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Marshall Manor West

207 W Merritt St., Marshall, TX 75670 · Harrison County · (903) 938-3793

118 certified beds, about 51 residents a day · Government - Hospital district · Medicare and Medicaid since 1990

Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 455879 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on February 4, 2026, inspectors cited 12 health deficiencies (the Texas average is 9.4, the national average 9.2).

Of 31 health citations since September 2023, 2 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 1 fine totaling $13,995 in the last three years; the largest was $13,995, and the latest is dated October 22, 2025.

Nurses and nurse aides worked 4.56 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.33 of those hours.

32.8% of nursing staff left within the year CMS measured (Texas average 55.3%).

CMS links it to Caring Healthcare Group, an affiliated group of 14 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.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

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 31 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
17D
7E
5F
Potential for minimal harm
0A
0B
0C
February 4, 2026Standard inspection · 12 citations
  1. G
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) February 5, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to provide the appropriate care and services to prevent urinary tract infections to the extent possible for 1 of 2 residents reviewed for indwelling catheters. (Resident #9) -Resident #9 had a urinalysis specimen obtained on 01/30/26 due to complaint of discomfort from lower abdomen to his penis and cloudy urine. The facility staff did not follow up on obtaining results and Resident #9 continued with signs of a possible UTI. This failure could place residents at risk of not receiving the required level of care and possible sepsis.
  2. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 5, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for sanitation in that: The facility failed to ensure the fryer was clean and free of debris. The facility failed to ensure baking sheets did not have brown and black colored buildup and debris of particles on the outside. The facility did not ensure skillets did not have brown and black colored buildup on the inside and outside. The facility failed to ensure a pack of cigarettes, and a fly swatter was not stored under the cutting boards touching the oven mittens. The facility failed to maintain cleanliness of the floor in the kitchen prep area. The facility failed to ensure dietary staff had all their hair in the hair restraints. [...]
  3. F
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    F925 · Environmental · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 5, 2026
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to maintain an effective pest control program so that facility was free of pests and rodents for 1 of 1 kitchen. The facility did not maintain an effective pest control program to ensure the facility was free of roaches in the kitchen. This failure could place residents at risk for an unsanitary environment and a decreased quality of life.
  4. E
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 5, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure the comprehensive care plan was reviewed and revised by the interdisciplinary team after each assessment for 1 of 10 residents (Resident #42) reviewed for care plans. The facility failed to complete a comprehensive care plan for Resident #42's diet preferences on 12/19/2025 for Resident #42 when she was initially assessed by the Dietitian. This failure could place residents at risk of not having individual needs met, a decreased quality of life, and cause residents not to receive needed services.
  5. E
    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
    F800 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 5, 2026
    Inspectors wroteBased on observations, interviews and record reviews the facility failed to provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs, taking into consideration the preferences of each resident for 1 of 20 residents (Resident #42) reviewed for diet preferences. The facility failed to ensure Resident # 42's vegetarian dietary preferences were met. This failure could place residents at risk of their preferences not being considered.
  6. E
    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
    F802 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 5, 2026
    Inspectors wroteBased on interview, and record review, the facility failed to employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service for 5 of 9 dietary staff reviewed for food handler's certificates. The facility failed to have current food handler's certificates for five kitchen staff until surveyor intervention on 02/02/2026. (Cook-A, Dietary Aide B, Dietary Aide C, Dietary Aide D, Dietary Aide E.) This failure could place residents at risk for food borne illness.
  7. E
    Keep all essential equipment working safely.
    F908 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 5, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain all mechanical, electrical, and patient care equipment in safe operating condition for 1 of 1 stove. The facility failed to ensure the rear 2nd, 3rd, and 5th burners ignited when the knobs were turned on. The rear 2nd, 3rd, and 5th would not ignite when the knobs were turned until the 3rd try on 02/02/2026 at 9:18 a.m. These failures could place the residents at risk of a fire and cross contamination.
