All states › Texas › Marshall › Marshall Manor West
207 W Merritt St Marshall, TX 75670 · Harrison County
All 3 nursing homes in Marshall, TX (3 take Medicaid)
CMS certification number 455879 · See this home on Medicare Care Compare
Is Marshall Manor West a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Marshall Manor West as of October 2026.
CMS rates it 2 out of 5 stars overall, below the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.43 hours per resident per day at Marshall Manor West, above the Texas median of 3.30 (US median: 3.72). About 0.31 of those hours are from registered nurses. On weekends it falls to 3.52 hours, 21% below its all-week average. Ask how weekends are staffed. 30.9% of nursing staff left within a year (Texas median 50.2%). That is lower than most homes in Texas, a sign of a steadier team.
About this nursing home
Paying for care at Marshall Manor West: Medicare and Medicaid
Marshall Manor West is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on February 4, 2026 and found 12 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 31 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 31 citations at Marshall Manor West across 5 inspection dates, 5 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on October 22, 2025 (complaint inspection). The most common areas cited were nutrition and dietary (7) and quality of life and care (7). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, October 22, 2025). 3 citations were under CMS's abuse, neglect and exploitation rules.
February 4, 2026 · 12 citations
GProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
EProvide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
EProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
EKeep all essential equipment working safely.
DHonor 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.
DEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide for the safe, appropriate administration of IV fluids for a resident when needed.
DEnsure 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.
October 22, 2025 · 2 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
November 6, 2024 · 8 citations
FEnsure 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.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DHave a policy regarding use and storage of foods brought to residents by family and other visitors.
DProvide and implement an infection prevention and control program.
July 31, 2024 · 3 citations · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
September 27, 2023 · 6 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide and implement an infection prevention and control program.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DEnsure each resident receives an accurate assessment.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Questions to ask on a tour of Marshall Manor West
- Inspectors cited the home at the immediate-jeopardy level on October 22, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on July 31, 2024. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Weekend staffing is 21% below the all-week average. Who is on duty on Saturday nights?
- The home averages about 43% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $13,995 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Oct 22, 2025 | Fine | $13,995 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 2/5 | 2/5 | 4/5 |
| August 2026 | 3/5 | 2/5 | 2/5 | 5/5 |
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Location
Hospitals near Marshall Manor West
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.1 mi
Good Shepherd Medical Center Marshall MarshallEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 26m for patients treated and sent home
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21.0 mi
Longview Regional Medical Center LongviewEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 15m for patients treated and sent home
- 21.2 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Marshall Manor West › All nursing homes in Marshall ›
Compare Marshall Manor West with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Marshall Manor Nursing & Rehabilitation Center · Marshall · 4 stars · 0.1 mi
Other Caring Healthcare Group nursing homes in Texas
- Gracy Woods II Living Center · Austin · 5 stars
- Rose Haven Retreat · Atlanta · 4 stars
- Marshall Manor Nursing & Rehabilitation Center · Marshall · 4 stars
- New Hope Manor · Cedar Park · 4 stars
- Garrison Nursing Home & Rehabilitation Center · Garrison · 3 stars
- Bluebonnet Rehab at Ennis · Ennis · 3 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 14 Caring Healthcare Group nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.