Marshall Manor Nursing & Rehabilitation Center
1007 S WASHINGTON AVE, Marshall, TX, 75670
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district · Chain: Caring Healthcare Group
- Certified beds
- 179 · avg 96 residents/day
- Total nursing staff turnover
- 41% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 66.7% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 143673
- Service type
- Medicare/medicaid
- Licensed capacity
- 179 beds
- Bed type breakdown
- 34 Medicare-only · 145 Medicaid/Medicare
- Current license effective
- August 31, 2024
- Current license expires
- August 31, 2027
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Winniestowell Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Marshall Manor Healthcare Llc
- Administrator
- Joshua Havins
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Caring Healthcare Group chain — 14 facilities. Chain-wide average overall rating 3.2 / 5.
Disclosed owners (4 on record)
- Ross Bradfield
W-2 Managing Employee · since 2020
- Menachem Mendy Shapiro
Operational/managerial Control · since 2014
- Edward r Murrell
Corporate Officer · since 2012
- Winnie-stowell Hospital District
Operational/managerial Control · 100% · since 2004
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 25)
- D0881·May 7, 2025
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
- E0880·May 7, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0812·May 7, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0756·May 7, 2025
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D0690·May 7, 2025
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E0688·May 7, 2025
Quality of Life and Care Deficiencies
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.
- D0686·May 7, 2025
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D0558·May 7, 2025
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Fire-safety citations
7 Life-Safety-Code citations on file. Most recent: May 7, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Marshall Manor Nursing & Rehabilitation Center is a 179-bed nursing home in Marshall, Texas, licensed since 1971 and operated by Winniestowell Hospital District under management by Marshall Manor Healthcare LLC. CMS rates it 2 stars overall, with a substantiated abuse or neglect finding recorded in the past 36 months. Quality-of-life outcomes for long-stay residents score 5 stars, while staffing rates 3 stars. The facility is running at roughly 54% of licensed capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 3 stars — about 19% of Texas nursing homes share that rating. Each resident receives roughly 263 minutes of nursing care per day. The case-mix adjustment suggests the residents here are, on average, less dependent or less medically complex than at a typical facility, meaning those same hours stretch further than at a home with heavier-needs residents.
Roughly 4 in 10 nursing staff left in the past year — below Texas's 25th-percentile cutoff of 42%, meaning turnover here is better than about three-quarters of nursing homes in the state. RN turnover ran at 66.7% over the same period, which is a notably higher rate of departure among registered nurses specifically.
CMS has substantiated findings of resident abuse or neglect at this facility within the past 36 months. That flag appears in the public CMS record and applies regardless of the overall rating in any other category.
The facility is operating at roughly 54% of its 179 licensed beds — about 96 residents on an average day. This is low relative to licensed capacity, and it coincides with the presence of a CMS abuse flag in the record.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Details behind the abuse finding
CMS has a substantiated abuse or neglect finding on record here from the past 36 months — ask what happened, what was changed, and how staff are trained and monitored now.
Why occupancy is low
The facility averages about 96 residents against 179 licensed beds — ask whether the low census reflects recent referral patterns, staffing decisions, or something else.
RN staffing and coverage
Registered-nurse turnover ran at 66.7% in the past year — ask how many RNs are on staff now, what hours they cover, and how long the current RNs have been here.
How the Resident Council operates
The facility has a Resident Council but no Family Council — ask how often the Resident Council meets, who attends from management, and how families receive updates on concerns raised.
Management company's role day-to-day
The facility is licensed to a hospital district but managed by Marshall Manor Healthcare LLC — ask which entity sets staffing levels, hires the administrator, and handles complaints.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.