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Nursing HomeMedicaid

Marshall Manor Nursing Home

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

3120 North Street, Guntersville, AL 3597691 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 32 Google reviews

5
4
3
2
1
Marshall Manor Nursing Home Nursing Home in Guntersville, AL — Street View
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What this means for your family

While the facility's rehabilitation program has helped many residents return home, there are serious, recurring reports of medication errors and slow response times to patient needs. If you are considering this facility, we strongly recommend asking for their specific protocols regarding medication verification and staffing ratios during evening and weekend hours.

Google Reviews

Google Reviews

32 reviews on Google
Marshall Manor Nursing Home receives highly polarized feedback, with some families praising the rehabilitation services and staff dedication, while others report severe concerns regarding medical safety and neglect. Critical incidents involving medication errors and delayed response times for basic care needs contrast sharply with positive testimonials from those who experienced successful recovery. Families should be aware of these significant inconsistencies in care quality before choosing this facility.

Quality Themes

Tap a score for details
Food4.0Staff5.0Clean8.0ActivitiesN/AMeds1.0MemoryN/AComms3.0ValueN/A

Strengths

  • Effective rehabilitation therapy programs
  • Friendly and professional administrative staff
  • Clean facility environment
  • Dedicated long-term care support

Concerns

  • Serious medical and medication management errors (mentioned by 2 reviewers)
  • Neglect and slow response times for basic patient needs (mentioned by 2 reviewers)
  • Poor communication and responsiveness from administration (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2342.5'15(2)5.05.0'20(1)4.55.0'23(1)4.03.4'25(8)5.0'26(1)

Distribution · 35 analyzed

5
26
4
1
3
1
2
1
1
6
12 reviews posted between Jun 8, 2021Jun 11, 2021 · 12 were 5-star

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the facility's focus on rehabilitation, what specific protocols are in place to ensure accuracy and safety during medication administration?
  • 2How does the nursing team prioritize and track response times when a resident signals for assistance with daily needs?
  • 3With a 3-star health inspection rating, what specific steps is the facility currently taking to improve clinical oversight and quality of care?
  • 4What is the standard process for families to receive updates on their loved one's health status, and who is the primary point of contact for these communications?
  • 5Since dining is an area you are looking to improve, could you walk me through the current meal service process and how resident feedback is incorporated into the menu?
  • 6What types of daily activities or social engagement programs are available to help residents feel connected and active within the community?

Personalized based on this facility's data


Key Review Excerpts

My mom almost died from being given insulin without checking her sugar. Her sugar got so low she was unconscious.

Long-term resident's family · 2025★★☆☆☆

My husband spent over 6 weeks at Marshall Manor rehabilitation center with a broken bone in his hip, the staff and PT’s were extremely concerned, professional and wonderful with his therapy.

Long-term resident's family · 2023★★★★★

She was bed bound and had to push the nurse call button for assistance to use the bathroom. Once it was an HOUR before anyone came to help her.

Long-term resident's family · 2015☆☆☆☆
Source: 32 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.54hrs
72%
Registered nurses for medical care
Total Nursing
4.18hrs
OK
All nurses + aides combined
Staff Turnover
55%
Lower is better (< 30% = good)
RN Turnover
42%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

12

measures

Worse Than Avg

4

measures

Mixed Results

1

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility39.5%
Worse than Avg
Here
39.5%
US
19.5%
AL
24.7%
Marshall
23.5%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility33.3%
Worse than Avg
Here
33.3%
US
15.4%
AL
21.4%
Marshall
16.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
AL
1.4%
Marshall
7.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.0%
Better than Avg
Here
98.0%
US
93.4%
AL
91.7%
Marshall
96.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility15.4%
Mixed vs Avgs
Here
15.4%
US
19.4%
AL
13.3%
Marshall
21.2%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility12.0%
Better than Avg
Here
12.0%
US
15.3%
AL
13.3%
Marshall
16.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
AL
80.3%
Marshall
81.8%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.0%
Better than Avg
Here
99.0%
US
81.8%
AL
84.8%
Marshall
83.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.3%
Worse than Avg
Here
3.3%
US
1.6%
AL
2.0%
Marshall
2.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

2deficiencies
Near state avg (3.9)

Marshall Manor shows a pattern of recurring fire safety issues, with sprinkler system deficiencies appearing in both 2019 and 2023 surveys, suggesting these problems may persist despite reported corrections. The facility has also had issues with resident care planning and food safety. While all deficiencies were reportedly corrected and none triggered by family complaints, the repeated fire safety violations warrant attention during any visit.

Jun 23, 2023Routine
6
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0293Potential for harm · IsolatedCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Aug 22, 2019Routine
4
0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Jul 12, 2018Routine
1
0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Marshall Manor Nursing Home

Organization Type

for profit

Chain Affiliation

Chain Name

Preston Health Services

Chain Size

5 facilities nationwide

Chain avg rating: 3.0/5 · Rank 3 of 5 (Worst) (Best)

Ownership & Management

Owners

Walker, James

Owner

Key personnel

Saylor, JeffreyContracted Managing EmployeeRobertson, LindaW-2 Managing EmployeeWalker, JamesOfficer / DirectorWalker, JamesManager
Source: Medicare provider data

Contact

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References & Resources

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