CMS Verified · Updated March 2026
Marshall Manor Nursing Home
65.8
Score /100
3.0★
CMS Overall
3.0★
Health Inspection
3.0★
Quality Care
4.0★
Staffing
#6741
National Rank
#6741
of 14703 nationally
National Rank
#4
of 5 in county
County Rank
#2
of 2 in ZIP 35976
ZIP Rank
Facility
Marshall Manor Nursing Home
Address
3120 North Street, Guntersville, AL 35976
Phone
Care Offered
- Long-Term Care
- Rehab / Short-Term
Medicare & Medicaid
- Accepts Medicare
- Accepts Medicaid
Facility Details
- 91 Certified Beds
- Ownership: For profit – Corporation
- Resident Council: Resident
- Auto Sprinklers: Yes
- Network: PRESTON HEALTH SERVICES
Quick Verdict
Overall Quality
⚠️ Average (3★) overall
Health Inspection
⚠️ Average (3★) health inspection
Staffing
✅ Above Average (4★) staffing
Quality of Care
⚠️ Average (3★) quality of care
Compliance
✅ No fines in 5 years
5-Year Trend
Declining over 5 years
Composite Quality Score
65.8
/ 100
Composite Quality Score
Built from 5 components using official CMS data. How it’s calculated →
Safety & Inspections (35 pts)
34.6 / 35
34.6 / 35
Quality of Care (25 pts)
12.5 / 25
12.5 / 25
Nurse Staffing (20 pts)
9.4 / 20
9.4 / 20
Compliance History (15 pts)
14.8 / 15
14.8 / 15
Staff Stability (10 pts)
4.8 / 10
4.8 / 10
Improvement Trend (+5 pts)
0.0 / 5
0.0 / 5
Is This Facility Right For Your Loved One?
❌ Dementia / Alzheimer’s
32.4% of residents receive antipsychotic medication — above the national average of 16.7%. Ask staff about non-medication approaches to dementia care.
⚠️ Short-Stay Rehab
21.8% rehospitalization rate — near the national average of 23.9%.
✅ Bedridden / Immobile Residents
Only 2.5% of residents develop pressure sores — well below the national average of 5.1%. Good wound prevention protocols.
⚠️ ️ Fall-Risk Residents
2.7% falls with major injury — near the national average.
Overall Rating 2022–2026
Total Nurse Hours/Day 2022–2026
Quality Measures vs National Average
Long-Stay Residents
Antipsychotic Medication Uselong-stay
32.4%
+15.6% vs national
+15.6% vs national
National avg: 16.7% | 4-quarter average (2024Q4–2025Q3)
Falls with Major Injurylong-stay
2.7%
-0.6% vs national
-0.6% vs national
National avg: 3.3% | 4-quarter average (2024Q4–2025Q3)
Pressure Ulcerslong-stay
2.5%
-2.5% vs national
-2.5% vs national
National avg: 5.1% | 4-quarter average (2024Q4–2025Q3)
Daily Activity Declinelong-stay
9.9%
-5.0% vs national
-5.0% vs national
National avg: 14.9% | 4-quarter average (2024Q4–2025Q3)
Walking/Mobility Worsenedlong-stay
13.3%
-3.0% vs national
-3.0% vs national
National avg: 16.3% | 4-quarter average (2024Q4–2025Q3)
Urinary Tract Infectionslong-stay
3.2%
+1.5% vs national
+1.5% vs national
National avg: 1.7% | 4-quarter average (2024Q4–2025Q3)
Residents with Depressive Symptomslong-stay
0.0%
-11.4% vs national
-11.4% vs national
National avg: 11.4% | 4-quarter average (2024Q4–2025Q3)
Physical Restraints Usedlong-stay
0.0%
-0.1% vs national
-0.1% vs national
National avg: 0.1% | 4-quarter average (2024Q4–2025Q3)
Residents Losing Too Much Weightlong-stay
4.4%
-1.0% vs national
-1.0% vs national
National avg: 5.4% | 4-quarter average (2024Q4–2025Q3)
Short-Stay / Rehab Residents
Rehospitalized After Admissionshort-stay
21.8%
-2.1% vs national
-2.1% vs national
National avg: 23.9% | 4-quarter average (2024Q4–2025Q3)
Emergency Dept. Visit Rateshort-stay
14.3%
+2.3% vs national
+2.3% vs national
National avg: 12.0% | 4-quarter average (2024Q4–2025Q3)
Quality Measure Trends (2022–2026)
Antipsychotic Medication Use % (lower = better)
Falls with Major Injury % (lower = better)
Pressure Ulcers % (lower = better)
Rehospitalization Rate % (lower = better)
Why does a facility with 1 CMS star sometimes have a higher composite score? CMS star ratings place hundreds of facilities into just 5 buckets. Our composite score uses the raw underlying data to rank facilities more precisely. A 1-star facility may have been penalized in health inspection while performing well in staffing and quality care. Read our methodology.
