Marshall Manor West: Staffing, Turnover, and Inspection Record
Marshall Manor West is a 118-bed government-run nursing home in Marshall, Texas, part of Caring Healthcare Group. In the CMS August 2026 release it reported 2.93 nurse aide hours per resident per day, 47% above the Texas average of 2.00, and 32.8% nursing staff turnover (Texas average 55.3%).
Marshall Manor West
207 W Merritt StMarshall, TX 75670
Harrison County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Marshall Manor West, nurse aides logged 2.93 hours per resident per day, 47% above the Texas average. With about 51 residents a day, that works out to roughly 148 aide hours a day, or about 19 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 23% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.93 | 2.00 | 2.32 |
| Licensed practical nurses | 1.30 | 0.95 | 0.86 |
| Registered nurses | 0.33 | 0.43 | 0.69 |
| All nursing staff | 4.56 | 3.39 | 3.86 |
| All nursing staff, weekends | 3.51 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
32.8% of nursing staff at Marshall Manor West left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Feb 4, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 14 health deficiencies (Texas average 9.3). CMS lists 1 fine totaling $13,995 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Oct 22, 2025 | Fine | $13,995 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Marshall Manor West holds 3 of 5 overall; the Texas average is 2.6.
About Marshall Manor West
- Ownership: Government - Hospital district
- Chain: Caring Healthcare Group, 14 homes
- Legal name: Winnie-Stowell Hospital District
- Medicare and Medicaid certified since: Apr 26, 1990
- Councils: resident council
- Area: urban
Nursing homes near Marshall Manor West
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Marshall Manor Nursing & Rehabilitation Center Marshall | 0.1 | 179 | 2.37 | 3.85 | 48.1% | 4 | None |
| Heritage House of Marshall Health & Rehabilitation Marshall | 4.2 | 125 | 1.93 | 3.29 | 91.7% | 2 | $67,706 |
| Avir at Jefferson Jefferson | 16.4 | 116 | 2.15 | 3.29 | 58.8% | 2 | $16,498 |
| Whispering Pines Lodge Longview · SFF candidate · abuse citation | 19.7 | 116 | 2.32 | 3.42 | 97.3% | 1 | $491,489 |
| Treviso Transitional Care Longview | 20.3 | 140 | 1.92 | 3.23 | 53.4% | 1 | $150,705 |
| Longview Hill Nursing and Rehabilitation Center Longview | 21.1 | 198 | 1.92 | 3.36 | 49.5% | 1 | $225,427 |
| Highland Pines Nursing Home Longview | 21.1 | 171 | 2.08 | 3.70 | 46.2% | 1 | $17,629 |
| Avir at Longview Longview · abuse citation | 21.6 | 115 | 2.05 | 3.56 | 73.3% | 1 | $262,731 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.