Marshall Manor West is an average performer in CMS ratings, earning a C grade with a score of 58/100. Located in Marshall, Texas, the facility meets baseline standards across most quality metrics.
Marshall Manor West provides above-average staffing with 5.12 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.
Recent CMS inspections identified 21 deficiencies at Marshall Manor West, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 5.12 | 3.8 | Above Average |
| Registered Nurses (RN) | 0.27 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.51 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 3.34 | 2.4 | Above Average |
| Weekend Total Nursing | 3.95 | 3.8 | Average |
| Weekend RN Hours | 0.24 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0689 Severity JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Oct 21, 2025 · Quality of Life and Care Deficiencies
- Tag 0656 Severity EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Oct 21, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0803 Severity FEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the neeNov 5, 2024 · Nutrition and Dietary Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nov 5, 2024 · Nutrition and Dietary Deficiencies
- Tag 0550 Severity DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Nov 5, 2024 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 0.6% | 4.5% | Better |
| Falls with major injury | 1.0% | 3.0% | Better |
| On antipsychotic medication | 14.7% | 14.5% | Average |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 13.9% | 14.0% | Average |
| Excessive weight loss | 1.1% | 7.5% | Better |
| New/worsened incontinence | 0.0% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $21,530
How This Grade Was Calculated
This facility's grade of C is based on a score of 58 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -2 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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