  8. D
    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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 5, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the right to formulate an advance directive was provided for 1 of 4 residents reviewed for resident rights. (Resident #51) The facility failed to ensure Resident #51, who was listed as DNR (Do Not Resuscitate), had a valid Out-of-Hospital Do Not Resuscitate (OOH-DNR) form that was not missing required information or the witness signature and date. This failure could place residents at risk of lifesaving procedures being performed against their wishes resulting in bruising, broken ribs, electrical shocking of the heart, having a tube placed in the throat and provided artificial breathing methods, and possibly being brought back to life in an unaware and unresponsive state.
  9. D
    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
    F627 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 5, 2026
    Inspectors wroteBased on interviews and record reviews, the facility failed to ensure development and implementation of an effective discharge planning process that focused on the resident's discharge goals for 1 (Resident #15) of 10 residents reviewed for care plans. The facility failed to develop and implement a person-centered discharge care plan with interventions for Resident #15. This failure could place residents at risk of not having individual needs met, a decreased quality of life, and cause residents not to receive needed services. [...]
  10. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 5, 2026
    Inspectors wroteBased on interviews and record reviews, the facility failed to develop and implement a comprehensive person-centered care plan for each resident to ensure the comprehensive care plan described the services and interventions to be used to attain and maintain the residents' practicable physical, mental, and psychosocial well-being for 1 (Resident #45) of 10 residents reviewed for care plans. The facility failed to develop and implement a person-centered PICC Line IV care plan with interventions for Resident #45. This failure could place residents at risk of not having individual needs met, a decreased quality of life, and cause residents not to receive needed services. Record review of Resident #45's Face Sheet, dated 02/03/26 indicated a [AGE] year-old female admitted to the facility on [DATE]. [...]
  11. D
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    F694 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 5, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to administer parenteral fluids consistent with professional standards of practice and in accordance to physician orders for 1 of 1 (Resident #45) residents reviewed for parenteral (delivery of medications through injection)/IV (intravenous: administering fluids or medications directly into a vein) fluids. The facility failed to ensure Resident #45 had orders to flush the IV before and after medication administration. This failure could place residents receiving IV medications at risk for injury, infections, IV infiltration, clogging, and pain,.
  12. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 5, 2026
    Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure all drugs were stored in a locked compartment, only accessible by authorized personnel for 1 of 22 resident (Resident #37) reviewed for storage and labeling of medications. -Resident #37 had medications Nyquil cold & flu 12 oz bottle and Cloraseptic spray (Red) 6 oz bottle opened and used at the bedside. This failure could place residents at risk for misuse of medication, overdose, drug diversions, adverse reactions of medications, and not receiving the therapeutic benefit of medications.
October 22, 2025Complaint inspection · 2 citations
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 23, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that the resident environment remained as free of accident hazards as possible and provide supervision to prevent avoidable accidents for 1 of 3 residents reviewed for transfers. (Residents #1)The facility failed to keep Resident #1 free from injury after he was improperly transferred by CNA A on 10/19/25 causing extensive bruising to his chest and multiple rib fractures. This failure resulted in the identification of an Immediate Jeopardy (IJ) on 10/21/25 at 11:35 a.m. While the IJ was removed on 10/22/25 at 11:30 a.m., the facility remained out of compliance at a scope of isolated and a severity level of actual harm that is not immediate jeopardy due to the facility's need to evaluate the effectiveness of the corrective systems. [...]
  2. E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) October 23, 2025
    Inspectors wroteBased on interviews and record reviews, the facility failed to implement a comprehensive person-centered care plan for each resident to ensure the comprehensive care plan described the services and interventions to be used to attain and maintain the residents' practicable physical, mental, and psychosocial well-being for 1 (Resident #2) of 10 residents reviewed for care plans. The facility failed to implement a person-centered fall prevention care plan with interventions for Resident #2 to meet medical, nursing, mental and psychosocial needs. The facility failed to implement added interventions of providing a therapy evaluation, failed to drop the seat of his wheelchair, and failed to add non-skid material to wheelchair after fall resulting in fracture. [...]
November 6, 2024Standard inspection · 8 citations
