Nursing Care Index

Mcgregor Wellness & Rehabilitation

Mc Gregor, Mc Lennan County, Texas · CCN 455554 · Government (Hospital district) · part of Opco Skilled Management (66 facilities, chain average 2.3 stars)

CMS rates Mcgregor Wellness & Rehabilitation 2 of 5 overall as of August 2026. 186 certified beds, 57 residents a day on average. 19 citations on record from the current inspection cycles, 6 at immediate jeopardy; 2 fines totalling $49,443.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★☆☆☆ 2 of 5
Health inspections★☆☆☆☆ 1 of 5
Staffing★★★☆☆ 3 of 5
Quality measures★★★★★ 5 of 5
Quality: long-stay / short-stay5 / — of 5

Staffing

Total nurse staffing3.72449 hours per resident per day
Registered nurses0.77221 hours per resident per day
Weekend total3.39415 hours per resident per day
Nursing staff turnover100% (registered nurses 100%)
Administrators who left2

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-03-12 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-03-13
2026-03-12 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-03-13
2026-01-06
complaint survey
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-01-09
2025-08-07
complaint survey
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · tag F0558
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-07
2025-08-07
complaint survey
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-07
2025-06-25
complaint survey
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · tag F0580
J Immediate jeopardy to resident health or safety; isolated Deficient, Provider has date of correction
2025-07-25
2025-06-25
complaint survey
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · tag F0690
J Immediate jeopardy to resident health or safety; isolated Deficient, Provider has date of correction
2025-07-25
2025-06-25
complaint survey
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · tag F0697
J Immediate jeopardy to resident health or safety; isolated Deficient, Provider has date of correction
2025-07-25
2024-12-11 Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning Deficiencies · tag F0638
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-12-31
2024-12-11 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-12-31
2024-08-24
complaint survey
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-09-24
2024-07-31
complaint survey
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-09-06
2024-04-15
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
K Immediate jeopardy to resident health or safety; pattern Deficient, Provider has date of correction
2024-04-16
2023-12-04
complaint survey
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
K Immediate jeopardy to resident health or safety; pattern Deficient, Provider has date of correction
2023-12-08
2023-12-04
complaint survey
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · tag F0760
K Immediate jeopardy to resident health or safety; pattern Deficient, Provider has date of correction
2023-12-08
2023-11-01 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-11-10
2023-11-01 PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · tag F0645
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-11-10
2023-11-01 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-11-10
2023-11-01 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-11-10

Fines and payment denials

DatePenaltyAmount
2024-04-15Fine$22,466
2023-12-04Fine$26,977

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
David M Fistel Tx LLC
Organization
5% or greater mortgage interest2024-06-01
Dfjl, LLC
Organization
5% or greater mortgage interest2024-06-01
Dz Arlington, LLC
Organization
5% or greater mortgage interest2024-06-01
Tx2 Propco Holdco, LLC
Organization
direct ownership interest2024-06-01
Mcgregor Management LLC
Organization
operational/managerial control2024-06-01
Efroymson, David
Individual
5% or greater mortgage interest2024-06-01
Fistel, David
Individual
5% or greater mortgage interest2024-06-01
Greenfield, Mordechai
Individual
5% or greater mortgage interest2024-06-01
Zemel, Daniel
Individual
5% or greater mortgage interest2024-06-01
Heath, Michael
Individual
adp of the snf2024-06-01
House, Janelle
Individual
adp of the snf2024-06-01
Newton, Elizabeth
Individual
corporate director2024-06-01
Efroymson, David
Individual
operational/managerial control2024-06-01

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Mc Lennan County.