Federal inspection record · CMS data as of October 1, 2026

McGregor Wellness & Rehabilitation

414 Johnson Dr, Mc Gregor, TX · (254) 840-3281

CMS overall rating

1 of 5

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Certified beds
186
Residents per day
0
Ownership
Government
Chain
Opco Skilled Management
Medicare / Medicaid
Medicare + Medicaid
Certified since
June 17, 1985

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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.

  2. Staffing

    Not rated

    not rated

    CMS did not rate staffing here, so it does not move the star.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Texas homes

McGregor Wellness & Rehabilitation carries 163.5 inspection points. That is fewer than 16% of Texas's 1,166 rated homes.

5★4★3★2★1★+35 homes above 292.505102550100200inspection points → fewer is better on the leftThis home · 163.5 pts · 1★

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

19 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 3 50 pts
K 3 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 7 4 pts
E 5 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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)

  1. J

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    June 25, 2025 · Complaint inspection · Resident Rights · F580 · Corrected July 25, 2025

  2. J

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    June 25, 2025 · Complaint inspection · Quality of Life and Care · F690 · Corrected July 25, 2025

  3. J

    Provide safe, appropriate pain management for a resident who requires such services.

    June 25, 2025 · Complaint inspection · Quality of Life and Care · F697 · Corrected July 25, 2025

  4. K

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    April 15, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected April 16, 2024

  5. K

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    December 4, 2023 · Complaint inspection · Pharmacy Service · F755 · Corrected December 8, 2023

  6. K

    Ensure that residents are free from significant medication errors.

    December 4, 2023 · Complaint inspection · Pharmacy Service · F760 · Corrected December 8, 2023

Everything else, by area of care

Resident Assessment and Care Planning5E
  1. D

    Ensure each resident receives an accurate assessment.

    March 12, 2026 · Standard · F641 · Corrected March 13, 2026

  2. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    August 7, 2025 · Complaint · F656 · Corrected September 7, 2025

  3. E

    Assure that each resident’s assessment is updated at least once every 3 months.

    December 11, 2024 · Standard · F638 · Corrected December 31, 2024

  4. D

    PASARR screening for Mental disorders or Intellectual Disabilities

    November 1, 2023 · Standard · F645 · Corrected November 10, 2023

  5. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    November 1, 2023 · Standard · F656 · Corrected November 10, 2023

Nutrition and Dietary4F
  1. E

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

    March 12, 2026 · Standard · F812 · Corrected March 13, 2026

  2. E

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

    January 6, 2026 · Complaint · F812 · Corrected January 9, 2026

  3. E

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

    December 11, 2024 · Standard · F812 · Corrected December 31, 2024

  4. F

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

    July 31, 2024 · Complaint · F812 · Corrected September 6, 2024

Infection Control2E
  1. D

    Provide and implement an infection prevention and control program.

    August 24, 2024 · Complaint · F880 · Corrected September 24, 2024

  2. E

    Provide and implement an infection prevention and control program.

    November 1, 2023 · Standard · F880 · Corrected November 10, 2023

Resident Rights1D
  1. D

    Reasonably accommodate the needs and preferences of each resident.

    August 7, 2025 · Complaint · F558 · Corrected September 7, 2025

Quality of Life and Care1D
  1. D

    Provide safe and appropriate respiratory care for a resident when needed.

    November 1, 2023 · Standard · F695 · Corrected November 10, 2023

Inspection history

  1. 2026-03-12

    3 health deficiencies · 3 fire-safety deficiencies

    Top issue: Nutrition and Dietary (2 deficiencies)

  2. 2024-12-11

    7 health deficiencies · 0 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

  3. 2023-11-01

    9 health deficiencies · 3 fire-safety deficiencies

    Top issue: Infection Control (2 deficiencies)

5

Fines and payment denials

$49,443 in federal fines on record over the past three years.

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

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.8 pts better1.22.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.3 pts worse3.32.01.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.1 pts worse90.3%96.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.4 pts better98.4%97.0%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.8 pts worse4.0%3.2%3.2%
Percentage of long-stay residents who have depressive symptoms0.9 pts better1.4%2.3%13.5%
Percentage of long-stay residents who lose too much weight2.9 pts better0.0%2.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication3.6 pts worse21.4%17.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication11.7 pts worse21.5%9.8%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened3 pts better9.9%12.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1.9 pts better13.9%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better0.0%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection0.3 pts better0.5%0.8%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.3 pts worse21.8%12.5%18.3%
Percentage of long-stay residents with pressure ulcers1.8 pts better1.9%3.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.1 pts better90.8%88.7%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication2.9 pts worse4.3%1.4%1.5%

·

Who owns and runs it

18 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Coryell County Memorial Hospital Authority5% Or Greater Direct Ownership Interest · Organization100%31 facilities
414 Johnson Drive Tx LLCAdp Of The SNF · Organization0%1 facilities
Byrom, DavidCorporate Director · Individual0%31 facilities
Davidovich, NivIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%26 facilities
Esdov Investments LLCAdp Of The SNF · Organization0%20 facilities
First Sweetzer Holdings LLCAdp Of The SNF · Organization0%30 facilities
Garetz, DavidOperational/Managerial Control · Individual0%72 facilities
Hagins, ElizabethIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%57 facilities
House, JanelleAdp Of The SNF · Individual0%6 facilities
Kaplan, EstherIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%59 facilities
Linz TrustAdp Of The SNF · Organization0%11 facilities
Mcgregor Wellness & Rehabilitation LLCOperational/Managerial Control · Organization0%1 facilities
Mindle, AdamIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%58 facilities
Pimento Property Holdings LLCAdp Of The SNF · Organization0%7 facilities
Red Stone Advisors LLCAdp Of The SNF · Organization0%7 facilities
Rojo Re TrustAdp Of The SNF · Organization0%5 facilities
Sternshein, JenniferIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%55 facilities
Young, StephenAdp Of The SNF · Individual0%3 facilities

·

Fire safety

6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke3E
  1. E

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

    March 12, 2026 · K321 · Corrected April 1, 2026

  2. E

    Inspect, test, and maintain automatic sprinkler systems.

    March 12, 2026 · K353 · Corrected April 1, 2026

  3. C

    Inspect, test, and maintain automatic sprinkler systems.

    November 1, 2023 · K353 · Corrected November 20, 2023

Services3D
  1. B

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    March 12, 2026 · K521 · Not yet marked corrected

  2. D

    Have properly installed electrical wiring and gas equipment.

    November 1, 2023 · K511 · Corrected November 20, 2023

  3. C

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    November 1, 2023 · K521 · Corrected November 20, 2023

·

Other homes nearby

  1. Worst citation, 3 yrs
    G
    Nursing / resident / day
    5 h 4 min
    Fines
    $8,278
  2. 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
  3. St. Catherine Center

    Waco, TX · Ascension Living

    Worst citation, 3 yrs
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    Nursing / resident / day
    3 h 56 min
    Fines
    $8,492