Wichita Falls, TX

Midwestern Healthcare Center

1-star overall rating with 1-star inspections with abuse icon flag with $45,975 in total fines with 9 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

601 Midwestern Pkwy, Wichita Falls, TX

(940) 723-0885

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

121

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Nexion Health

Operator or chain grouping

Approved since

1993-02-08

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

52 facilities

Chain averages 2 overall / 2 health / 3 staffing / 3 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Hospital-based

Yes

CMS reports the provider resides in a hospital

Staffing

Hours and turnover

RN hours / resident day

0.32

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.89

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

2.58

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.79

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.21

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

3.23

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.18

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.38

CMS adjusted RN staffing hours

Adjusted total hours

4.54

CMS adjusted total nurse staffing hours

Case-mix index

1.14

Higher values indicate more complex resident acuity

RN turnover

17%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

45%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,517

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

39.63

Composite VBP score used to determine payment impact.

Payment multiplier

0.9926

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.22

Baseline 23.72% · Performance 19.89% · Measure score 5.22 · Achievement 3.33 · Improvement 5.22

Healthcare-associated infections

3.94

Baseline 6.71% · Performance 6.66% · Measure score 3.94 · Achievement 3.94 · Improvement 0

Total nurse turnover

4.19

Baseline 58.06% · Performance 46.55% · Measure score 4.19 · Achievement 4.19 · Improvement 2.97

Adjusted total nurse staffing

2.49

Baseline 4.42 hours · Performance 3.79 hours · Measure score 2.49 · Achievement 2.49 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.4%	10.72% 1.7 pts worse	No Different than the National Rate · Eligible stays 59 · Observed rate 20.34% · Lower 95% interval 8.55%
Discharge to community	46.78%	50.57% 3.8 pts worse	No Different than the National Rate · Eligible stays 43 · Observed rate 41.86% · Lower 95% interval 35.38%
Medicare spending per beneficiary	1.12	1.02 0.1 pts worse
Drug regimen review with follow-up	87.88%	95.27% 7.4 pts worse	Numerator 29 · Denominator 33
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 33
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	3.03%	2.29% 0.7 pts worse	Numerator 1 · Denominator 33 · Adjusted rate 3.34%
Healthcare-associated infections requiring hospitalization	6.66%	7.12% 0.5 pts better	No Different than the National Rate · Eligible stays 36 · Observed rate 5.56% · Lower 95% interval 3.2%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 86
Staff flu vaccination coverage	4.55%	42% 37.5 pts worse	Numerator 4 · Denominator 88
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.7	2.1 0.4 pts better	1.9 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 3.3 · Expected 3.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.6	2.1 0.5 pts better	1.8 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 2.7 · Expected 2.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.0%	97.1% 1.9 pts better	93.4% 5.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.6% · Q2 98.7% · Q3 98.6% · Q4 100.0% · 4Q avg 99.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	97.9% 2.1 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	2.7%	3.3% 0.6 pts better	3.3% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 2.6% · Q3 2.8% · Q4 4.1% · 4Q avg 2.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	4.9%	2.7% 2.2 pts worse	11.4% 6.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 6.8% · Q3 2.9% · Q4 4.2% · 4Q avg 4.9%
Percentage of long-stay residents who lose too much weight	4.7%	3.3% 1.4 pts worse	5.4% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 6.7% · Q3 3.4% · Q4 1.6% · 4Q avg 4.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	24.7%	18.9% 5.8 pts worse	19.6% 5.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.6% · Q2 16.4% · Q3 32.2% · Q4 22.2% · 4Q avg 24.7%
Percentage of long-stay residents who received an antipsychotic medication	6.7%	10.8% 4.1 pts better	16.7% 10 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 7.5% · Q3 5.3% · Q4 7.5% · 4Q avg 6.7% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	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	11.0%	15.4% 4.4 pts better	16.3% 5.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 18.4% · Q3 12.4% · Q4 11.4% · 4Q avg 11.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	18.3%	16.1% 2.2 pts worse	14.9% 3.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.2% · Q2 16.1% · Q3 16.4% · Q4 21.3% · 4Q avg 18.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.5% 0.5 pts better	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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	0.8% 0.8 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	9.5%	15.0% 5.5 pts better	19.8% 10.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.9% · Q2 7.4% · Q3 8.8% · Q4 9.8% · 4Q avg 9.5%
Percentage of long-stay residents with pressure ulcers	5.1%	4.2% 0.9 pts worse	5.1% About the same	Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 6.8% · Q3 4.1% · Q4 3.1% · 4Q avg 5.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	89.6%	89.7% 0.1 pts worse	81.7% 7.9 pts better	Short Stay · 2024Q4-2025Q3 · Q1 82.8% · Q2 94.4% · Q3 89.2% · Q4 90.9% · 4Q avg 89.6%
Percentage of short-stay residents who had an outpatient emergency department visit	13.4%	12.0% 1.4 pts worse	12.0% 1.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 13.4% · Observed 16.1% · Expected 13.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.5% 1.5 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	94.6%	88.0% 6.6 pts better	79.7% 14.9 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 94.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	3.0%	25.9% 22.9 pts better	23.9% 20.9 pts better	Short Stay · 20240701-20250630 · Adjusted 3.0% · Observed 3.2% · Expected 25.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-28 · Fire 2025-08-28

