Starfile / Michigan

Marshall Nursing and Rehabilitation Community

575 N Madison Street, Marshall, MI 49068 · CCN 235174

Inspection history vs Michigan & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$105,860

Number of fines

2

Number of penalties

4

Payment denials

2

Chain

Chain

ATRIUM CENTERS

Facilities in chain

26

Chain avg overall

3.20 / 5

Inspection citations (72)1 immediate jeopardy2 actual harm

1. DF0578Honor 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.2025-09-08 · Health · corrected 2025-12-09

   Potential for more than minimal harm

2. DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-09-08 · Health · corrected 2025-12-09

   Potential for more than minimal harm

3. DF0637Assess the resident when there is a significant change in condition2025-09-08 · Health · corrected 2025-10-22

   Potential for more than minimal harm

4. DF0641Ensure each resident receives an accurate assessment.2025-09-08 · Health · corrected 2025-10-22

   Potential for more than minimal harm

5. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-09-08 · Health · corrected 2025-10-22

   Potential for more than minimal harm

6. EF0679Provide activities to meet all resident's needs.2025-09-08 · Health · corrected 2025-12-09

   Potential for more than minimal harm

7. EF0680Ensure the activities program is directed by a qualified professional.2025-09-08 · Health · corrected 2025-12-09

   Potential for more than minimal harm

8. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-09-08 · Health · corrected 2025-10-22

   Potential for more than minimal harm

9. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-09-08 · Health · corrected 2025-12-09

   Potential for more than minimal harm

10. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-09-08 · Health · corrected 2025-12-09

    Potential for more than minimal harm

11. DF0761Ensure 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.2025-09-08 · Health · corrected 2025-10-22

    Potential for more than minimal harm

12. DF0791Provide or obtain dental services for each resident.2025-09-08 · Health · corrected 2025-10-22

    Potential for more than minimal harm

13. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-09-08 · Health · corrected 2025-12-09

    Potential for more than minimal harm

14. EF0865Have a plan that describes the process for conducting QAPI and QAA activities.2025-09-08 · Health · corrected 2025-12-09

    Potential for more than minimal harm

15. FF0880Provide and implement an infection prevention and control program.2025-09-08 · Health · corrected 2025-12-09

    Potential for more than minimal harm

16. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-09-08 · Health · corrected 2025-10-22

    Potential for more than minimal harm

17. DF0887Educate 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.2025-09-08 · Health · corrected 2025-10-22

    Potential for more than minimal harm

18. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-09-08 · Health · corrected 2025-10-22

    Potential for more than minimal harm

19. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-08-20 · Health · corrected 2025-09-24

    Potential for more than minimal harm

20. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-05-29 · Health · corrected 2025-07-01

    Potential for more than minimal harm

21. DF0761Ensure 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.2025-05-29 · Health · corrected 2025-07-01

    Potential for more than minimal harm

22. FF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-02-12 · Health · corrected 2025-04-09

    Potential for more than minimal harm

23. EF0880Provide and implement an infection prevention and control program.2025-02-12 · Health · corrected 2025-04-09

    Potential for more than minimal harm

24. DF0584Honor 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.2024-09-20 · Health · corrected 2024-10-17

    Potential for more than minimal harm

25. FF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-09-20 · Health · corrected 2024-10-17

    Potential for more than minimal harm

26. DF0641Ensure each resident receives an accurate assessment.2024-09-20 · Health · corrected 2024-10-17

    Potential for more than minimal harm

27. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-09-20 · Health · corrected 2024-10-17

    Potential for more than minimal harm

28. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-09-20 · Health · corrected 2024-10-17

    Actual harm

29. DF0688Provide 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.2024-09-20 · Health · corrected 2024-11-20

    Potential for more than minimal harm

30. DF0692Provide enough food/fluids to maintain a resident's health.2024-09-20 · Health · corrected 2024-10-17

    Potential for more than minimal harm

31. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-09-20 · Health · corrected 2024-10-17

    Potential for more than minimal harm

32. GF0697Provide safe, appropriate pain management for a resident who requires such services.2024-09-20 · Health · corrected 2024-10-17

    Actual harm

33. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-09-20 · Health · corrected 2024-10-17

