Nursing HomeInspections

Marshall Manor Nursing & Rehabilitation Center

Nursing home in Marshall, TX

Medicare & Medicaid certified4★ overall (CMS)

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Public-record details

Address
1007 S Washington Ave, Marshall, TX 75670
Phone
(903) 935-7971
Listed under
Government-owned, 4–5 star overall rating, No fines or payment denials in 3 years
Medicare CCN
455646
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
4 of 5
Staffing rating
2 of 5
Quality measures rating
3 of 5
Certified beds
179
Average residents per day
98
Ownership
Government, hospital district
Legal business name
Winnie-Stowell Hospital District
Chain
Caring Healthcare Group (14 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Mar 27, 1986
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 455646. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Jul 29, 2026. CMS lists 25 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 13, 2024 to Jul 29, 2026): 4 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Jul 29, 2026Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation
D
Potential for more than minimal harm, isolated
Jul 29, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jul 29, 2026Ensure 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…
Pharmacy Service
D
Potential for more than minimal harm, isolated
Jul 29, 2026Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary
D
Potential for more than minimal harm, isolated
Jul 29, 2026Provide and implement an infection prevention and control program.
Infection Control
D
Potential for more than minimal harm, isolated
Jul 29, 2026Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental
D
Potential for more than minimal harm, isolated
Jul 29, 2026Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental
D
Potential for more than minimal harm, isolated
Jul 29, 2026Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights
E
Potential for more than minimal harm, pattern
Jun 24, 2026Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
May 7, 2025Reasonably accommodate the needs and preferences of each resident.
Resident Rights
D
Potential for more than minimal harm, isolated
May 7, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
May 7, 2025Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 25. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.93 hours
Registered nurse (RN) time per resident per day
0.44 hours
Nurse aide time per resident per day
2.44 hours
Total nurse staffing on weekends
3.32 hours
Nursing staff turnover (yearly)
51%
RN turnover (yearly)
29%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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