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Marshall Manor Nursing Home
3120 North Street, Guntersville, AL 35976 (opens Google Maps) · Marshall County · (256) 582-6561· 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★)
3/5
Health inspection rating (on-site)
inspected Jun 23, 2023
0
Serious findings on record
$0
Fines, last 3 years
4.81
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5 · how star ratings work →
⚠ 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 quality measures from resident assessments and claims.
Inspection findings in the public record
3 inspection findings in the public record
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 23, 2023 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Jun 23, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0657 |
| Jul 12, 2018 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
Inspection trend by year
All citationsSerious citations (G–L)
2018
All citations: 1
Serious citations (G–L): 0
2023
All citations: 2
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityAlabama averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.81
Alabama average: 4.43
U.S. average: 3.95
Registered Nurse hours
This facility: 0.61
Alabama average: 0.74
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.66
Alabama average: 3.73
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.28 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 2/5 · long-stay residents: 3/5 · short-stay residents: 2/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Marshall Manor Nursing Home. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 5 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Preston Health Services — 5 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Mitchell-Hollingsworth Nursing & Rehabilitation — Florence, AL · overall 3/5
- South Hampton Nursing & Rehabilitation Center — Owens Cross Roads, AL · overall 3/5
- Gadsden Health and Rehab Center — Gadsden, AL · overall 4/5
- Limestone Nursing and Rehabilitation Center, LLC — Athens, AL · overall 3/5
Listed by state, then facility name — not a ranking.
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?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Alabama midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 58% total nursing staff turnover here — who on the care team has been with you longest?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
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 |
Facility data as of CMS processing date 2026-08-01. CCN 015378.