  1. F
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) November 14, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that the menu was followed for the lunch meal on 11/04/24 and 11/05/24 for 2 of 2 meals (the lunch service) reviewed for nutritional adequacy. The facility did not serve fried chicken, as planned, with the lunch meal on 10/04/2024 nor informed residents that a substitute would be used. The facility failed to serve Salisbury steak with the lunch meal on 10/05/2024 nor informed residents that a substitute would be used. These failures could affect all residents in the facility by placing them at risk of not receiving adequate nutritive food value needed to promote/maintain health.
  2. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) November 14, 2024
    Inspectors wroteBased on observation, interviews and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen sanitation in that: 1. Chicken, contained in plastic, was being thawed on a stovetop with hot water. 2. Tater Tots, shredded lettuce, iceberg lettuce, cheese, and an unknown food item was not labeled or dated. 3. Kitchen stove was not kept free of carbon buildup, grease, and food particles. These deficient practices could place residents who received meals from the kitchen at risk for food borne illness.
  3. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 14, 2024
    Inspectors wroteBased on observations, interviews, and record review the facility failed to treat each resident with respect and dignity and provide care in a manner that promotes maintenance or enhancement of his or her quality of life for 1 of 4 residents (Resident #07) reviewed for resident rights in that: The facility failed to provide a catheter privacy bag for Residents #07 while sitting in main living room at facility with other residents on 11/5/2024. This failure could place residents at risk for diminished quality of life, loss of dignity and self-worth.
  4. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 14, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to develop and implement a comprehensive person-centered care plan to meet each resident's medical, nursing, mental and psychosocial needs for 2 of 6 residents reviewed for care plans. (Resident #6 and Resident #29) The facility failed to ensure Resident #6's vision impairment and use of eyeglasses were care planned. The facility failed to ensure Resident #29's hearing impairment was care planned. These failures could place residents at risk of not having individual needs met, a decreased quality of life, and cause residents not to receive needed services.
  5. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 14, 2024
    Inspectors wroteBased on interview, and record review the facility failed to ensure residents received care, consistent with professional standards of practice, to prevent pressure ulcers based on the comprehensive assessment for 1 of 2 Residents (Resident #12) whose record were reviewed for skin integrity. The facility failed to ensure Resident #12 received and/or documented wound care on the evening shift of 10/19/24 and 10/20/24. This failure could place residents at risk for developing pressure ulcers and could contribute to developing avoidable pressure ulcers.
  6. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 14, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that each resident who was incontinent of bowel/bladder and each resident with an indwelling catheter received appropriate treatment and services to prevent urinary tract infections, for 1 of 4 residents (Resident #29) reviewed for indwelling urinary catheters (is a thin, hollow tube that is inserted into the bladder to drain urine). The facility failed to ensure Resident #29's foley catheter bag (is a device that drains urine (pee) from your urinary bladder into a collection bag outside of your body when you can't pee on your own) was changed as ordered on 10/15/24 (12am). [...]
  7. D
    Have a policy regarding use and storage of foods brought to residents by family and other visitors.
    F813 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 14, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain and ensure safe and sanitary storage of residents' food items for 1 of 6 resident personal refrigerators reviewed for food safety. (Resident #47). The facility failed to inspect and remove expired foods from Resident #47's personal refrigerator on 11/4/2024. This failure could place resident at risk for food borne illnesses.
  8. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 14, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 5 residents (Resident #12) reviewed for infection control. 1. The facility failed to ensure Resident #12 had signage to identify the resident was on EBP and PPE used for Enhance Barrier Precaution (EBP) due to pressure ulcer on her coccyx, on 11/04/24 and 11/05/24. 2. The facility failed to ensure WCN F followed the Enhanced Barrier Precautions (EBP) (interventions to prevent spread of infection in high-risk residents) policy of wearing a gown during Resident #12's pressure ulcer wound care to her coccyx on 11/05/24. [...]
July 31, 2024Complaint inspection · 3 citations
  1. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 2, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure residents were free from abuse for 2 of 8 residents (Resident #1 and Resident #2) reviewed for abuse. The facility failed to ensure on 12/14/23, CNA B, did not verbally and physically abuse Resident #1 when she used foul language and hit Resident #1 on the head. The facility failed to ensure on 07/12/24, DA C, did not verbally abuse Resident #2 when he used foul language at him. These failures could place residents at risk for emotional distress and further abuse.
