Elder Care Record

Texas › Mc Lennan County › Mc Gregor

Mcgregor Wellness & Rehabilitation

414 Johnson Dr, Mc Gregor, TX 76657

CCN 455554 · Government, hospital district · 186 certified beds · chain Opco Skilled Management

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 186 beds, Mcgregor Wellness & Rehabilitation serves Mc Gregor in Mc Lennan County, Texas and has taken Medicare and Medicaid residents since 1985.

CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 1, staffing 3 and quality measures 5.

Inspectors recorded 19 health deficiencies across the three most recent survey cycles (5, 6, 8 by cycle, most recent first), 6 of them at the actual-harm or immediate-jeopardy level. That is 10.2 per 100 beds, fewer than the state median of 22.5.

CMS lists 2 penalties in the period covered: fines totalling $49K.

Reported nurse staffing is 3.7 hours per resident per day (0.8 RN), close to the Texas median of 3.3; nursing staff turnover is 100.0%.

19health deficiencies, 3 survey cycles6 at actual harm or worse
$49Kfines listed by CMS2 penalties in period
3.7nurse hours per resident per daystate median 3.3
30%occupancy (residents ÷ beds)57 residents a day

Compared with county, state and nation

MeasureThis facilityMc Lennan Co. medianTexas medianUS average
Overall star rating2233.0
Health citations, 3 cycles19262528.7
Citations per 100 beds10.221.422.526.8
Total nurse hours per resident day3.73.53.33.9
RN hours per resident day0.80.30.40.7
Nursing staff turnover100.0%62.5%52.1%45.8%
Fines listed$49,443$33,539$16,801—

County and state figures are medians across facilities (18 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)5
Cycle 26
Cycle 38

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 12 Mar 2026, 11 Dec 2024.

Severity mix: J ×3 K ×3 D ×7 E ×5 F ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
12 Mar 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey13 Mar 2026
12 Mar 2026F0641Ensure each resident receives an accurate assessment.DStandard survey13 Mar 2026
6 Jan 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint investigation9 Jan 2026
7 Aug 2025F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation7 Sep 2025
7 Aug 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation7 Sep 2025
25 Jun 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.JComplaint investigation25 Jul 2025
25 Jun 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.JComplaint investigation25 Jul 2025
25 Jun 2025F0697Provide safe, appropriate pain management for a resident who requires such services.JComplaint investigation25 Jul 2025
11 Dec 2024F0638Assure that each resident’s assessment is updated at least once every 3 months.EStandard survey31 Dec 2024
11 Dec 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey31 Dec 2024
24 Aug 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation24 Sep 2024
31 Jul 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation6 Sep 2024
15 Apr 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.KComplaint investigation16 Apr 2024
4 Dec 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.KComplaint investigation8 Dec 2023
4 Dec 2023F0760Ensure that residents are free from significant medication errors.KComplaint investigation8 Dec 2023
1 Nov 2023F0880Provide and implement an infection prevention and control program.EStandard survey10 Nov 2023
1 Nov 2023F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey10 Nov 2023
1 Nov 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey10 Nov 2023
1 Nov 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey10 Nov 2023

Penalties

DateTypeAmountDetail
15 Apr 2024Fine$22,466
4 Dec 2023Fine$26,977

Staffing

Total nursing3.72 h
Nurse aides2.26 h
LPN0.7 h
RN0.77 h
Weekend total3.39 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 100.0%, RNs 100.0%; 2 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay13.8%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.4%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.8%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay5.3%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay10.4%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.5%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay18.1%8.3%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: government, hospital district. Legal business name: Chambers County Public Hospital District No. 1. Chain: Opco Skilled Management (66 facilities).

OrganisationRole in the CMS recordInterestSince
Tx2 Propco Holdco, LLCDirect ownership interestNOT APPLICABLE06/01/2024
David M Fistel Tx LLC5% or greater mortgage interestNOT APPLICABLE06/01/2024
Dfjl, LLC5% or greater mortgage interestNOT APPLICABLE06/01/2024
Dz Arlington, LLC5% or greater mortgage interestNOT APPLICABLE06/01/2024
Mcgregor Management LLCOperational/managerial controlNOT APPLICABLE06/01/2024

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Mc Lennan County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
St. Catherine CenterWaco165545127.3$13K30 Apr 2026
Avir At WacoWaco1204422016.7—6 Apr 2026
Crestview Healthcare ResidenceWaco192442178.9$57K14 Aug 2025
St. Anthony'S Care CenterWaco1204421613.3$3K26 Mar 2026
Avir At Jeffrey PlaceWaco953323334.7$22K9 Apr 2026
Hewitt Nursing and RehabilitationHewitt1403223021.4$34K22 Dec 2025
Wesley Woods Health & RehabilitationWaco1202222621.7$56K19 Mar 2026
Woodway Rehabilitation and Healthcare CenterWaco1442221611.1$15K30 Jun 2026

All 18 facilities in Mc Lennan County

Questions and answers

How many deficiencies has Mcgregor Wellness & Rehabilitation been cited for?

19 health deficiencies across the three most recent survey cycles, 6 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.

Has Mcgregor Wellness & Rehabilitation been fined?

Yes. CMS lists fines totalling $49K in the period covered.

How does staffing at Mcgregor Wellness & Rehabilitation compare?

Reported total nurse staffing is 3.7 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates Mcgregor Wellness & Rehabilitation?

It is part of the Opco Skilled Management chain. Ownership type is government, hospital district. Organisations in the CMS ownership record include Tx2 Propco Holdco, LLC and Mcgregor Management LLC. Individual owners and managers are not listed on this site.

When was Mcgregor Wellness & Rehabilitation last inspected?

The most recent survey or investigation in the CMS record is dated 12 Mar 2026; the most recent standard health survey was 12 Mar 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.