Texas › Harrison County › Marshall
Marshall Manor West
207 W Merritt St, 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 118 beds, Marshall Manor West serves Marshall in Harrison County, Texas and has taken Medicare and Medicaid residents since 1990.
CMS gives it 3 of 5 stars overall, equal to the Texas median; the health inspection rating is 2, staffing 2 and quality measures 5.
Inspectors recorded 31 health deficiencies across the three most recent survey cycles (14, 8, 9 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 26.3 per 100 beds, about the same as the state median of 22.5.
CMS lists 1 penalty in the period covered: fines totalling $14K.
Reported nurse staffing is 4.6 hours per resident per day (0.3 RN), above the Texas median of 3.3; nursing staff turnover is 32.8%.
Compared with county, state and nation
| Measure | This facility | Harrison Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 31 | 31 | 25 | 28.7 |
| Citations per 100 beds | 26.3 | 26.3 | 22.5 | 26.8 |
| Total nurse hours per resident day | 4.6 | 3.8 | 3.3 | 3.9 |
| RN hours per resident day | 0.3 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 32.8% | 48.1% | 52.1% | 45.8% |
| Fines listed | $13,995 | $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: 4 Feb 2026, 6 Nov 2024.
Severity mix: J ×1 G ×1 D ×17 E ×7 F ×5
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 |
|---|---|---|---|---|---|
| 4 Feb 2026 | 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. | G | Standard survey | 5 Feb 2026 |
| 4 Feb 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 5 Feb 2026 |
| 4 Feb 2026 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Standard survey | 5 Feb 2026 |
| 4 Feb 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 5 Feb 2026 |
| 4 Feb 2026 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | E | Standard survey | 5 Feb 2026 |
| 4 Feb 2026 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Standard survey | 5 Feb 2026 |
| 4 Feb 2026 | F0908 | Keep all essential equipment working safely. | E | Standard survey | 5 Feb 2026 |
| 4 Feb 2026 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 5 Feb 2026 |
| 4 Feb 2026 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Standard survey | 5 Feb 2026 |
| 4 Feb 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 5 Feb 2026 |
| 4 Feb 2026 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 5 Feb 2026 |
| 4 Feb 2026 | F0761 | Ensure 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 locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 5 Feb 2026 |
| 22 Oct 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 23 Oct 2025 |
| 22 Oct 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 23 Oct 2025 |
| 6 Nov 2024 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | Standard survey | 14 Nov 2024 |
| 6 Nov 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 14 Nov 2024 |
| 6 Nov 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 14 Nov 2024 |
| 6 Nov 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 14 Nov 2024 |
| 6 Nov 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 14 Nov 2024 |
| 6 Nov 2024 | 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 | 14 Nov 2024 |
| 6 Nov 2024 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Standard survey | 14 Nov 2024 |
| 6 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 14 Nov 2024 |
| 31 Jul 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 2 Aug 2024 |
| 31 Jul 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 2 Aug 2024 |
| 31 Jul 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 2 Aug 2024 |
| 27 Sep 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 2 Oct 2023 |
| 27 Sep 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 2 Oct 2023 |
| 27 Sep 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 2 Oct 2023 |
| 27 Sep 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 2 Oct 2023 |
| 27 Sep 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 2 Oct 2023 |
| 27 Sep 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 2 Oct 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 22 Oct 2025 | Fine | $13,995 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 32.8%, RNs —; 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 | 13.3% | 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 | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.1% | 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 | 3.9% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.7% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.6% | 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 | 07/22/2014 |
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 Nursing & Rehabilitation Center | Marshall | 179 | 4 | 4 | 2 | 26 | 14.5 | — | 24 Jun 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 West been cited for?
31 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Marshall Manor West been fined?
Yes. CMS lists fines totalling $14K in the period covered.
How does staffing at Marshall Manor West compare?
Reported total nurse staffing is 4.6 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Marshall Manor West?
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 West last inspected?
The most recent survey or investigation in the CMS record is dated 4 Feb 2026; the most recent standard health survey was 4 Feb 2026.
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.