Current CMS Ratings (2026)
Overall Rating
★★★★★3 / 5
Health Inspection
★★★★★3 / 5
Staffing Rating
★★★★★4 / 5
Quality Measures (QM)
★★★★★3 / 5
5-Year Rating Trends
Overall Rating
Health Inspection Rating
Quality of Care (QM) Rating
Staffing Rating
Average Residents per Day
Occupancy % (Residents / Beds)
Staffing InsightMarshall Manor Nursing Home currently provides 4 hours 24 minutes of total nurse staffing per resident per day, including 39 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 4 out of 5 reflects strong nurse coverage. Total nursing staff turnover is high at 52.2%, which can affect care continuity.
Current Staffing Hours Per Resident Per Day (2026)
Total Nurse Staffing4 hours 24 minutes
Nurse Aide Hours2 hours 43 minutes
Licensed Practical Nurse (LPN) Hours1 hour 2 minutes
Registered Nurse (RN) Hours39 minutes
Physical Therapist Hours1 minute
National average total nurse staffing is approximately 3.9 hours per resident per day (CMS, March 2026).
Weekend Staffing Hours Per Resident Per Day (2026)
Weekend Total Nurse Hours3 hours 27 minutes
Weekend Registered Nurse (RN) Hours13 minutes
Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.
5-Year Staffing Trends
Total Nurse Hours/Day
Registered Nurse (RN) Hours/Day
Licensed Practical Nurse (LPN) Hours/Day
Nurse Aide Hours/Day
Total Staff Turnover %
Registered Nurse (RN) Turnover %
5-Year Compliance Record (2022–2026)
✅ No fines or serious findings in 5 years
Total citations (2022–2026)17
Citations causing actual harm (severity G+)0
Immediate jeopardy citations (most serious)0
Complaint-driven citations0
Abuse / neglect related citations0
Government fines (2022–2026)0
Total fines paid$0
Medicare/Medicaid payment denial days0
Severity A–C: minor | D–F: potential harm | G–I: actual harm | J–L: immediate jeopardy. Data covers 2022–2026.
Annual Trends
Government Fines ($) Per Year
Substantiated Complaints Per Year
Composite Quality Rankings
#6,741
of 14,703
National
Above average
Nationally, Marshall Manor Nursing Home ranks 7530th out of 14,703 facilities (composite score: 71.6/100), placing it in the below average nationwide. Within AL, it ranks 103rd out of 224 nursing homes. In Guntersville, it ranks 2nd out of 2 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 2. For 2026 staffing: total nurse hours rank #2,783 nationally and RN hours rank #5,920 nationally (#96 in AL).
