Marshall Manor Nursing & Rehabilitation Center
1007 S WASHINGTON AVE, Marshall, TX 75670
Marshall, Texas · CMS verdict
Marshall Manor Nursing & Rehabilitation Center's CMS overall star rating stands at 2 of 5, below the Texas state average (2.8) and reflecting below-average quality by the federal five-star measure.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Marshall Manor Nursing & Rehabilitation Center in Marshall, Texas holds a CMS overall rating of 2 of 5 stars and a PlainElderCare Quality & Compliance Index of 48 of 100 (grade F). The 179-bed facility operates where a semi-private nursing-home room in Texas runs a median of $5,627 per month. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (larger bed book)
At 179 certified beds, this facility sits in the upper U.S. bed tercile (>120). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 2 of 5 stars. How this is calculated.
How the 48 is built
Each segment is a dimension's weighted points toward the score, summing to 48.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Marshall Manor Nursing & Rehabilitation Center's larger certified-bed book
Quality ratings
CMS's most recent Care Compare release (data as of April 2026) puts Marshall Manor Nursing & Rehabilitation Center's overall quality rating at 2 out of 5 stars, a composite of three sub-ratings: health inspection (2/5), staffing (3/5), and quality measures (4/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Marshall, Texas, this facility operates 179 certified beds with an average daily census of roughly 96 residents - an occupancy rate of about 54%. The facility is classified under government - hospital district ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 54% occupancy, this facility has meaningful open capacity relative to its certified bed count.
Same-ownership peers
Within Texas, Marshall Manor Nursing & Rehabilitation Center is one of 207 government - hospital district nursing homes CMS rates. Its 2-star overall rating sits below the government - hospital district-segment average of 2.8 stars, ahead of roughly 22% of same-ownership peers in the state. Comparing a facility against its own ownership segment holds the business model roughly constant, which helps isolate facility-level performance from the staffing and reinvestment patterns that differ across for-profit, non-profit, and government operators.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (25 total). CMS has levied no enforcement penalties over the equivalent window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Marshall Manor Nursing & Rehabilitation Center's lower-tercile stars compare to Texas
CMS five-star sub-ratings (0–5) for this facility against the Texas facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Texas state average. Higher is better on all four CMS measures.
Where Marshall Manor Nursing & Rehabilitation Center ranks in Texas
Among the 1,167 CMS-rated nursing homes in Texas, Marshall Manor Nursing & Rehabilitation Center’s 2-star overall rating is higher than 23% of them. The bars show how all Texas homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
262 Texas homes share this 2-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 179 |
| Residents | 96 |
| Ownership | Government - Hospital district |
| County | Harrison |
| Penalties | 0 |
| Deficiencies | 25 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What families ask about Marshall Manor Nursing & Rehabilitation Center's larger facility
What is the quality rating for Marshall Manor Nursing & Rehabilitation Center? ▾
CMS rates Marshall Manor Nursing & Rehabilitation Center at 2 out of 5 stars overall. The three sub-ratings behind that number: health inspection 2/5, staffing 3/5, quality measures 4/5.
How much does a nursing home cost per month in Texas? ▾
The median cost for a semi-private nursing home room in Texas is $5,627 per month ($67,525 annually). A private room averages $7,604 per month. Costs are from the CareScout 2025 survey.
What services does Marshall Manor Nursing & Rehabilitation Center offer? ▾
With 179 beds with approximately 96 current residents, Marshall Manor Nursing & Rehabilitation Center is a skilled nursing facility. It operates under government - hospital district ownership, and CMS's inspection record shows 25 deficiencies and 0 penalties.
Does Marshall Manor Nursing & Rehabilitation Center have any deficiencies or penalties? ▾
Marshall Manor Nursing & Rehabilitation Center has multiple deficiencies (25 total) and 0 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Texas? ▾
In Texas, alternatives include assisted living ($5,666/mo), home health aides ($5,720/mo), and adult day care ($1,950/mo).
Keep reading
Also see the Texas elder-care overview and highest-rated states. Provider ID: 455646.
Read our methodology - how this data is sourced, computed, and verified.