    Potential for more than minimal harm

34. DF0700Try 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.2024-09-20 · Health · corrected 2024-10-17

    Potential for more than minimal harm

35. DF0759Ensure medication error rates are not 5 percent or greater.2024-09-20 · Health · corrected 2024-11-20

    Potential for more than minimal harm

36. EF0761Ensure 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.2024-09-20 · Health · corrected 2024-11-20

    Potential for more than minimal harm

37. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-09-20 · Health · corrected 2024-10-17

    Potential for more than minimal harm

38. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-09-20 · Health · corrected 2024-10-17

    Potential for more than minimal harm

39. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-09-20 · Health · corrected 2024-10-17

    Potential for more than minimal harm

40. FF0814Dispose of garbage and refuse properly.2024-09-20 · Health · corrected 2024-10-17

    Potential for more than minimal harm

41. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2024-09-20 · Health · corrected 2024-10-17

    Potential for more than minimal harm

42. EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-09-20 · Health · corrected 2024-11-20

    Potential for more than minimal harm

43. FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-09-20 · Health · corrected 2024-11-20

    Potential for more than minimal harm

44. DF0880Provide and implement an infection prevention and control program.2024-08-30 · Health · corrected 2024-09-16

    Potential for more than minimal harm

45. FF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-05-24 · Health · corrected 2024-07-24

    Potential for more than minimal harm

46. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2024-05-24 · Health · corrected 2024-06-25

    Potential for more than minimal harm

47. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-05-24 · Health · corrected 2024-06-25

    Potential for more than minimal harm

48. DF0730Observe each nurse aide's job performance and give regular training.2024-05-24 · Health · corrected 2024-06-25

    Potential for more than minimal harm

49. DF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2024-05-24 · Health · corrected 2024-06-25

    Potential for more than minimal harm

50. DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-05-24 · Health · corrected 2024-06-25

    Potential for more than minimal harm

51. DF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2024-05-24 · Health · corrected 2024-06-25

    Potential for more than minimal harm

52. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-03-14 · Health · corrected 2024-04-19

    Potential for more than minimal harm

53. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-03-14 · Health · corrected 2024-04-19

    Potential for more than minimal harm

54. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-03-14 · Health · corrected 2024-04-19

    Potential for more than minimal harm

55. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-03-14 · Health · corrected 2024-04-19

    Potential for more than minimal harm

56. JF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2023-10-11 · Health · corrected 2023-10-30

    Immediate jeopardy

57. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-10-11 · Health · corrected 2023-11-23

    Potential for more than minimal harm

58. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-10-11 · Health · corrected 2023-11-23

    Potential for more than minimal harm

59. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-10-11 · Health · corrected 2023-10-30

    Potential for more than minimal harm

60. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-10-11 · Health · corrected 2023-10-30

    Potential for more than minimal harm

61. DF0583Keep residents' personal and medical records private and confidential.2023-08-02 · Health · corrected 2023-09-05

    Potential for more than minimal harm

62. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-08-02 · Health · corrected 2023-09-05

    Potential for more than minimal harm

63. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-08-02 · Health · corrected 2023-09-05

    Potential for more than minimal harm

64. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-08-02 · Health · corrected 2023-09-05

    Potential for more than minimal harm

65. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2023-08-02 · Health · corrected 2023-09-05

    Potential for more than minimal harm

66. DF0761Ensure 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.2023-08-02 · Health · corrected 2023-09-05

    Potential for more than minimal harm

67. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-08-02 · Health · corrected 2023-09-05

    Potential for more than minimal harm

68. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-08-02 · Health · corrected 2023-09-05

    Potential for more than minimal harm

69. DF0880Provide and implement an infection prevention and control program.2023-08-02 · Health · corrected 2023-09-05

    Potential for more than minimal harm

70. DF0881Implement a program that monitors antibiotic use.2023-08-02 · Health · corrected 2023-09-05

    Potential for more than minimal harm

71. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-04-05 · Health · corrected 2023-05-01

    Potential for more than minimal harm

72. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-04-05 · Health · corrected 2023-05-01

    Potential for more than minimal harm

Ownership

Other facilities in Marshall

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.