Marshall Manor West
207 W Merritt St · Marshall, TX · 75670 · 9039383793
118 certified beds Government - Hospital district Chain: Caring Healthcare Group
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
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
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
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.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.86 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.34 | 0.55–0.75 |
| Weekend hours / resident-day | 3.80 | ≈ weekday level |
| Nursing turnover / year | 37% | median 45% |
| Fines (3-yr window) | 1 · $21,530 |
Inspection citations (31 in the current record)
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Actual harm · G February 4, 2026
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 February 5, 2026 · Quality of Life and Care
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Potential for harm · D February 4, 2026
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.
Corrected February 5, 2026 · Resident Rights
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Potential for harm · D February 4, 2026
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected February 5, 2026 · Resident Rights
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Potential for harm · D February 4, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 5, 2026 · Resident Assessment and Care Planning
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Potential for harm · E February 4, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 5, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 4, 2026
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected February 5, 2026 · Quality of Life and Care
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Potential for harm · D February 4, 2026
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.
Corrected February 5, 2026 · Pharmacy Service
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Potential for harm · E February 4, 2026
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected February 5, 2026 · Nutrition and Dietary
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Potential for harm · E February 4, 2026
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected February 5, 2026 · Nutrition and Dietary
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Potential for harm · F February 4, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 5, 2026 · Nutrition and Dietary
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Potential for harm · E February 4, 2026
Keep all essential equipment working safely.
Corrected February 5, 2026 · Environmental
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Potential for harm · F February 4, 2026
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected February 5, 2026 · Environmental
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Immediate jeopardy · J October 22, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 23, 2025 · Quality of Life and Care
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Potential for harm · E October 22, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 6, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 14, 2024 · Resident Rights
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Potential for harm · D November 6, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 14, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 6, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected November 14, 2024 · Quality of Life and Care
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Potential for harm · D November 6, 2024
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 November 14, 2024 · Quality of Life and Care
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Potential for harm · F November 6, 2024
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.
Corrected November 14, 2024 · Nutrition and Dietary
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Potential for harm · F November 6, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 14, 2024 · Nutrition and Dietary
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Potential for harm · D November 6, 2024
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected November 14, 2024 · Nutrition and Dietary
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Potential for harm · D November 6, 2024
Provide and implement an infection prevention and control program.
Corrected November 14, 2024 · Infection Control
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Potential for harm · D July 31, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 2, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 31, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected August 2, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 31, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 2, 2024 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 22, 2025 | Fine | $21,530 |
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 455879 · certified since April 26, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.