Marshall Nursing and Rehabilitation Community
575 N Madison Street · Marshall, MI · 49068 · 2697814281
60 certified beds For profit - Limited Liability company Chain: Atrium Centers
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $52,007 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$52,007 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
63% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.59 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.60 | 0.55–0.75 |
| Weekend hours / resident-day | 3.06 | ≈ weekday level |
| Nursing turnover / year | 63% | median 45% |
| Fines (3-yr window) | 2 · $105,860 |
Inspection citations (76 in the current record)
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Potential for harm · D March 24, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 24, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 24, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected April 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 4, 2026 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 23, 2026 · Nutrition and Dietary
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Potential for harm · D March 4, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 23, 2026 · Infection Control
-
Potential for harm · D February 5, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 25, 2026 · Resident Assessment and Care Planning
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Potential for harm · D September 8, 2025
Honor 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.
Corrected December 9, 2025 · Resident Rights
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Potential for harm · D September 8, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected December 9, 2025 · Resident Rights
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Potential for harm · D September 8, 2025
Assess the resident when there is a significant change in condition
Corrected October 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 8, 2025
Ensure each resident receives an accurate assessment.
Corrected October 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 8, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 22, 2025 · Quality of Life and Care
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Potential for harm · E September 8, 2025
Provide activities to meet all resident's needs.
Corrected December 9, 2025 · Quality of Life and Care
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Potential for harm · E September 8, 2025
Ensure the activities program is directed by a qualified professional.
Corrected December 9, 2025 · Quality of Life and Care
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Potential for harm · D September 8, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 22, 2025 · Quality of Life and Care
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Potential for harm · D September 8, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 9, 2025 · Quality of Life and Care
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Potential for harm · E September 8, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected December 9, 2025 · Pharmacy Service
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Potential for harm · D September 8, 2025
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.
Corrected October 22, 2025 · Pharmacy Service
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Potential for harm · D September 8, 2025
Provide or obtain dental services for each resident.
Corrected October 22, 2025 · Quality of Life and Care
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Potential for harm · F September 8, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 9, 2025 · Nutrition and Dietary
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Potential for harm · E September 8, 2025
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected December 9, 2025 · Administration
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Potential for harm · F September 8, 2025
Provide and implement an infection prevention and control program.
Corrected December 9, 2025 · Infection Control
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Potential for harm · D September 8, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected October 22, 2025 · Infection Control
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Potential for harm · D September 8, 2025
Educate 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.
Corrected October 22, 2025 · Infection Control
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Potential for harm · E September 8, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected October 22, 2025 · Environmental
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Potential for harm · D August 20, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 24, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 20, 2025 | Payment Denial | 19 days |
| August 30, 2024 | Fine | $52,007 |
| August 30, 2024 | Payment Denial | 33 days |
| October 11, 2023 | Fine | $53,853 |
| October 11, 2023 | Payment Denial | 22 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235174 · certified since May 29, 1969. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.