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Marshall Manor West

207 W Merritt St, Marshall, TX 756709039383793Ownership: Government - Hospital districtCertified beds: 118Avg. daily residents: 50Chain: Caring Healthcare Group (14 facilities)County: Harrison

The complete public record on Marshall Manor West, a Medicare & Medicaid–certified nursing home in Marshall, Texas, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★★★☆☆
CMS’s composite of the three ratings below. Texas average: 2.6 stars.
Health inspection
★★☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★☆☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★★★★
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Marshall Manor West holds a 3-star overall rating, CMS’s middle tier. Its health-inspection rating is lower than its overall rating — the overall score is being lifted by staffing or quality-measure ratings, which draw partly on facility-reported data. Federal regulators have fined this facility $13,995 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

4.56 total nurse staff hours per resident per day
above the state average (3.39)
0.33 RN hours per resident per day
below the state average (0.43)
3.51 weekend nurse staff hours per resident per day
32.8% total nursing staff turnover
below the state average (55.3)
Not reported RN turnover
0 administrators left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

February 4, 2026 most recent standard health inspection
14 health deficiencies cited in the most recent inspection cycle
above the state average (9.3)
11 health deficiencies in the two prior cycles combined
$13,995 in federal fines across 1 penalty (last 3 years)
below the state average ($45,542)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

31 citations on record across recent inspections, 2 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
February 4, 20260690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate…G · Actual harm
February 4, 20260812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with…F · Potential for more than minimal harm
February 4, 20260925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.F · Potential for more than minimal harm
February 4, 20260657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health…E · Potential for more than minimal harm
February 4, 20260800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.E · Potential for more than minimal harm
February 4, 20260802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.E · Potential for more than minimal harm
February 4, 20260908Keep all essential equipment working safely.E · Potential for more than minimal harm
February 4, 20260578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental…D · Potential for more than minimal harm
February 4, 20260627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D · Potential for more than minimal harm
February 4, 20260656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.