 3.8% | 2.2% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 32.5% | 24.4% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 5.5% | 5.2% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 16.6% | 17.4% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Faraday Holdings, LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 67% | — | — |
| Kwb Holdings, LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 33% | — | — |
| First Atlantic Healthcare Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Howard, Raymond Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Otis-Higgins, Andrea Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Pelkey, Wanda Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Schoppee, Siana Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bowden, Kenneth Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Coffin, Craig Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Coffin, Craig Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Faraday Holdings, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| First Atlantic Healthcare Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Howard, Raymond Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kwb Holdings, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Otis-Higgins, Andrea Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Pelkey, Wanda Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Pelkey, Wanda Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Schoppee, Siana Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
First Atlantic Healthcare — 10 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Maine.
No county cost figures on file for Washington.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Eastport Memorial Nursing Home Eastport | 27.0 mi | 2026-02-11 | 2450 |
| Orono Commons Orono | 60.6 mi | 2026-01-13 | 6291 |
| Maine Veterans Home - Bangor Bangor | 62.8 mi | 2025-12-16 | 1352 |
| Eastside Center For Health & Rehabilitation, LLC Bangor | 63.1 mi | 2026-04-01 | 3291 |
| Brewer Center For Health & Rehabilitation, LLC Brewer | 63.4 mi | 2026-06-23 | 1300 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |