Nursing Care Index

Hewitt Nursing And Rehabilitation

Hewitt, Mc Lennan County, Texas · CCN 676213 · For-profit (LLC) · part of Hmg Healthcare (31 facilities, chain average 3.1 stars)

CMS rates Hewitt Nursing And Rehabilitation 3 of 5 overall as of August 2026. 140 certified beds, 79 residents a day on average. 30 citations on record from the current inspection cycles, 4 at immediate jeopardy; 3 fines totalling $33,539.

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★★★☆☆ 3 of 5
Health inspections★★☆☆☆ 2 of 5
Staffing★★☆☆☆ 2 of 5
Quality measures★★★★★ 5 of 5
Quality: long-stay / short-stay4 / 5 of 5

Staffing

Total nurse staffing3.20299 hours per resident per day
Registered nurses0.39116 hours per resident per day
Weekend total2.75673 hours per resident per day
Nursing staff turnover62.5% (registered nurses 33.3%)
Administrators who left0

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
2025-12-22
complaint survey
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
2025-12-24
2025-12-22
complaint survey
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-12-24
2025-06-23
complaint survey
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · tag F0644
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-06-27
2025-04-17 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
2025-05-02
2025-04-17 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
2025-05-02
2024-07-29
complaint survey
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600
K Immediate jeopardy to resident health or safety; pattern Deficient, Provider has date of correction
2024-07-30
2024-07-29
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
2024-07-30
2024-07-29
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
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-07-30
2024-07-29
complaint survey
Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration Deficiencies · tag F0770
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-07-30
2024-07-03
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
H Actual harm that is not immediate jeopardy; pattern Deficient, Provider has date of correction
2024-07-29
2024-07-03
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
2024-07-29
2024-05-14
complaint survey
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
J Immediate jeopardy to resident health or safety; isolated Deficient, Provider has date of correction
2024-05-15
2024-02-25
complaint survey
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · tag F0760
J Immediate jeopardy to resident health or safety; isolated Deficient, Provider has date of correction
2024-02-27
2024-02-25
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2024-02-27
2024-02-25 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
2024-02-27
2024-02-25 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-02-27
2024-02-25 Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · tag F0919
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-02-27
2024-02-25 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
2024-02-27
2024-02-25 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
2024-02-27
2024-02-25 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · tag F0655
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-02-27
2024-02-25 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
2024-02-27
2024-02-25 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
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-02-27
2024-02-25 Provide medically-related social services to help each resident achieve the highest possible quality of life.
Quality of Life and Care Deficiencies · tag F0745
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-02-27
2024-02-25 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · tag F0758
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-02-27
2024-01-11
complaint survey
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · tag F0883
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-12
2024-01-11
complaint survey
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Infection Control Deficiencies · tag F0887
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-12
2022-12-16 Provide medically-related social services to help each resident achieve the highest possible quality of life.
Quality of Life and Care Deficiencies · tag F0745
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-01-16
2022-12-16 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · tag F0655
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-12-19
2022-12-16 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
2022-12-19
2022-12-16 Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · tag F0814
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-01-10

Fines and payment denials

DatePenaltyAmount
2024-07-29Fine$13,887
2024-05-14Fine$6,155
2024-02-25Fine$13,497

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
Hmg Park Manor Of Hewitt, LLC
Organization
operational/managerial control2021-10-01
Winnie-Stowell Hospital District
Organization
operational/managerial control2021-10-01
Balsamo, Krystal
Individual
adp of the snf2021-04-01
Bhusari, Vaishali
Individual
adp of the snf2021-04-01
Dohn, William
Individual
adp of the snf2021-04-01
Gallardo, Christopher
Individual
adp of the snf2025-04-15
Reinarz, Christian
Individual
adp of the snf2021-04-01
Sather, Debbie
Individual
adp of the snf2023-12-18
Singh, Darla
Individual
adp of the snf2024-04-23
Stanbridge, Norma
Individual
adp of the snf2021-04-01
Stramecki, Anthony
Individual
corporate director2016-11-01
Vratis, Kacey
Individual
corporate director2020-11-01
Way, George
Individual
corporate director2013-01-01
Murrell, Edward
Individual
corporate officer2012-11-01
Rollo, Jeffery
Individual
corporate officer2012-11-01
Way, George
Individual
corporate officer2013-01-01
Balsamo, Krystal
Individual
operational/managerial control2021-04-01
Culp, Roland
Individual
operational/managerial control2021-04-01
Daspit, Laurence
Individual
operational/managerial control2021-04-01
Dohn, William
Individual
operational/managerial control2021-04-01
Gallardo, Christopher
Individual
operational/managerial control2025-04-15
Pico, Ana
Individual
operational/managerial control2021-01-04
Prince, Derek
Individual
operational/managerial control2021-04-01
Reinarz, Christian
Individual
operational/managerial control2021-04-01
Rollo, Jeffery
Individual
operational/managerial control2012-11-01
Sather, Debbie
Individual
operational/managerial control2023-12-18
Singh, Darla
Individual
operational/managerial control2024-04-23
Stramecki, Anthony
Individual
operational/managerial control2016-11-01
Vratis, Kacey
Individual
operational/managerial control2016-11-01
Way, George
Individual
operational/managerial control2013-01-01

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.