Federal inspection record · CMS data as of October 1, 2026
Hewitt Nursing And Rehabilitation
8836 Mars Dr, Hewitt, TX · (254) 420-5500
- Certified beds
- 140
- Residents per day
- 76
- Ownership
- For-Profit
- Chain
- Hmg Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 24, 2009
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
-
Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Hewitt Nursing And Rehabilitation carries 145.75 inspection points. That is fewer than 19% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
31 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (6)
-
K
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
K
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
-
H
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
J
Provide safe and appropriate respiratory care for a resident when needed.
-
J
Ensure that residents are free from significant medication errors.
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Resident Assessment and Care Planning9E
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Ensure each resident receives an accurate assessment.
- D
Ensure each resident receives an accurate assessment.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Infection Control4E
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
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.
Quality of Life and Care4E
- E
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Resident Rights3D
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Reasonably accommodate the needs and preferences of each resident.
Nutrition and Dietary2F
- D
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration1E
- E
Provide timely, quality laboratory services/tests to meet the needs of residents.
Environmental1E
- E
Make sure that a working call system is available in each resident's bathroom and bathing area.
Pharmacy Service1D
- D
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.
Inspection history
2026-06-25
7 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2025-04-17
3 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2024-02-25
21 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 23 min of nursing staff time a day, 22 min of it from a registered nurse.
This home
3 h 23 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 60% of nursing staff and 56% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$33,539 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-07-29 | Fine | $13,887 |
| 2024-05-14 | Fine | $6,155 |
| 2024-02-25 | Fine | $13,497 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.9 pts better | 97.3% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.2 pts worse | 96.8% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.4 pts better | 1.8% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.3 pts better | 1.0% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.4 pts better | 0.5% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8.7 pts better | 9.1% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.8 pts worse | 13.6% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened9.7 pts worse | 22.6% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.2 pts worse | 19.0% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.0% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.5 pts better | 11.0% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.4 pts better | 2.3% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.4 pts better | 94.1% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.8 pts better | 10.4% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts worse | 1.9% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.6 pts better | 89.0% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission14.9 pts better | 10.6% | 25.5% | 23.4% |
·
Who owns and runs it
30 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Balsamo, Krystal | Operational/Managerial Control · Individual | 0% | 28 facilities |
| Balsamo, Krystal | Adp Of The SNF · Individual | 0% | 28 facilities |
| Bhusari, Vaishali | Adp Of The SNF · Individual | 0% | 1 facilities |
| Culp, Roland | Operational/Managerial Control · Individual | 0% | 32 facilities |
| Daspit, Laurence | Operational/Managerial Control · Individual | 0% | 32 facilities |
| Dohn, William | Operational/Managerial Control · Individual | 0% | 28 facilities |
| Dohn, William | Adp Of The SNF · Individual | 0% | 28 facilities |
| Gallardo, Christopher | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Gallardo, Christopher | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hmg Park Manor Of Hewitt, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Murrell, Edward | Corporate Officer · Individual | 0% | 77 facilities |
| Pico, Ana | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Prince, Derek | Operational/Managerial Control · Individual | 0% | 32 facilities |
| Reinarz, Christian | Operational/Managerial Control · Individual | 0% | 28 facilities |
| Reinarz, Christian | Adp Of The SNF · Individual | 0% | 28 facilities |
| Rollo, Jeffery | Corporate Officer · Individual | 0% | 36 facilities |
| Rollo, Jeffery | Operational/Managerial Control · Individual | 0% | 36 facilities |
| Sather, Debbie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Sather, Debbie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Singh, Darla | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Singh, Darla | Adp Of The SNF · Individual | 0% | 1 facilities |
| Stanbridge, Norma | Adp Of The SNF · Individual | 0% | 28 facilities |
| Stramecki, Anthony | Corporate Director · Individual | 0% | 36 facilities |
| Stramecki, Anthony | Operational/Managerial Control · Individual | 0% | 36 facilities |
| Vratis, Kacey | Corporate Director · Individual | 0% | 33 facilities |
| Vratis, Kacey | Operational/Managerial Control · Individual | 0% | 33 facilities |
| Way, George | Corporate Director · Individual | 0% | 36 facilities |
| Way, George | Corporate Officer · Individual | 0% | 36 facilities |
| Way, George | Operational/Managerial Control · Individual | 0% | 36 facilities |
| Winnie-Stowell Hospital District | Operational/Managerial Control · Organization | 0% | 18 facilities |
·
Fire safety
7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Install an approved automatic sprinkler system.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Emergency Preparedness1F
- F
Conduct testing and exercise requirements.
Miscellaneous1F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
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Other homes nearby
-
Avir at Waco
Waco, TX · Avir Health Group
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 18 min
- Fines
- $0
-
St. Anthony's Care Center
Waco, TX
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 23 min
- Fines
- $3,276
-
Wesley Woods Health & Rehabilitation
Waco, TX · Coryell County Memorial Hospital Authority
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 23 min
- Fines
- $55,900