  2. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 2, 2024
    Inspectors wroteBased on interview and record review, the facility failed to implement written policies and procedures that prohibit mistreatment, neglect, and abuse of residents, for 2 of 8 residents (Resident #1 and Resident #2) and 2 of 5 staff members (CNA A and NCNA D) reviewed for abuse. The facility failed to ensure CNA A, per the facility's policy, immediately reported witnessed physical and verbal abuse towards Resident #1 by CNA B on 12/14/23 to the ADM, DON, or ADON. The facility failed to ensure NCNA D, per the facility's policy, immediately reported witnessed verbal abuse towards Resident #2 by DA C on 07/12/24 to the ADM, DON, or ADON. Theses failures could place residents at risk for unsafe environment and further abuse.
  3. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 2, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure all alleged violations involving mistreatment, neglect, abuse, or misappropriation of resident property were reported immediately, but not later than 2 hours after the allegation is made, if the event that caused the allegation involved abuse to the administrator of the facility and to other officials (including to the State Agency) for 2 of 8 residents (Resident #1 and Resident #2) and 2 of 5 staff members (CNA A and NCNA D) reviewed for reporting of abuse and mistreatment. The facility failed to ensure CNA A immediately reported witnessed physical and verbal abuse towards Resident #1 by CNA B on 12/14/23 to the ADM. The facility failed to ensure NCNA D immediately reported witnessed verbal abuse towards Resident #2 by DA C on 07/12/24 to the ADM. [...]
September 27, 2023Standard inspection · 6 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 2, 2023
    Inspectors wroteBased on observation, interviews and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen sanitation in that: 1. Expired food was not thrown away. 2. Food was not labeled or dated. 3. The kitchen refrigerators and freezers had various food particles not cleaned off. These deficient practices could place residents who received meals from the main kitchen at risk for food borne illness.
  2. E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 2, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide the necessary services to maintain personal hygiene for 6 of 14 residents reviewed for ADLs (Residents #4, Resident #30, Resident #31, Resident #37, Resident 42, Resident #45). The facility did not clean or trim Resident #4, Resident #37, and Resident 42's fingernails. The facility failed to ensure Resident #45 did not have facial hair. The facility failed to ensure Resident #4, Resident #30, and Resident #31 received schedule shower/bed baths. These failures could place residents who required assistance from staff for ADLs at risk of not receiving care and services to meet their needs which could result in poor care, risk for skin breakdown, feelings of poor self-esteem, lack of dignity and health.
  3. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 2, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure an infection prevention and control program designed to provide a safe and sanitary environment and to help prevent the development and transmission of communicable diseases and infections for 1of 2 residents reviewed for incontinent care and 10 of 23 residents observed during meal tray pass. (Resident #4, Resident #30, Resident #31, Resident #42, Resident #44, Resident #45, Resident #47, Resident #48, Resident #257, and Resident #258) The facility failed to ensure CNA D changed her gloves at appropriate times during incontinence care on Resident #4. The facility failed to ensure CNA D, MA E, and NA G performed hand hygiene after assisting residents with meal set up prior to assisting the next resident. [...]
  4. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 2, 2023
    Inspectors wroteBased on interview and record review the facility failed to ensure each resident was informed before, or at the time of admission, and periodically during the residents stay, of services available in the facility and of changes for those services, which included changes for services not covered under Medicare/Medicaid or by the facility's per diem rate for 2 of 3 residents (Residents #10 and #25) reviewed for Medicare/Medicaid coverage. [...]
  5. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 2, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure assessments accurately reflected the status for 1 of 14 residents reviewed for assessments. (Resident #15) The facility failed to ensure to code Resident #15's use of an anti-anxiety on his MDS. This failure could place residents at risk of not having individual needs met.
  6. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 2, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility has failed to ensure that the resident environment remains as free of accident hazards as possible and provide supervision to prevent avoidable accidents for 1 of 2 residents reviewed for transfer. (Residents #4) The facility failed to ensure CNA A and CNA D performed a safe mechanical lift transfer (devices used to assist with transfers and movement of individuals who require support for mobility beyond the manual support provided by caregivers alone) for Resident #4. This failure could place residents at risk of injury from accident and hazards.

