Deficiency timeline
Marshall Nursing and Rehabilitation Community
Dated inspection findings, penalties, and correction notes for this nursing home in Marshall, MI. Newest events first.
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0726: Nursing and Physician Services
Nursing & physician services
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected Jun 17, 2026
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0609: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Apr 20, 2026
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0610: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Respond appropriately to all alleged violations.
Corrected Apr 20, 2026
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0600: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected Apr 20, 2026
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected Mar 23, 2026
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0812: Nutrition and Dietary
Nutrition & dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Mar 23, 2026
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0656: Resident Assessment and Care Planning
Assessment & care planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Feb 25, 2026
- Class IIIPotential for more than minimal harm (F)cms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected Dec 9, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0679: Quality of Life and Care
Quality of life & care
Provide activities to meet all resident's needs.
Corrected Dec 9, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0680: Quality of Life and Care
Quality of life & care
Ensure the activities program is directed by a qualified professional.
Corrected Dec 9, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0756: Pharmacy Service
Pharmacy services
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected Dec 9, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0865: Administration
Administration
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected Dec 9, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0921: Environmental
Environment
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected Oct 22, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0578: Resident Rights
Resident rights
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 Dec 9, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0628: Resident Rights
Resident rights
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected Dec 9, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0637: Resident Assessment and Care Planning
Assessment & care planning
Assess the resident when there is a significant change in condition
Corrected Oct 22, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0641: Resident Assessment and Care Planning
Assessment & care planning
Ensure each resident receives an accurate assessment.
Corrected Oct 22, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0677: Quality of Life and Care
Quality of life & care
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Oct 22, 2025
- Class IIIPotential for more than minimal harm (F)cms
F0812: Nutrition and Dietary
Nutrition & dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Dec 9, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0686: Quality of Life and Care
Quality of life & care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Dec 9, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0761: Pharmacy Service
Pharmacy services
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 Oct 22, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0791: Quality of Life and Care
Quality of life & care
Provide or obtain dental services for each resident.
Corrected Oct 22, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0883: Infection Control
Infection control
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected Oct 22, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0887: Infection Control
Infection control
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 Oct 22, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0684: Quality of Life and Care
Quality of life & care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Oct 22, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0684: Quality of Life and Care
Quality of life & care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Sep 24, 2025
- cms
Payment denial
Medicare/Medicaid payment denial issued following a survey deficiency.
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0684: Quality of Life and Care
Quality of life & care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Jul 1, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0761: Pharmacy Service
Pharmacy services
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 Jul 1, 2025
- Class IIIPotential for more than minimal harm (F)Complaint-relatedcms
F0755: Pharmacy Service
Pharmacy services
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Apr 9, 2025
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected Apr 9, 2025
- Class IIActual harm (G)cms
F0697: Quality of Life and Care
Quality of life & care
Provide safe, appropriate pain management for a resident who requires such services.
Corrected Oct 17, 2024
- Class IIActual harm (G)cms
F0686: Quality of Life and Care
Quality of life & care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Oct 17, 2024
- Class IIIPotential for more than minimal harm (F)cms
F0623: Resident Rights
Resident rights
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected Oct 17, 2024
- Class IIIPotential for more than minimal harm (F)cms
F0812: Nutrition and Dietary
Nutrition & dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Oct 17, 2024
- Class IIIPotential for more than minimal harm (F)cms
F0814: Nutrition and Dietary
Nutrition & dietary
Dispose of garbage and refuse properly.
Corrected Oct 17, 2024
- Class IIIPotential for more than minimal harm (F)cms
F0921: Environmental
Environment
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected Nov 20, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0761: Pharmacy Service
Pharmacy services
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 Nov 20, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0804: Nutrition and Dietary
Nutrition & dietary
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected Oct 17, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0867: Administration
Administration
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected Nov 20, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0584: Resident Rights
Resident rights
Honor 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.
