79.5/100
Above average
Marshall Manor West
207 W Merritt St, Marshall, TX 75670
- Certified beds
- 118
- Occupancy
- 43%
- Ownership
- Government
- Accepts
- Medicare + Medicaid
What to ask about before you visit
These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.
$13,995 in federal fines
CMS has fined this facility across 1 penalty action(s).
Our read on Marshall Manor West
Marshall Manor West runs a government hospital district home with 118 certified beds, and the staffing numbers are stronger than most: 4.56 nurse hours per resident day, roughly 18% above the national average, with turnover at 32.8% compared to 45.8% nationally. That retention matters, since consistent caregivers know residents' routines. The catch is the inspection record. The current file holds 31 deficiencies, three tied to abuse and two serious enough to put residents in harm's way, and state surveyors were last in the building on February 4, 2026. Weekend staffing drops about 23% below weekday levels, which is when families tend to visit and notice. Their quality scores look strong, but quality measures come from the home's own reporting, the surveyor findings are the harder evidence.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
11.5/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →3.5 total nurse hours per resident per day (national median 3.77)
- →0.33 RN hours per resident per day
- →Weekend staffing drops 23% against weekdays
Staff stability
15/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →33% of nursing staff left in the last year
Resident outcomes
15/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →5 of 5 stars on the CMS quality-measure rating
Enforcement history
8/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →$13,995 in federal fines across 1 action(s)
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: February 4, 2026 (9 months ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
Who owns this home
Full recordPart of CARING HEALTHCARE GROUP, which operates 14 homes. Staffing budgets are usually set at chain level, not in the building.
What families say
Write a reviewNo family reviews yet for Marshall Manor West. If you or a relative have experience of this home, other families would find it useful.
Be the first to reviewEvery review is confirmed by email and read by a moderator before it appears. We remove reviews written by or for a facility. If something is wrong right now, report a concern , that routes you to your state ombudsman, who can actually intervene.
Common questions about Marshall Manor West
What is the ElderGrade for Marshall Manor West? +
Marshall Manor West holds an ElderGrade of B (79.5 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at Marshall Manor West? +
Residents receive an average of 4.56 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Marshall Manor West been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Marshall Manor West accept Medicaid? +
Yes, Marshall Manor West is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
- Add another