Fire safety inspections

8 fire safety citations on file: 4 on February 4, 2026, 3 on November 6, 2024, 1 on September 27, 2023.

Every fire safety citation8 citations
  1. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · February 4, 2026 · Corrected (the home has a date of correction)
  2. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · February 4, 2026 · Corrected (the home has a date of correction)
  3. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 4, 2026 · Corrected (the home has a date of correction)
  4. C
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · February 4, 2026 · no revisit needed
  5. E
    Provide properly protected cooking facilities.
    K 324 · November 6, 2024 · Corrected (the home has a date of correction)
  6. C
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · November 6, 2024 · Not yet corrected
  7. B
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · November 6, 2024 · Corrected (the home has a date of correction)
  8. C
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · September 27, 2023 · Not yet corrected

Fines and payment denials

DatePenaltyAmount or length
October 22, 2025Fine $13,995

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeTexasUnited States
All nursing staff (RN, LPN and aides)4.563.393.86
Registered nurses0.330.430.69
All nursing staff on weekends3.512.983.42
Nurse aides2.93
Licensed practical nurses1.30
Nursing staff turnover (share who left in a year)32.8%55.3%45.8%
Registered nurse turnovernot reported54.6%42.9%
Administrators who left0

CMS expects 4.99 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 4.99 on weekdays and 3.51 on weekends, 30% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.65 in April to June 2025 to 4.56 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.560.334.993.51 0.2%0 of 9051
Oct to Dec 20254.860.345.283.80 0.1%0 of 9249
Jul to Sep 20255.120.275.593.95 0.0%0 of 9246
Apr to Jun 20254.650.225.043.66 0.0%0 of 9150
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Texas, Jan to Mar 20263.330.403.502.932.2%0.7% 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.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Texas

JobMedianMiddle halfEmployed
Texas, all employers
CNAs (nursing assistants)$18.03$16.97 to $20.7188,680
LPNs and LVNs$29.92$27.46 to $32.8957,560
Registered nurses$46.14$38.06 to $50.53271,380
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

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For Marshall Manor West. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

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Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeTexasUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
13.315.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.00.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.13.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
3.914.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
0.73.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
11.69.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
14.025.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
16.612.312.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.52.21.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.62.11.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Marshall Manor West's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (38.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

38.8% this home

No different from the national rate

US median of homes 51.5% · Texas: 116 better, 50 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 36 eligible stays.

Potentially preventable readmissions

11.3% this home

No different from the national rate

US median of homes 10.7% · Texas: 0 better, 9 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 56 eligible stays.

Infections that led to a hospital stay

8.2% this home

No different from the national rate

US median of homes 7.1% · Texas: 4 better, 11 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 30 eligible stays.

Self-care and mobility at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Texas57.3% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 17 residents counted.

Falls with major injury

0.0% this home

Median of homes: Texas0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 25 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Texas1.3% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 25 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Texas98.5% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 5 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: WINNIE-STOWELL HOSPITAL DISTRICT. CMS links this home to Caring Healthcare Group, a group of 14 nursing homes averaging 2.9 stars overall.

NameRoleTypeShareSince
Kale, KennethW-2 managing employeeIndividual04/22/2019
Murrell, EdwardCorporate officerIndividual11/30/2012
Winnie-Stowell Hospital DistrictOperational/managerial controlOrganization07/22/2014
Shapiro, MenachemOperational/managerial controlIndividual07/22/2014

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 7 problems in this area, most recently on February 4, 2026: "Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections."
  2. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 7 problems in this area, most recently on February 4, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on February 4, 2026: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on February 4, 2026: "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."

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Common questions

What is Marshall Manor West's Medicare star rating?
CMS rates Marshall Manor West 3 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Marshall Manor West get at its last inspection?
12 health deficiencies at the standard inspection on February 4, 2026. The Texas average is 9.4.
Has Marshall Manor West been fined?
Yes. CMS lists 1 fine totaling $13,995 in the last three years.
Does Marshall Manor West 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 West?
CMS lists 4 owners and managers, and links the home to Caring Healthcare Group. Legal business name: WINNIE-STOWELL HOSPITAL DISTRICT.

Sources

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