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C
Below Standard

MARSHALL MANOR NURSING & REHABILITATION CENTER

1007 S WASHINGTON AVE · MARSHALL, TX 75670

9039357971 · Government - Hospital district

179 beds95.8 residents154 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

MARSHALL MANOR NURSING & REHABILITATION CENTER receives an overall staffing grade of C (Below Standard). With 4.3951 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.4194 HPRD, below the recommended 0.75. It is 0.50 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 18.55% compared to weekdays. The facility has low agency staff usage (0.01% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.4194 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0.01%) — mostly permanent, familiar staff
Total Nurse HPRD
4.3951hrs/resident/day▲ 0.50
CMS benchmark: 3.48
RN HPRD
0.4194hrs/resident/day▼ 0.26
Recommended: 0.75
Weekend Drop-off
18.55%
4.6382 weekday → 3.7778 weekend
Agency Staff
0.01%
0.11% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.0907hrs/resident/day
Direct care aides
LPN HPRD
1.1394hrs/resident/day
Licensed practical nurses
Consistency
0.4737std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Harrison County Average+0.06 HPRD
4.34
04.40 HPRD
vs. Texas State Average+0.99 HPRD
3.40
04.40 HPRD
vs. National Average+0.50 HPRD
3.90
04.40 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
MARSHALL MANOR NURSING & REHABILITATION CENTER ★
MARSHALL · This facility
—
C
4.39510.4194★★☆☆☆
MARSHALL MANOR WEST
MARSHALL
0.1 mi
D
5.12750.2734★★★☆☆
LONGVIEW HILL NURSING AND REHABILITATION CENTER
LONGVIEW
21.2 mi
C
3.66960.5269★☆☆☆☆
AVIR AT LONGVIEW
LONGVIEW
21.6 mi
C
4.21460.502★☆☆☆☆
HERITAGE AT LONGVIEW HEALTHCARE CENTER
LONGVIEW
21.8 mi
D
2.6970.2645★☆☆☆☆
Avir at Center
CENTER
52.5 mi
D
3.42190.3213★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
25
Total Deficiencies
$0
Fines Assessed
May 7, 2025Health
8 deficiencies cited
▼
Apr 15, 2025Health
1 deficiency cited
▼
Apr 10, 2024Health
5 deficiencies cited
▼
Mar 13, 2024Health
2 deficiencies cited
▼
Feb 24, 2023Health
9 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.