Marshall has received multiple national recognitions for its commitment to improving healthcare for older adults, underscoring a growing focus on senior populations in El Dorado County and across the country.
The independent, nonprofit healthcare provider announced this week that it was recently named an Age-Friendly Health System with “Committed to Care Excellence (Level 2)” recognition. The designation is part of a nationwide initiative led by The John A. Hartford Foundation and Institute for Healthcare Improvement, in partnership with the American Hospital Association and the Catholic Health Association of the United States.
The program recognizes health systems that implement the “4Ms” framework—What Matters, Medication, Mentation and Mobility—an evidence-based approach designed to align care with patient goals, ensure safe medication use, support cognitive health and maintain physical function.
In addition to that recognition, Marshall’s Emergency Department earned Level 3 Geriatric Emergency Department Accreditation from the American College of Emergency Physicians. The designation, developed in collaboration with The Gary and Mary West Health Institute and The John A. Hartford Foundation, highlights hospitals that meet national best practices for emergency care tailored specifically to older adults.
“As we age, our healthcare needs become more complex,” said Siri Nelson, Marshall’s president and CEO. “Older adults deserve care that is not only clinically excellent, but also compassionate, respectful, and tailored to the unique needs that come with aging. These recent recognitions reflect the work happening across Marshall to ensure that our senior patients receive an elevated care experience close to home, helping them achieve the highest possible level of health and well-being.”
The honors come as demographic trends show a rapidly aging population in the region. According to the California Department of Aging, more than one-third of El Dorado County residents are age 60 or older, with about 20% living alone. Nationally, projections estimate that by 2060, one in four Americans will be 65 or older.
As the largest healthcare provider on the county’s western slope—and the only emergency department serving that area—Marshall officials said senior care remains a priority. Findings from the organization’s 2025 Community Health Needs Assessment identified several key areas for improvement, including access to care, coordination for chronic conditions and better health outcomes for vulnerable populations, many of which directly affect older adults.
Marshall operates Marshall Hospital, a 111-bed acute care facility in Placerville, along with outpatient centers in Cameron Park, El Dorado Hills, Placerville and Georgetown. The system includes more than 220 licensed practitioners and over 1,400 employees serving approximately 180,000 residents across the Sierra foothills.
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