Marshall Manor West
207 W MERRITT ST, Marshall, TX, 77604
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 Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district · Chain: Caring Healthcare Group
- Certified beds
- 118 · avg 46 residents/day
- Total nursing staff turnover
- 33.9% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $21,530 total
State licensing & capacity
- License number
- 142778
- Service type
- Medicare/medicaid
- Licensed capacity
- 118 beds
- Bed type breakdown
- 38 Medicare-only · 80 Medicaid/Medicare
- Current license effective
- July 22, 2024
- Current license expires
- July 22, 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
- Chp Marshall West Opco, Llc
- Administrator
- Kenneth L Kale
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)
- Kenneth Kale
W-2 Managing Employee · since 2019
- Menachem Mendy Shapiro
Operational/managerial Control · since 2014
- Winnie-stowell Hospital District
Operational/managerial Control · 100% · since 2014
- Edward r Murrell
Corporate Officer · since 2012
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 21)
- J0689·Oct 22, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E0656·Oct 22, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D0880·Nov 6, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0813·Nov 6, 2024
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- F0812·Nov 6, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F0803·Nov 6, 2024
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- D0690·Nov 6, 2024
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.
- D0686·Nov 6, 2024
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Federal penalties
By year
- 20251 fine · $22K
Most recent events
- Oct 22, 2025Fine · $22K
Fire-safety citations
6 Life-Safety-Code citations on file. Most recent: Nov 6, 2024. 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 West is a 118-bed nursing home in Marshall, Texas, licensed under the Winniestowell Hospital District and managed by Chp Marshall West Opco, Llc. CMS rates it 3 stars overall, with a 4-star staffing rating and a top 5-star score on quality measures — though health inspections pull the overall rating down to 2 stars. Only about 46 of its 118 beds are occupied. No abuse findings or Special Focus designation appear on the record.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 4 stars on staffing — placing it in roughly the top 9% of Texas nursing homes on that measure. Each resident receives about 308 minutes of nursing care per day. Staff hours per resident exceed what a typical resident mix would require, meaning the facility is running more staff relative to how much hands-on help residents actually need.
Roughly 3 in 10 nursing staff left in the past year. That sits below Texas's 25th-percentile cutoff — better than about three-quarters of nursing homes in the state.
CMS rates quality measures 5 stars for both long-stay and short-stay residents — the top tier on that scale.
The facility carries one CMS fine totaling $21,530. The state median fine among Texas nursing homes that have any fine is about $20,699; roughly 30% of Texas facilities have no fines at all.
The facility is operating at roughly 39% of its licensed 118 beds, with only about 46 residents on an average day. That figure is low enough to pair with the other signals here and warrants a direct conversation about current staffing patterns and near-term plans.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Reason for the 2-star inspection rating
The health inspection rating is 2 stars while staffing and quality measures score much higher — ask what deficiencies drove that gap and what has changed since.
Low occupancy and its effects
Only about 46 of 118 beds are filled; ask whether current staffing levels, programming, and services are maintained at that census or adjusted downward.
Management company's role day-to-day
The facility is licensed under a hospital district but operated by Chp Marshall West Opco, Llc — ask which entity makes decisions about staffing, care protocols, and capital improvements.
The one CMS fine
A $21,530 fine appears on the record — ask what the citation was for and what corrective steps were taken.
Resident Council activity
A Resident Council exists but no Family Council — ask how often the Resident Council meets and how families are informed of concerns it raises.
Overnight and weekend nurse coverage
Weekend staffing hours are reported at 3.96 hours per resident per day, compared to 5.13 on weekdays — ask how RN presence and response times differ on evenings and weekends.
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.