Marshall Health Care And Rehab
Inspection Findings
F-Tag F0609
F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Based on record review, review of the facility's Abuse Policy and Procedure and interview, the facility failed to report an injury of unknown origin to the State Agency for 1 of 4 sampled resident who had an injury of unknown origin. On 8/19/25, a review of Resident R1's clinical record was completed. Documentation indicated Resident R1 has many diagnoses including mental health issues, dementia and cognitive impairments. Documentation
in a nurse's note dated 7/24/25, indicted that in the early evening Resident R1 told a staff member that they had injured their finger. When asked what happened, Resident R1 told the nurse it happened from a fall.On 8/19/25 at 9:45 a.m., in an interview with Certified Nurse Assistant #1 (CNA1), she stated the resident told her it happened when she fell, but did not know where or when. CNA1 stated the resident is not reliable in what he/she says. CNA1 stated the resident has behavior problems and could have hurt her finger in a number of different ways. A review of the facility's Abuse Policy and Procedure indicated under the Section: Reporting Allegations to the Administrator and Authorities: #1 If resident abuse, neglect, exploitation, misappropriation of resident property or injury of unknown origin source is suspected, the suspicion must be reported immediately to the Administrator and to other officials according to state law.#2 The Administrator or the individual making the allegation immediately reports his or her suspicion to the following persons or agencies: a. The state licensing/certification agency.On 8/19/25 at 10:45 a.m. in an
interview with the surveyor, the Administrator and the Assistant Director of Nursing (ADON) stated Resident R1 has impaired cognition and mental health diagnoses. The ADON stated when they were notified of the incident,
they were told that the resident said she fell out of bed. The ADON stated it was an unwitnessed fall with injury. The resident is a poor historian, and it could have been a fall or something else could have caused
the injury. The Administrator confirmed that the resident's recall of events could be unreliable, and the injury was of unknown origin and should have been reported to the State Agency.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
MARSHALL HEALTH CARE AND REHAB in MACHIAS, ME inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in MACHIAS, ME, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from MARSHALL HEALTH CARE AND REHAB or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.