Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Marshall Health Care And Rehab

MACHIAS, ME · 64 certified beds · Last Life Safety survey June 26, 2025

CMS Certification Number 205109 · first certified January 1993

Ownership

Operated by FIRST ATLANTIC HEALTHCARE · For profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

22
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
9
Inspection & testing records
Of the citations on file

Position within ME

22 citations — more than 71% of the 78 certified nursing homes in ME. Compared within ME rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 2 citations; the earlier surveys in the window averaged 10. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (July 2026 to September 2026). Most ME facilities have been surveyed by December 2027. This facility’s last Life Safety survey was June 2025. Facilities in ME are typically surveyed 13–15 months after the last one (median 14), measured over 115 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

4 of the 22 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

1 physical-environment citation on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 22 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in ME, and nationally. Surveyors differ markedly between states, so the ME figure is the meaningful one.

This facility22ME median17National median11
Citations on file over three years, compared
MeasureCitations
This facility22
Median facility in ME17
Median facility nationally11

Survey history

Citations at each Life Safety survey
192023-0412024-0622025-06
Citations at each Life Safety survey
Survey dateCitations
April 5, 202319
June 12, 20241
June 26, 20252

Most-cited tags

Most-cited tags at this facility
K-03632K-03532K-02222K-03211K-02111K-09191K-07611E-00391
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0363Install corridor and hallway doors that block smoke.22025-06-26
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-06-26
K-0222Add 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.22024-06-12
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12023-04-05
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12023-04-05
K-0919Meet requirements for the use of electrical equipment.12023-04-05
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12023-04-05
E-0039Conduct testing and exercise requirements.12023-04-05

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 8
  • Emergency Preparedness Deficiencies 4
  • Miscellaneous Deficiencies 4
  • Egress Deficiencies 3
  • Other 3
Citations by CMS category
CategoryCitations
Smoke Deficiencies8
Emergency Preparedness Deficiencies4
Miscellaneous Deficiencies4
Egress Deficiencies3
Gas, Vacuum, and Electrical Systems Deficiencies3

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

June 26, 2025 — 2 citations

Citations issued on June 26, 2025
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 1, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (August 1, 2025)

June 12, 2024 — 1 citation

Citations issued on June 12, 2024
TagWhat the surveyor checksStatus
K-0222Add 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.Deficient, Provider has date of correction (July 23, 2024)

April 5, 2023 — 19 citations

Citations issued on April 5, 2023
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (May 3, 2023)
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (May 3, 2023)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (May 3, 2023)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (May 3, 2023)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (May 3, 2023)
K-0222Add 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.Deficient, Provider has date of correction (May 3, 2023)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (May 3, 2023)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (May 3, 2023)
K-0331Construct fire resistant interior walls.Deficient, Provider has date of correction (May 3, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (May 3, 2023)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (May 3, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (May 3, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (May 3, 2023)
K-0751Have restrictions on the use of flammable curtains.Deficient, Provider has date of correction (May 3, 2023)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (May 3, 2023)
K-0791Ensure 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.Deficient, Provider has date of correction (May 3, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (May 3, 2023)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (May 3, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (May 3, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.