Nursing home report
Marshall, TX · Medicare-certified · 118 beds
Marshall Manor West in Marshall, TX has a 3-star overall rating, with weak health inspection and staffing ratings (2 stars each) but a 5-star quality measures rating. It reported 4.56 nurse hours per resident per day versus the 4.1 federal benchmark, and it had $13,995 in fines in the last 24 months with a recent federal penalty.
Health inspections
Staffing
4.5598 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.5598.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited February 2026 — isolated incident, actual harm.
F-Tag 690 — 42 CFR §483.25(e) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2026 — widespread issue, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to make sure it had a pest control program to prevent or deal with mice, insects, and other pests. Cited February 2026 — widespread issue, potential for harm.
F-Tag 925 — 42 CFR §483.90 — S/S: F
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited November 2024 — widespread issue, potential for harm.
F-Tag 803 — 42 CFR §483.60 — S/S: F
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 12 health deficiencies.
A federal fine of $13,995 was recorded.
A federal fine of $21,530 was recorded.
Health inspection found 2 health deficiencies.
Health inspection found 8 health deficiencies.
On record with Medicare: 1 fine · $13,995 in total fines.
Federal fine
Oct 22, 2025
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