How are these rankings calculated? →
Total Nurse Staffing — Year-by-Year National and State Ranks
| Year | Hours/Day | National Rank | AL State Rank |
|---|---|---|---|
| 2022 | 4.32 | #2,771 / 14,703 | #32 / 224 |
| 2023 | 4.36 | #2,514 / 14,703 | #44 / 224 |
| 2024 | 3.74 | #6,105 / 14,703 | #132 / 224 |
| 2025 | 3.72 | #6,749 / 14,703 | #136 / 224 |
| 2026 | 4.39 | #2,783 / 14,703 | #43 / 224 |
Registered Nurse (RN) Hours — Year-by-Year National and State Ranks
| Year | Hours/Day | National Rank | AL State Rank |
|---|---|---|---|
| 2022 | 0.45 | #9,901 / 14,703 | #166 / 224 |
| 2023 | 0.49 | #8,348 / 14,703 | #125 / 224 |
| 2024 | 0.49 | #8,329 / 14,703 | #138 / 224 |
| 2025 | 0.36 | #11,481 / 14,703 | #199 / 224 |
| 2026 | 0.64 | #5,920 / 14,703 | #96 / 224 |
Total Nurse Rank — National (lower = better)
Registered Nurse Rank — National (lower = better)
Frequently Asked Questions
Marshall Manor Nursing Home is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1982-02-25. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (256) 582-6561 or your local Medicaid office to verify current eligibility.
Marshall Manor Nursing Home holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 3 out of 5 stars. This is made up of three components: Health Inspection (3â
), Staffing (4â
), and Quality of Resident Care (3â
). Our independent composite quality score â which uses the raw underlying CMS numbers to break ties between similarly-rated facilities â is 71.6/100, placing it #7530 of 14703 facilities nationally and #103 of 224 in Alabama. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.
Each resident at Marshall Manor Nursing Home receives a reported average of 4 hours 24 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage â 39 minutes; Licensed Practical Nurse (LPN) â 1 hour 2 minutes; Nurse Aide â 2 hours 43 minutes. On weekends, total nurse staffing is 3 hours 27 minutes per resident per day. The CMS Staffing Rating for this facility is 4 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 52.2%. Families are encouraged to ask about current staffing schedules during their facility visit.
Marshall Manor Nursing Home has received zero fines across all five years of available data (2022â2026), reflecting a strong regulatory compliance record. No substantiated complaints have been recorded in the available data. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 15.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.
Nationally, Marshall Manor Nursing Home ranks 7530th out of 14,703 facilities (composite score: 71.6/100), placing it in the below average nationwide. Within AL, it ranks 103rd out of 224 nursing homes. In Guntersville, it ranks 2nd out of 2 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 2. For 2026 staffing: total nurse hours rank #2,783 nationally and RN hours rank #5,920 nationally (#96 in AL). Our composite quality score of 71.6/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends â giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Guntersville, visit: https://nursinghomesnearme.org/alabama/guntersville/
Contact and Location
ADR
Address
3120 NORTH STREET, Guntersville, AL 35976
Get directions on Google Maps
TEL
Phone
LLC
Legal Name
PREFERRED HEALTH HOLDINGS LLC
MAP
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Facility Details
| Certified Beds | 91 |
| Avg Residents / Day | 80 (88% occupancy) |
| Ownership Type | For profit – Corporation |
| Provider Type | Medicare and Medicaid |
| County | Marshall County, AL |
| City | Guntersville, AL |
| ZIP Code | 35976 |
| Approved Since | February 25, 1982 |
| Resident Council | ✅ Yes |
| Auto Sprinklers | ✅ All areas |
| Ownership Changed | No |
| CMS Certification # | 015378 |
| Last Inspection | June 23, 2023 |
| CMS Data Updated | March 1, 2026 |
10 Closest Nursing Homes
The 10 nearest CMS-certified nursing homes to this facility, measured in straight-line distance. Use this to compare alternatives in the area.
📌 Straight-line distances only — does not account for roads or terrain. Source: CMS Provider Data Catalog, March 2026. ⚠ = approximate location (ZIP centroid geocoding).
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org using a proprietary methodology. Learn how rankings are calculated. Information may not reflect current facility conditions. Always verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare · March 2026 ·
Ranked among 14703 U.S. facilities ·
Ranking Methodology ·
NursingHomesNearMe.org
Ranked among 14703 U.S. facilities ·
Ranking Methodology ·
NursingHomesNearMe.org