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D
Poor

MARSHALL MANOR WEST

207 W MERRITT ST · MARSHALL, TX 75670

9039383793 · Government - Hospital district

118 beds45.8 residents88 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A+
Excellent
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

MARSHALL MANOR WEST receives an overall staffing grade of D (Poor). With 5.1275 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.2734 HPRD, below the recommended 0.75. It is 1.23 HPRD above the national average.

Weekend staffing drops significantly — dropping 29.18% compared to weekdays. The facility has low agency staff usage (0.01% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

⚠️RN staffing (0.2734 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️Weekend staffing drops 29.18% — significantly higher than average. Residents receive substantially less care on Saturdays and Sundays.

✨ 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
5.1275hrs/resident/day▲ 1.23
CMS benchmark: 3.48
RN HPRD
0.2734hrs/resident/day▼ 0.41
Recommended: 0.75
Weekend Drop-off
29.18%
5.5884 weekday → 3.9576 weekend
⚠ Significant weekend reduction
Agency Staff
0.01%
0.13% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.3431hrs/resident/day
Direct care aides
LPN HPRD
1.5141hrs/resident/day
Licensed practical nurses
Consistency
0.7836std 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+0.79 HPRD
4.34
05.13 HPRD
vs. Texas State Average+1.72 HPRD
3.40
05.13 HPRD
vs. National Average+1.23 HPRD
3.90
05.13 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 WEST ★
MARSHALL · This facility
—
D
5.12750.2734★★★☆☆
MARSHALL MANOR NURSING & REHABILITATION CENTER
MARSHALL
0.1 mi
C
4.39510.4194★★☆☆☆
LONGVIEW HILL NURSING AND REHABILITATION CENTER
LONGVIEW
21.1 mi
C
3.66960.5269★☆☆☆☆
AVIR AT LONGVIEW
LONGVIEW
21.5 mi
C
4.21460.502★☆☆☆☆
HERITAGE AT LONGVIEW HEALTHCARE CENTER
LONGVIEW
21.7 mi
D
2.6970.2645★☆☆☆☆
Avir at Center
CENTER
52.4 mi
D
3.42190.3213★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
21
Total Deficiencies
$21,530
Fines Assessed
Oct 22, 2025Health
2 deficiencies cited· Includes actual harm
▼
Nov 6, 2024Health
8 deficiencies cited
▼
Jul 31, 2024Health
3 deficiencies cited
▼
Sep 27, 2023Health
6 deficiencies cited
▼
Aug 24, 2022Health
2 deficiencies cited
▼

Penalty History

Oct 22, 2025Fine
$21,530
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.