Marshall Manor Nursing Home
3120 North Street, Guntersville, AL 35976 · Marshall County · (256) 582-6561
91 certified beds, about 88 residents a day · For profit - Corporation · Medicare and Medicaid since 1982
CMS Care Compare ratings, data as of September 1, 2026 · CCN 015378 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 23, 2023, inspectors cited 2 health deficiencies (the Alabama average is 4, the national average 9.2).
None of its 3 health citations since July 2018 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.28 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.54 of those hours.
57.8% of nursing staff left within the year CMS measured (Alabama average 46.9%).
CMS links it to Preston Health Services, an affiliated group of 5 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 3 health citations on file.
June 23, 2023Standard inspection · 2 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, the United States (U.S.) Food and Drug Administration (FDA) 2022 Food Code; the facility failed to prevent potential cross contamination from the food preparation sink drain pipe extending into a floor drain and also from the dishwashing machine drain pipe extending into a floor drain. This had the potential to affect 81 of 81 residents receiving meals from the kitchen.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on interviews, resident record reviews, review of the facility policy titled, Comprehensive Care Plans, and review of the Minimum Data Set (MDS) Nurse's Job Description, the facility failed to ensure care plan meetings for Resident (RI) #7 and RI #25 were conducted timely. This affected RI #7 and RI #25, two of eighteen sampled residents whose care plans were reviewed.
August 22, 2019Standard inspection · 0 citations
July 12, 2018Standard inspection · 1 citation
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on interview and record review, the facility failed to ensure Resident Identifier (RI) #24's 05/21/18, Annual Minimum Status Data (MDS) assessment was not coded for the use of an anticoagulant and hypnotic medication when RI #24 was not receiving these medications. This deficient practice affected RI #24, one of 21 residents whose MDS assessments were reviewed. Findings Include: RI #24 was admitted to the facility on [DATE], and readmitted on [DATE]. A review of RI #24's 05/21/18, Annual MDS assessment revealed RI #24 was coded as receiving an anticoagulant and hypnotic medication. A review of RI #24's May 2018 Physician's Orders and Medication Administration Record (MAR) revealed RI #24 was not receiving an anticoagulant or hypnotic medication. On 07/12/18 at 10:50 a.m., an interview was conducted with Employee Identifier (EI) #1, a MDS/Care Plan Coordinator. [...]
Fire safety inspections
8 fire safety citations on file: 4 on June 23, 2023, 4 on August 22, 2019.
Every fire safety citation8 citations
- D Have properly located and lighted "Exit" signs.
- D Provide properly protected cooking facilities.
- D Install an approved automatic sprinkler system.
- D Have properly installed electrical wiring and gas equipment.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Install an approved automatic sprinkler system.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Have simulated fire drills held at unexpected times.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Alabama | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.28 | 3.88 | 3.86 |
| Registered nurses | 0.54 | 0.65 | 0.69 |
| All nursing staff on weekends | 3.26 | 3.26 | 3.42 |
| Nurse aides | 2.72 | ||
| Licensed practical nurses | 1.02 | ||
| Nursing staff turnover (share who left in a year) | 57.8% | 46.9% | 45.8% |
| Registered nurse turnover | 58.3% | 39.5% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.41 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.69 on weekdays and 3.26 on weekends, 30% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.38 in April to June 2025 to 4.28 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.28 | 0.54 | 4.69 | 3.26 | 4.7% | 0 of 90 | 88 |
| Oct to Dec 2025 | 4.18 | 0.54 | 4.53 | 3.26 | 2.6% | 0 of 92 | 85 |
| Jul to Sep 2025 | 4.39 | 0.64 | 4.76 | 3.45 | 0.9% | 0 of 92 | 80 |
| Apr to Jun 2025 | 4.38 | 0.65 | 4.72 | 3.52 | 1.7% | 0 of 91 | 82 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Alabama, Jan to Mar 2026 | 3.88 | 0.63 | 4.13 | 3.27 | 0.9% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Alabama | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 10.2 | 12.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 6.5 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.1 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.9 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 11.7 | 12.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.0 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 33.9 | 21.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.8 | 24.8 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.5 | 11.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.5 | 1.7 | 1.8 |
Owners and operators
Legal business name: PREFERRED HEALTH HOLDINGS LLC. CMS links this home to Preston Health Services, a group of 5 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Walker, James | 5% or greater direct ownership interest | Individual | 08/01/2002 | |
| Saylor, Jeffrey | Contracted managing employee | Individual | 04/01/2010 | |
| Robertson, Linda | W-2 managing employee | Individual | 01/25/2018 | |
| Walker, James | Corporate director | Individual | 04/19/2006 | |
| Walker, James | Operational/managerial control | Individual | 01/09/2014 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on June 23, 2023: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on June 23, 2023: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
Other nursing homes nearby
- Albertville Nursing Home Albertville, 7 mi · 5 of 5 stars · 9 citations
- Barfield Health Care Guntersville, 7.9 mi · 5 of 5 stars · 3 citations
- Diversicare of Arab Arab, 10.3 mi · 2 of 5 stars · 10 citations
- Diversicare of Boaz Boaz, 10.9 mi · 2 of 5 stars · 11 citations
- Crossville Health and Rehabilitation, LLC Crossville, 18.6 mi · 5 of 5 stars · 12 citations
- Altoona Health & Rehab Altoona, 19.5 mi · 3 of 5 stars · 5 citations
- South Hampton Nursing & Rehabilitation Center Owens Cross Roads, 20.4 mi · 3 of 5 stars · 7 citations
- Fairview at Redstone Village Huntsville, 24.4 mi · 4 of 5 stars · 3 citations
Alabama contacts for a concern about a nursing home
These are the official offices in Alabama. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Alabama Department of Public Health, Bureau of Health Provider Standards, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Alabama Office of the State Long-Term Care Ombudsman Program, 334-242-5753. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Alabama Health Care Facilities Deficiencies, where Alabama publishes its own records on licensed homes.
Common questions
- What is Marshall Manor Nursing Home's Medicare star rating?
- CMS rates Marshall Manor Nursing Home 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Marshall Manor Nursing Home get at its last inspection?
- 2 health deficiencies at the standard inspection on June 23, 2023. The Alabama average is 4.
- Has Marshall Manor Nursing Home been fined?
- CMS lists no fines in the last three years.
- Does Marshall Manor Nursing Home accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Marshall Manor Nursing Home?
- CMS lists 5 owners and managers, and links the home to Preston Health Services. Legal business name: PREFERRED HEALTH HOLDINGS LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.