Marshall Manor Nursing & Rehabilitation Center
1007 S Washington Ave · Marshall, TX · 75670 · 9039357971
179 certified beds Government - Hospital district Chain: Caring Healthcare Group
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
RN staffing in the bottom 10% nationally
0.28 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.03 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.28 | 0.55–0.75 |
| Weekend hours / resident-day | 3.62 | ≈ weekday level |
| Nursing turnover / year | 47% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (25 in the current record)
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Potential for harm · D May 7, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected May 8, 2025 · Resident Rights
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Potential for harm · D May 7, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 8, 2025 · Quality of Life and Care
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Potential for harm · E May 7, 2025
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.
Corrected May 8, 2025 · Quality of Life and Care
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Potential for harm · D May 7, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected May 8, 2025 · Quality of Life and Care
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Potential for harm · D May 7, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected May 8, 2025 · Pharmacy Service
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Potential for harm · D May 7, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 8, 2025 · Nutrition and Dietary
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Potential for harm · E May 7, 2025
Provide and implement an infection prevention and control program.
Corrected May 8, 2025 · Infection Control
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Potential for harm · D May 7, 2025
Implement a program that monitors antibiotic use.
Corrected May 8, 2025 · Infection Control
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Potential for harm · D April 15, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 6, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 10, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected April 11, 2024 · Resident Assessment and Care Planning
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Potential for harm · E April 10, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 11, 2024 · Resident Assessment and Care Planning
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Potential for harm · E April 10, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 11, 2024 · Quality of Life and Care
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Potential for harm · D April 10, 2024
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.
Corrected April 11, 2024 · Pharmacy Service
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Potential for harm · D April 10, 2024
Provide and implement an infection prevention and control program.
Corrected April 11, 2024 · Infection Control
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Potential for harm · D March 13, 2024 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected March 14, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 13, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 14, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E February 24, 2023
Reasonably accommodate the needs and preferences of each resident.
Corrected March 23, 2023 · Resident Rights
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Potential for harm · D February 24, 2023
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected March 23, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 24, 2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 23, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 24, 2023
Respond appropriately to all alleged violations.
Corrected March 23, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 24, 2023
Ensure each resident receives an accurate assessment.
Corrected March 23, 2023 · Resident Assessment and Care Planning
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Potential for harm · D February 24, 2023
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.
Corrected March 23, 2023 · Quality of Life and Care
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Potential for harm · D February 24, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 23, 2023 · Quality of Life and Care
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Potential for harm · D February 24, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 23, 2023 · Quality of Life and Care
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Potential for harm · E February 24, 2023
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected March 23, 2023 · Quality of Life and Care
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455646 · certified since March 27, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.