9 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-07-12 · Fire 2024-07-12

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

6 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 3 Health 2023-05-24 · Fire 2023-05-24

11 health deficiencies

Top issue: Resident Assessment and Care Planning (6 deficiencies)

2 fire-safety deficiencies

Top issue: Services (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-08-28

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-08-29

F · Potential for more than minimal harm 2025-08-28

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-09-26

E · Potential for more than minimal harm 2025-08-28

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-10-31

E · Potential for more than minimal harm 2025-08-28

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 2025-09-30

E · Potential for more than minimal harm 2025-08-28

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-09-30

C · Minimal harm 2025-08-28

K521 · Services Deficiencies

Fire Safety

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

Corrected 2025-08-29

F · Potential for more than minimal harm 2024-07-12

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-08-05

E · Potential for more than minimal harm 2024-07-12

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-08-05

E · Potential for more than minimal harm 2024-07-12

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2024-08-10

E · Potential for more than minimal harm 2024-07-12

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-08-05

E · Potential for more than minimal harm 2024-07-12

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-08-05

C · Minimal harm 2024-07-12

K521 · Services Deficiencies

Fire Safety

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

Corrected 2024-08-05

E · Potential for more than minimal harm 2023-05-24

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-07-31

C · Minimal harm 2023-05-24

K521 · Services Deficiencies

Fire Safety

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

Corrected 2023-07-31

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-08-28

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-09-05

E · Potential for more than minimal harm 2025-08-28

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 2025-08-29

E · Potential for more than minimal harm 2025-08-28

F940 · Administration Deficiencies

Health

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-08-28

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-08-29

D · Potential for more than minimal harm 2025-08-28

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2025-08-29

D · Potential for more than minimal harm 2025-08-28

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-08-29

K · Immediate jeopardy 2025-06-06

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2025-06-07

K · Immediate jeopardy 2025-06-06

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-06-07

J · Immediate jeopardy 2025-06-06

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-06-07

F · Potential for more than minimal harm 2024-07-12

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 2024-07-31

E · Potential for more than minimal harm 2024-07-12

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2024-08-05

E · Potential for more than minimal harm 2023-11-16

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2023-12-01

D · Potential for more than minimal harm 2023-11-16

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-12-01

D · Potential for more than minimal harm 2023-11-16

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-12-01

D · Potential for more than minimal harm 2023-11-16

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-12-01

D · Potential for more than minimal harm 2023-11-16

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2023-12-01

D · Potential for more than minimal harm 2023-11-16

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-12-01

B · Minimal harm 2023-11-16

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2023-12-01

F · Potential for more than minimal harm 2023-05-24

F803 · Nutrition and Dietary Deficiencies

Health

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.

Corrected 2023-06-21

D · Potential for more than minimal harm 2023-05-24

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2023-06-21

D · Potential for more than minimal harm 2023-05-24

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2023-06-21

D · Potential for more than minimal harm 2023-05-24

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 2023-06-21

Penalties and ownership

What sits behind the stars

$45,975 2025-06-06

Fine

Fine · fine $45,975

Fine

Ownership

Decatur Hospital Authority

5% Or Greater Direct Ownership Interest · Organization

100% 9 facilities 2017-04-01

Fallon, John