Cycle 1
Health 2023-06-23 · Fire 2023-06-23
2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Guntersville, AL
Marshall Manor Nursing Home
3-star overall rating with 3-star inspections with 2 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
3120 North Street, Guntersville, AL
(256) 582-6561
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
91
Certified beds
Average residents
80
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Preston Health Services
Operator or chain grouping
Approved since
1982-02-25
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
5 facilities
Chain averages 3 overall / 3 health / 3 staffing / 3 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.64
Registered nurse staffing · state 0.64 · national 0.68
LPN hours / resident day
1.03
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.72
Nurse aide staffing · state 2.50 · national 2.35
Total nurse hours
4.39
All reported nurse hours · state 3.91 · national 3.89
Licensed hours
1.67
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
3.45
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.22
Weekend registered nurse coverage · state 0.36 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.69
CMS adjusted RN staffing hours
Adjusted total hours
4.71
CMS adjusted total nurse staffing hours
Case-mix index
1.28
Higher values indicate more complex resident acuity
RN turnover
46%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
52%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,147
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
41.13
Composite VBP score used to determine payment impact.
Payment multiplier
0.9940
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.18
Baseline 17.78% · Performance 19.96% · Measure score 3.18 · Achievement 3.18 · Improvement 0
Healthcare-associated infections
5.35
Baseline 5.81% · Performance 6.24% · Measure score 5.35 · Achievement 5.35 · Improvement 0
Total nurse turnover
3.8
Baseline 50.63% · Performance 48.15% · Measure score 3.8 · Achievement 3.8 · Improvement 0.46
Adjusted total nurse staffing
4.12
Baseline 4.33 hours · Performance 4.25 hours · Measure score 4.12 · Achievement 4.12 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.68% |
10.72%
1 pts better
|
No Different than the National Rate · Eligible stays 180 · Observed rate 7.78% · Lower 95% interval 7.1% |
| Discharge to community | 58.23% |
50.57%
7.7 pts better
|
Better than the National Rate · Eligible stays 162 · Observed rate 54.32% · Lower 95% interval 51.39% |
| Medicare spending per beneficiary | 0.94 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 67.57% |
95.27%
27.7 pts worse
|
Numerator 100 · Denominator 148 |
| Falls with major injury | 0.68% |
0.77%
0.1 pts better
|
Numerator 1 · Denominator 148 |
| Discharge self-care score | 43.86% |
53.69%
9.8 pts worse
|
Numerator 50 · Denominator 114 |
| Discharge mobility score | 52.63% |
50.94%
1.7 pts better
|
Numerator 60 · Denominator 114 |
| Pressure ulcers or injuries, new or worsened | 3.4% |
2.29%
1.1 pts worse
|
Numerator 5 · Denominator 147 · Adjusted rate 2.89% |
| Healthcare-associated infections requiring hospitalization | 6.24% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 116 · Observed rate 4.31% · Lower 95% interval 3.6% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 95 |
| Staff flu vaccination coverage | 18.75% |
42%
23.2 pts worse
|
Numerator 18 · Denominator 96 |
| Discharge function score | 54.39% |
56.45%
2.1 pts worse
|
Numerator 62 · Denominator 114 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 98 · Denominator 98 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 20.97% |
25.2%
4.2 pts worse
|
Numerator 13 · Denominator 62 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.1 |
2.0
0.1 pts worse
|
1.9
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.2 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.9 |
1.8
1.1 pts worse
|
1.8
1.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 2.9 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.1% |
91.3%
6.8 pts better
|
93.4%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 92.2% · Q3 100.0% · Q4 100.0% · 4Q avg 98.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.6% |
94.8%
3.8 pts better
|
95.5%
3.1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.7% |
3.4%
0.7 pts better
|
3.3%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 1.6% · Q3 3.1% · Q4 3.2% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
1.3%
1.3 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 4.4% |
5.3%
0.9 pts better
|
5.4%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 5.9% · Q3 0.0% · Q4 4.1% · 4Q avg 4.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 38.6% |
24.9%
13.7 pts worse
|
19.6%
19 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 39.7% · Q2 37.7% · Q3 38.5% · Q4 38.5% · 4Q avg 38.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 32.4% |
22.8%
9.6 pts worse
|
16.7%
15.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.6% · Q2 34.1% · Q3 30.6% · Q4 34.1% · 4Q avg 32.4% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.6%
0.6 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 13.3% |
14.8%
1.5 pts better
|
16.3%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 13.3% · Q3 20.1% · 4Q avg 13.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.9% |
13.4%
3.5 pts better
|
14.9%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 11.8% · Q3 12.5% · Q4 6.2% · 4Q avg 9.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
1.3%
1 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.2% |
2.6%
0.6 pts worse
|
1.7%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 3.2% · Q3 1.7% · Q4 5.0% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.6% |
13.5%
4.1 pts worse
|
19.8%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.2% · Q2 21.8% · Q3 17.7% · Q4 8.7% · 4Q avg 17.6% |
| Percentage of long-stay residents with pressure ulcers | 2.5% |
5.7%
3.2 pts better
|
5.1%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 4.8% · Q3 1.2% · Q4 0.0% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.2% |
84.3%
14.9 pts better
|
81.7%
17.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 98.4% · Q4 98.5% · 4Q avg 99.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.4% |
11.5%
2.9 pts worse
|
12.0%
2.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.4% · Observed 14.2% · Expected 11.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.9% |
2.1%
0.2 pts better
|
1.6%
0.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 2.6% · Q4 3.8% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
80.3%
19.7 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.8% |
24.5%
2.7 pts better
|
23.9%
2.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.8% · Observed 18.6% · Expected 20.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-08-22 · Fire 2019-08-22
0 health deficiencies
No concentrated health issue counts in this cycle.
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2018-07-12 · Fire 2018-07-12
1 health deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2023-06-23
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-06-28
D · Potential for more than minimal harm
2023-06-23
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-06-28
D · Potential for more than minimal harm
2023-06-23
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-06-28
D · Potential for more than minimal harm
2023-06-23
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-06-28
D · Potential for more than minimal harm
2019-08-22
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2019-08-30
D · Potential for more than minimal harm
2019-08-22
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2019-08-30
D · Potential for more than minimal harm
2019-08-22
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-08-30
D · Potential for more than minimal harm
2019-08-22
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2019-08-30
Inspection history
Recent health citations
F · Potential for more than minimal harm
2023-06-23
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-07-28
D · Potential for more than minimal harm
2023-06-23
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-07-28
D · Potential for more than minimal harm
2018-07-12
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2018-07-27
Penalties and ownership
What sits behind the stars
Ownership
Robertson, Linda
W-2 Managing Employee · Individual
Saylor, Jeffrey
Contracted Managing Employee · Individual
Walker, James
5% Or Greater Direct Ownership Interest · Individual
Walker, James
Operational/Managerial Control · Individual
Walker, James
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Albertville Nursing Home
Albertville, AL
4-star overall rating with 4-star inspections with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Barfield Health Care
Guntersville, AL
5-star overall rating with 4-star inspections with 2 recent health deficiencies
#3
Diversicare Of Arab
Arab, AL
3-star overall rating with 2-star inspections with 6 recent health deficiencies
Jump out