Texas › Harrison County › Marshall
Marshall Manor Nursing & Rehabilitation Center
1007 S Washington Ave, Marshall, TX 75670
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 179 beds, Marshall Manor Nursing & Rehabilitation Center serves Marshall in Harrison County, Texas and has taken Medicare and Medicaid residents since 1986.
CMS gives it 4 of 5 stars overall, above the Texas median of 3; the health inspection rating is 4, staffing 2 and quality measures 4.
Inspectors recorded 26 health deficiencies across the three most recent survey cycles (9, 6, 11 by cycle, most recent first), none at the actual-harm level. That is 14.5 per 100 beds, fewer than the state median of 22.5.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.8 hours per resident per day (0.3 RN), close to the Texas median of 3.3; nursing staff turnover is 48.1%.
Compared with county, state and nation
| Measure | This facility | Harrison Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 26 | 31 | 25 | 28.7 |
| Citations per 100 beds | 14.5 | 26.3 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.8 | 3.8 | 3.3 | 3.9 |
| RN hours per resident day | 0.3 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 48.1% | 48.1% | 52.1% | 45.8% |
| Fines listed | $0 | $13,995 | $16,801 | — |
County and state figures are medians across facilities (3 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 7 May 2025, 10 Apr 2024.
Severity mix: D ×20 E ×6
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 24 Jun 2026 | F0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D | Complaint investigation | 25 Jun 2026 |
| 7 May 2025 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | E | Standard survey | 8 May 2025 |
| 7 May 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 8 May 2025 |
| 7 May 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 8 May 2025 |
| 7 May 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 8 May 2025 |
| 7 May 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 8 May 2025 |
| 7 May 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 8 May 2025 |
| 7 May 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 8 May 2025 |
| 7 May 2025 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 8 May 2025 |
| 15 Apr 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 6 Apr 2025 |
| 10 Apr 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 11 Apr 2024 |
| 10 Apr 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 11 Apr 2024 |
| 10 Apr 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 11 Apr 2024 |
| 10 Apr 2024 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 11 Apr 2024 |
| 10 Apr 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 11 Apr 2024 |
| 13 Mar 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 14 Mar 2024 |
| 13 Mar 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 14 Mar 2024 |
| 24 Feb 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard survey | 23 Mar 2023 |
| 24 Feb 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard survey | 23 Mar 2023 |
| 24 Feb 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 23 Mar 2023 |
| 24 Feb 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 23 Mar 2023 |
| 24 Feb 2023 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 23 Mar 2023 |
| 24 Feb 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 23 Mar 2023 |
| 24 Feb 2023 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 23 Mar 2023 |
| 24 Feb 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 23 Mar 2023 |
| 24 Feb 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 23 Mar 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 48.1%, RNs 28.6%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 19.3% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 5.7% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.0% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 9.2% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: government, hospital district. Legal business name: Winnie-Stowell Hospital District. Chain: Caring Healthcare Group (14 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Winnie-Stowell Hospital District | Operational/managerial control | NOT APPLICABLE | 05/01/2004 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Harrison County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Marshall Manor West | Marshall | 118 | 3 | 2 | 2 | 31 | 26.3 | $14K | 4 Feb 2026 |
| Heritage House of Marshall Health & Rehabilitation | Marshall | 125 | 2 | 3 | 1 | 49 | 39.2 | $68K | 23 Apr 2026 |
All 3 facilities in Harrison County
Questions and answers
How many deficiencies has Marshall Manor Nursing & Rehabilitation Center been cited for?
26 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Marshall Manor Nursing & Rehabilitation Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Marshall Manor Nursing & Rehabilitation Center compare?
Reported total nurse staffing is 3.8 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Marshall Manor Nursing & Rehabilitation Center?
It is part of the Caring Healthcare Group chain. Ownership type is government, hospital district. Organisations in the CMS ownership record include Winnie-Stowell Hospital District. Individual owners and managers are not listed on this site.
When was Marshall Manor Nursing & Rehabilitation Center last inspected?
The most recent survey or investigation in the CMS record is dated 24 Jun 2026; the most recent standard health survey was 7 May 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.