Government - Hospital district · 179 certified beds · CMS number 455646

Marshall Manor Nursing & Rehabilitation Center, Marshall, TX

CMS records 25 health deficiencies at Marshall Manor Nursing & Rehabilitation Center in Marshall, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jul 29, 2026. The highest severity cited is E (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.

Inspections and deficiencies

CMS findings for Marshall Manor Nursing & Rehabilitation Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Marshall Manor Nursing & Rehabilitation Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (9 deficiencies)

Standard inspection Jul 29, 2026. CMS counts 9 health deficiencies and 2 fire safety deficiencies in this cycle.

Jul 29, 2026 · Standard inspection

8 deficiencies, highest E

F925 · Pest control

Requirement cited (CMS): Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 30, 2026

F919 · Working call system

Requirement cited (CMS): Make sure that a working call system is available in each resident's bathroom and bathing area.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 30, 2026

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 30, 2026

F813 · Food brought in by visitors

Requirement cited (CMS): Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 30, 2026

F761 · Drug labeling and secure storage

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 30, 2026

F695 · Respiratory and oxygen care

Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 30, 2026

F605 · Limits on psychotropic drugs and chemical restraints

Requirement cited (CMS): Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 30, 2026

F584 · Safe, clean, homelike surroundings

Requirement cited (CMS): Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jul 30, 2026

Jun 24, 2026 · Complaint inspection

1 deficiency, highest D

F635 · Doctor's orders at admission

Requirement cited (CMS): Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 25, 2026
Previous cycle: 9 deficiencies (standard inspection May 7, 2025)

Standard inspection May 7, 2025. CMS counts 9 health deficiencies and 3 fire safety deficiencies in this cycle.

May 7, 2025 · Standard inspection

8 deficiencies, highest E

F881 · Antibiotic stewardship

Requirement cited (CMS): Implement a program that monitors antibiotic use.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 8, 2025

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date May 8, 2025

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 8, 2025

F756 · Monthly pharmacist medication review

Requirement cited (CMS): Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 8, 2025

F690 · Bladder, bowel, and catheter care

Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 8, 2025

F688 · Range of motion and mobility

Requirement cited (CMS): 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.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date May 8, 2025

F686 · Pressure ulcer prevention and care

Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 8, 2025

F558 · Accommodating individual needs and preferences

Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 8, 2025

Apr 15, 2025 · Complaint inspection

1 deficiency, highest D

F600 · Freedom from abuse and neglect

Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Past non-compliance (fixed before the inspection), Apr 6, 2025
Earlier cycle: 7 deficiencies (standard inspection Apr 10, 2024)

Standard inspection Apr 10, 2024. CMS counts 7 health deficiencies and 1 fire safety deficiency in this cycle.

Apr 10, 2024 · Standard inspection

5 deficiencies, highest E

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 11, 2024

F758 · Psychotropic drug safeguards

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 11, 2024

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Apr 11, 2024

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Apr 11, 2024

F645 · Pre-admission screening for mental disorder or intellectual disability

Requirement cited (CMS): PASARR screening for Mental disorders or Intellectual Disabilities

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 11, 2024

Mar 13, 2024 · Complaint inspection

2 deficiencies, highest D

F609 · Reporting suspected abuse and crimes

Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 14, 2024

F602 · Protecting residents' money and belongings

Requirement cited (CMS): Protect each resident from the wrongful use of the resident's belongings or money.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 14, 2024

Tags cited in more than one inspection

1 tag cited on more than one inspection date at Marshall Manor Nursing & Rehabilitation Center; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F880 Infection prevention and control program3Jul 29, 2026; May 7, 2025; Apr 10, 2024

Fines and payment denials

CMS lists no fines or payment denials for this nursing home in the last three years.

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.85 h (above the Texas median of 3.27 h)
RN hours per resident per day
0.29 h (below the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
3.36 h
Nursing staff turnover
48.1% (Texas median 52.1%)
Administrators who left
0
CMS overall rating
4 of 5
Health inspection rating
4 of 5
Staffing rating
2 of 5
Quality measure rating
4 of 5

CMS figures for Marshall Manor Nursing & Rehabilitation Center, copied as published; Texas medians are ours.

Facility details

Address
1007 S Washington Ave, Marshall, TX 75670
Phone
(903) 935-7971
County
Harrison
Accepts
Medicare and Medicaid
Ownership
Government - Hospital district
Chain (CMS)
Caring Healthcare Group
Certified beds
179
Average residents per day
94.7
In Medicare/Medicaid since
Mar 27, 1986
Inside a hospital
No
Continuing care retirement community
No
Resident and family council
Resident
Sprinklers in all required areas
Yes

Questions to ask on a visit

Based on the tags cited most often here.

  • How do staff track and report infections among residents? (F880, cited 3 times)
  • How does the home adapt rooms and routines for residents with limited mobility, vision, or hearing? (F558, cited 1 time)
  • How often are rooms cleaned and bed linens changed? (F584, cited 1 time)
  • How does the home screen, train, and supervise staff to protect residents? (F600, cited 1 time)

Other nursing homes in Marshall and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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