Hearth Record

Medilodge of Marshall

A nursing home in Marshall, Michigan 49068

879 East Michigan Ave, Marshall, Michigan 49068. (269) 781-4251.

  • Cited for abuse (CMS flag)
CMS’s own record, on Care Compare

Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.

The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 58 citations in 16 months of the last 36. Last cited Jun 2026. Most serious: immediate jeopardy to health or safety (J). Every month

Each figure’s source sits beside it, in its section below.

What these words mean8
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Immediate jeopardy
CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

20 health citations at the latest inspection cycle

The Michigan average is 9.9.

Last standard inspection Jun 17, 2026.

Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Nov 15, 2024

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

58 citations in 16 months of the last 36. Last cited Jun 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.

58 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 58 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 35 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Jun 17, 2026: standard inspection7 citations
  • Ensure that residents are fully informed and understand their health status, care and treatments.

    Rule F0552. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 24, 2026.

  • Ensure each resident receives an accurate assessment.

    Rule F0641. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 24, 2026.

  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Rule F0657. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 24, 2026.

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 24, 2026.

  • Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Rule F0757. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 24, 2026.

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 24, 2026.

  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Rule F0921. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 24, 2026.

May 28, 2026: complaint inspection8 citations
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Rule F0600. G: actual harm. From a complaint. Correction date, as CMS recorded it: Jun 24, 2026.

  • Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

    Rule F0691. G: actual harm. From a complaint. Correction date, as CMS recorded it: Jun 24, 2026.

  • Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Rule F0580. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 24, 2026.

  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 24, 2026.

  • Respond appropriately to all alleged violations.

    Rule F0610. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 24, 2026.

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

    Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 24, 2026.

  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Rule F0804. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 24, 2026.

  • Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Rule F0806. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 24, 2026.

Feb 12, 2026: complaint inspection1 citation
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 2, 2026.

Jan 6, 2026: complaint inspection4 citations
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Rule F0686. G: actual harm. From a complaint. Correction date, as CMS recorded it: Jan 16, 2026.

  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Rule F0600. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 16, 2026.

  • Ensure services provided by the nursing facility meet professional standards of quality.

    Rule F0658. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 16, 2026.

  • Ensure that residents are free from significant medication errors.

    Rule F0760. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 16, 2026.

Aug 21, 2025: complaint inspection1 citation
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 27, 2025.

Jul 17, 2025: complaint inspection4 citations
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Rule F0600. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 30, 2025.

  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Rule F0609. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 30, 2025.

  • Respond appropriately to all alleged violations.

    Rule F0610. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 30, 2025.

  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Rule F0677. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 30, 2025.

Jun 24, 2025: complaint inspection3 citations
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Rule F0677. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 4, 2025.

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 4, 2025.

  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Rule F0686. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 4, 2025.

Apr 3, 2025: standard inspection8 citations
  • Honor the resident’s right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Rule F0585. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 21, 2025.

  • Ensure each resident receives an accurate assessment.

    Rule F0641. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 21, 2025.

  • Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

    Rule F0656. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 21, 2025.

  • Provide activities to meet all resident’s needs.

    Rule F0679. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 21, 2025.

  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Rule F0686. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 21, 2025.

  • Provide safe and appropriate respiratory care for a resident when needed.

    Rule F0695. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 21, 2025.

  • Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable.

    Rule F0743. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 21, 2025.

  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Rule F0921. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 21, 2025.

Mar 11, 2025: complaint inspection2 citations
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 7, 2025.

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Rule F0755. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 13, 2025.

Jan 9, 2025: complaint inspection2 citations
  • Honor the resident’s right to be treated with respect and dignity and to retain and use personal possessions.

    Rule F0557. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 13, 2025.

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 13, 2025.

Nov 15, 2024: complaint inspection4 citations
  • Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Rule F0678. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Nov 19, 2024.

  • Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

    Rule F0656. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 19, 2024.

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 19, 2024.

  • Provide safe and appropriate respiratory care for a resident when needed.

    Rule F0695. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 19, 2024.

Oct 18, 2024: complaint inspection2 citations
  • Honor the resident’s right to share a room with spouse or roommate of choice and receive written notice before a change is made.

    Rule F0559. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 19, 2024.

  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Rule F0921. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 19, 2024.

Jul 11, 2024: complaint inspection1 citation
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Rule F0842. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 12, 2024.

Mar 29, 2024: complaint inspection2 citations
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 8, 2024.

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Rule F0755. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 8, 2024.

Feb 28, 2024: standard inspection8 citations
  • 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.

    Rule F0578. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 18, 2024.

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 18, 2024.

  • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Rule F0756. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 18, 2024.

  • Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Rule F0757. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 18, 2024.

  • 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.

    Rule F0758. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 18, 2024.

  • Ensure medication error rates are not 5 percent or greater.

    Rule F0759. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 18, 2024.

  • Provide routine and 24-hour emergency dental care for each resident.

    Rule F0790. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 18, 2024.

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 18, 2024.

Dec 13, 2023: complaint inspection1 citation
  • Respond appropriately to all alleged violations.

    Rule F0610. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 22, 2023.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Feb 20, 1990.
  • Not on CMS’s special focus list.
  • CMS marks it with its abuse icon: cited for abuse or neglect that harmed a resident.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as for profit, limited liability company.
  • 98 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • 1 fine in the last three years, $16,801 in all.
  • No Medicare payment denials in the last three years.
  • 35 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Fines and payment denials, newest first
DateKindAmount
Nov 15, 2024Fine$16,801

Who does the caring?

3.67 nurse hours per resident per day

The Michigan average is 4.03.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeMichigan average
Nurse hours per resident per day3.674.03
Of which registered nurses0.760.78
At weekends2.773.50
Nursing staff turnover53.3%44.6%
Registered nurse turnover60%39.2%
Administrators who left1Not given

Who owns it?

  • Ark Opco Group, LLC owns 100% directly since Jul 1, 2015.
  • Prestige Administrative Services, LLC and Noble Healthcare Management, LLC run it.
  • 7 owners or officers are people: Craig A Flashner (corporate director); Craig A Flashner (runs it (operational or managerial control)); Kristine Ranel Kirk (managing employee (on the payroll)); Robert L Norcross (managing employee (under contract)); Stacey Paul Rogers (managing employee (under contract)); Yitzchok A Perlstein (corporate director); Yitzchok A Perlstein (runs it (operational or managerial control)).
  • Part of Medilodge (53 homes in CMS’s data).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Ark Opco Group, LLCOwns 5% or more directly100%Jul 1, 2015
Cody Healthcare S CorpOwns 5% or more through other companies47.55%Jul 1, 2015
Craig Flashner 2007 TrustOwns 5% or more through other companies47.55%Jul 1, 2015
B&y Healthcare S CorpOwns 5% or more through other companies47.55%Jul 1, 2015
B&y TrustOwns 5% or more through other companies47.5%Jul 1, 2015
Prestige Administrative Services, LLCRuns it (operational or managerial control)Jan 1, 2016
Noble Healthcare Management, LLCRuns it (operational or managerial control)Jul 1, 2015

How do residents fare?

  • CMS rates its quality measures 4 of 5 (Michigan average 3.9).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating1 of 5
Health inspections1 of 5
Staffing3 of 5
Quality measures4 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 23.3 miles, this one had the 2nd most health citations at the latest inspection cycle (20; the middle value was 8).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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