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Nursing home report

Marshall Manor West

Marshall, TX · Medicare-certified · 118 beds

Needs attention
Government-runChain member
3 of 5 overall

Marshall Manor West has a 3-star overall rating, with weak health inspection and staffing scores (2 stars each) but strong quality measures (5 stars). It also has a recent federal penalty, $21,530 in fines over the last 24 months, and reported nurse staffing of 4.86 hours per resident per day, above the 4.1-hour federal benchmark.

Facility ratings

Health inspections

Staffing

4.8635 hrs/resident/day

Quality measures

Last inspection: February 4, 2026Penalties, last 24 months: $21,530recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.8635.

Staffing detail

Registered nurses
0.34
Licensed practical nurses
1.35
Nurse aides
3.18
Weekend nursing
3.80

Hours per resident per day.

Total staff turnover: 37%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

12.4%Steady

Residents with a fall causing major injury

1%Worsening

Residents with pressure ulcers (bedsores)

0.6%Steady

Residents with a urinary tract infection

0%Steady

Residents who lost too much weight

0.6%Steady

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

14.6%Improving

Residents whose ability to walk got worse

2.9%Improving
Show all measures

Long-stay residents on antianxiety or sleep medication

5.8%Worsening

Short-stay residents newly given an antipsychotic

0%Steady

Residents with a long-term catheter

0%Steady

Residents with new or worsening incontinence

0%Steady

Residents with depressive symptoms

9.4%Improving

Long-stay residents given the seasonal flu vaccine

100%Steady

Long-stay residents given the pneumonia vaccine

100%Steady

Short-stay residents given the pneumonia vaccine

100%Steady

What the inspectors found

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.

View the original federal record

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.

View the original federal record

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.

View the original federal record

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.

View the original federal record

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.

View the original federal record

F-Tag 803 — 42 CFR §483.60 — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. INSPECTION

    Health inspection found 12 health deficiencies.

    See what inspectors found
  3. PENALTY

    A federal fine of $21,530 was recorded.

  4. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 8 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $21,530 in total fines.

  • Federal fine

    Oct 22, 2025

    $21,530

Operator & ownership

Ownership
Government - Hospital district
Chain
Part of CARING HEALTHCARE GROUP · 14 homes · 3.3 stars avg
Occupancy
49.3 residents on an average day (42% of 118 beds)
Resident voice
Resident council
Medicare history
Certified for 36 years

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.