Corrected Oct 17, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0641: Resident Assessment and Care Planning
Assessment & care planning
Ensure each resident receives an accurate assessment.
Corrected Oct 17, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0655: Resident Assessment and Care Planning
Assessment & care planning
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected Oct 17, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0688: Quality of Life and Care
Quality of life & care
Provide 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.
Corrected Nov 20, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0692: Quality of Life and Care
Quality of life & care
Provide enough food/fluids to maintain a resident's health.
Corrected Oct 17, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0695: Quality of Life and Care
Quality of life & care
Provide safe and appropriate respiratory care for a resident when needed.
Corrected Oct 17, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0698: Quality of Life and Care
Quality of life & care
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected Oct 17, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0700: Quality of Life and Care
Quality of life & care
Try 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.
Corrected Oct 17, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0759: Pharmacy Service
Pharmacy services
Ensure medication error rates are not 5 percent or greater.
Corrected Nov 20, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0806: Nutrition and Dietary
Nutrition & dietary
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected Oct 17, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0849: Administration
Administration
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected Oct 17, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected Sep 16, 2024
- Fine $52,007cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- cms
Payment denial
Medicare/Medicaid payment denial issued following a survey deficiency.
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0949: Administration
Administration
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected Jun 25, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0940: Administration
Administration
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected Jun 25, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0947: Nursing and Physician Services
Nursing & physician services
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected Jun 25, 2024
- Class IIIPotential for more than minimal harm (F)Complaint-relatedcms
F0607: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected Jul 24, 2024
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0726: Nursing and Physician Services
Nursing & physician services
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected Jun 25, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0676: Quality of Life and Care
Quality of life & care
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected Jun 25, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0730: Nursing and Physician Services
Nursing & physician services
Observe each nurse aide's job performance and give regular training.
Corrected Jun 25, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0686: Quality of Life and Care
Quality of life & care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Apr 19, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0600: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected Apr 19, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0656: Resident Assessment and Care Planning
Assessment & care planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Apr 19, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0684: Quality of Life and Care
Quality of life & care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Apr 19, 2024
- cms
Payment denial
Medicare/Medicaid payment denial issued following a survey deficiency.
- Class IImmediate jeopardy (J)Complaint-relatedcms
F0678: Quality of Life and Care
Quality of life & care
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected Oct 30, 2023
- Class IIIPotential for more than minimal harm (F)Complaint-relatedcms
F0725: Nursing and Physician Services
Nursing & physician services
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected Oct 30, 2023
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0921: Environmental
Environment
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected Oct 30, 2023
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0684: Quality of Life and Care
Quality of life & care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Nov 23, 2023
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0695: Quality of Life and Care
Quality of life & care
Provide safe and appropriate respiratory care for a resident when needed.
Corrected Nov 23, 2023
- Fine $53,853cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- Class IIIPotential for more than minimal harm (D)cms
F0758: Pharmacy Service
Pharmacy services
Implement 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.
Corrected Sep 5, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0761: Pharmacy Service
Pharmacy services
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 Sep 5, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0842: Resident Assessment and Care Planning
Assessment & care planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Sep 5, 2023
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected Sep 5, 2023
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0881: Infection Control
Infection control
Implement a program that monitors antibiotic use.
Corrected Sep 5, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0690: Quality of Life and Care
Quality of life & care
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected Sep 5, 2023
- Class IIIPotential for more than minimal harm (F)cms
F0812: Nutrition and Dietary
Nutrition & dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Sep 5, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0658: Resident Assessment and Care Planning
Assessment & care planning
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected Sep 5, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0583: Resident Rights
Resident rights
Keep residents' personal and medical records private and confidential.
Corrected Sep 5, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0698: Quality of Life and Care
Quality of life & care
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected Sep 5, 2023
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AHCA class rollups without individual citation dates appear as a single summary row. CMS nursing home deficiencies include survey date, tag, category, scope/severity, and fine amounts when published. Back to community profile