Marshall Manor Nursing Home
3120 North Street, Guntersville, AL 35976 · Marshall County · 91 certified beds · avg 88 residents/day · certified since Feb 25, 1982 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: PRESTON HEALTH SERVICES (5 facilities, chain avg rating 3.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (3)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 23, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jun 23, 2023 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Jul 12, 2018 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 1 | 0 | D |
| 2023 | 2 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Alabama avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.81 | 4.43 | 3.95 | top 26% in Alabama; top 16% in the U.S. |
| Registered Nurse hours | 0.61 | 0.74 | 0.69 | bottom 30% in Alabama; top 47% in the U.S. |
| Weekend total nurse staffing | 3.66 | 3.73 | 3.50 | bottom 46% in Alabama; top 35% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.21 | 0.36 | 0.48 | bottom 17% in Alabama; bottom 14% in the U.S. |
| Total nursing staff turnover (%) | 57.8 | 46.9 | 45.8 | bottom 16% in Alabama; bottom 20% in the U.S. |
| RN turnover (%) | 58.3 | 39.5 | 42.9 | bottom 15% in Alabama; bottom 24% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.28, RN 0.54, weekend 3.26. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 3/5 · short-stay residents: 2/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Walker, James | Individual | 5% or Greater Direct Ownership Interest | — | 08/01/2002 |
| Robertson, Linda | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/25/2018 |
| Saylor, Jeffrey | Individual | Contracted Managing Employee | NOT APPLICABLE | 04/01/2010 |
| Walker, James | Individual | Corporate Director | NOT APPLICABLE | 04/19/2006 |
| Walker, James | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/09/2014 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Albertville Nursing Home | 7.0 mi | Albertville, AL | ★★★★★ | 4/5 | |
| Barfield Health Care | 7.9 mi | Guntersville, AL | ★★★★★ | 4/5 | |
| Diversicare of Arab | 10.3 mi | Arab, AL | ★★☆☆☆ | 2/5 | |
| Diversicare of Boaz | 10.8 mi | Boaz, AL | ★★☆☆☆ | 2/5 | |
| Crossville Health and Rehabilitation, LLC | 18.6 mi | Crossville, AL | ★★★★★ | 4/5 | |
| Altoona Health & Rehab | 19.4 mi | Altoona, AL | ★★★☆☆ | 2/5 |
Compare this facility with the 3 closest →
All facilities in Guntersville →
Facility data as of CMS processing date 2026-08-01. CCN 015378.