Show Inspection Reports
Total health inspections
6
Texas average 7.4
Last Health inspection on Jun 2025
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Nexion Midwestern Healthcare Center
Nursing Home in Wichita Falls
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Nexion Midwestern Healthcare Center
Nursing Home in Wichita Falls
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Overview of Nexion Midwestern Healthcare Center
Nexion Midwestern Healthcare Center is a facility in Wichita Falls, TX, that offers long-term care and skilled nursing services, as well as rehabilitation services. Dedicated to providing quality skilled nursing, their long term residents are provided round-the-clock nursing care, medication management, and assistance with daily activities, as well as coordination with other health care providers for special medical treatments.
Their spacious private apartments are pet friendly with some restrictions, and are available for short-term residency. Throughout the month, activities are regularly scheduled aimed to provide engagement opportunities as well as entertainment.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 41st out of 246 homes in Texas.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 41st out of 246 homes in Texas.Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 38m per day
Rank #41 / 246Nurse hours — state benchmarkedThis home is ranked 41st out of 246 homes in Texas.Shows adjusted nurse hours per resident per day benchmarked to the Texas average, with a ranking across 246 Texas SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
vs Texas avg
+23%
Standout metric
Nurse Aide is +28% above state avg
| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 19m per day | ▼ 27% State avg: 26m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 53m per day | ▼ 7% State avg: 57m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 35m per day | ▲ 28% State avg: 2h 1m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 14m per day | ▲ 8% State avg: 2h 59m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 75% State avg: 4m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 11m per day | ▼ 48% State avg: 21m per day · National avg: 29m per day |
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
61.2%
Rank #174 / 259Occupancy rate — state benchmarkedThis home is ranked 174th out of 259 homes in Texas.Shows this facility's occupancy rate versus the Texas average, with its statewide rank out of 259. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
197 days
Occupancy rate
61.2%
Rank #174 / 259Occupancy rate — state benchmarkedThis home is ranked 174th out of 259 homes in Texas.Shows this facility's occupancy rate versus the Texas average, with its statewide rank out of 259. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
197 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
36% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
28% of new residents, often for short stays.
Typical stay
5 - 6 months
Medicaid
36% of new residents, often for long-term daily care.
Typical stay
10 - 11 months
Finances and operations
Governmental community
Operated by state authorities.
Home revenue
$7.1M
Surplus of revenue
$274.8K
Governmental community
Operated by state authorities.
Home revenue
$7.1M Rank #206 / 259Revenue — state benchmarkedThis home is ranked 206th out of 259 homes in Texas.Shows this facility's annual revenue compared to the Texas SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Surplus of revenue
$274.8K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #183 / 259Payroll — state benchmarkedThis home is ranked 183rd out of 259 homes in Texas.Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
$3.3M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #183 / 259Payroll — state benchmarkedThis home is ranked 183rd out of 259 homes in Texas.Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.6M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$6.9M
121-bed community
A larger shared setting that may offer more common spaces and organized community services.
47 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 6 / 100 Rank #206 / 212Walk Score — state benchmarkedThis home is ranked 206th out of 212 homes in Texas.Shows how walkable this facility's neighborhood is compared to the average Walk Score across Texas SNFs. Higher scores benefit residents, families, and staff.
Car-dependent. Most errands require a car, with limited nearby walkable options.
Services
About this community
Facility TypeNursing
StatusLicensed
IssuanceJanuary 4, 2023
ExpirationJanuary 4, 2026
CountyWichita
License Number147816
Year Opened3/1/1979
QualificationNursing
Nexion Midwestern Healthcare Center is administrated by Dennis E Haws.
Management CompanyNEXION HEALTH AT WICHITA FALLS, INC
OwnerDECATUR HOSPITAL AUTHORITY
Ownership TypeHOSPITAL DISTRICT/AUTHORITY
Medicare
18 units
Medicaid and Medicare
103 units
Total beds
121 units
Staffing
Key information about the people who lead and staff this community.
Administrator Email[email protected]
Rehabilitation Services
24-Hour Staffing
Alzheimer's Certification
Pets Allowed
Specific ProgramsIndividualized Care, Wound Care, Telemedicine
Operating Hours24 hours a day, 7 days a week
Types of Care at Nexion Midwestern Healthcare Center
Skilled Nursing
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Medicare Accepted
This facility is certified for eligible Medicare services.
Inspection History
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
6 visits/inspections
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Latest inspection
Date
August 28, 2025
Annual Inspection3 total citations Rank #192 / 251Health citations — state benchmarkedThis home is ranked 192nd out of 251 homes in Texas.Shows this facility's total health deficiency citations benchmarked to the Texas state average, with a ranking across all 251 TX SNFs. Lower citation counts earn a better rank.
3 health citations
3 life safety citations
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
Texas average: 6 citations
Texas average: 2 health citations
Texas average: 6 life safety citations
22 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Texas average: 32 deficiencies
1
enforcement action
Equal to Texas avg
Rank #1 / 194Federal fines — state benchmarkedThis home is ranked 1st out of 194 homes in Texas.Shows this facility's CMS fine count alongside the Texas average, and where it ranks among all 194 skilled nursing facilities in the state. Fewer fines mean a better rank.Penalties or interventions imposed by state regulators when facilities do not comply with quality, safety, or regulatory standards.
[{"date_of_action": "2025-10-08", "action": "administrative penalty", "final_assessed_amount": 350.0, "violations": [{"tac": "554.601(b)", "state_violation_cited": "the facility did not protect each resident from all abuse, physical punishment, and being separated from others."}]}]
Texas average: 1 enforcement action
Inspection Report Summary for Nexion Midwestern Healthcare Center
The most recent inspection on August 28, 2025, identified deficiencies related to resident dignity during meal service, care planning, activity programming, pressure ulcer prevention, kitchen sanitation, and staff training. Earlier inspections showed a pattern of similar issues, including care planning, food service safety, and resident rights, as well as a substantiated complaint investigation in June 2025 involving verbal abuse and failure to report, which was classified as immediate jeopardy. Prior reports also noted deficiencies in maintaining a clean environment, accurate assessments, medication security, and timely resident assessments. Complaint investigations were mostly unsubstantiated except for the June 2025 case of verbal abuse. The inspection history indicates ongoing challenges with care planning, food service, and staff training, with no clear improvement trend.
Health Inspection History
Inspections
Total health citations
32
Rank #192 / 251Health citations — state benchmarkedThis home is ranked 192nd out of 251 homes in Texas.Shows this facility's total health deficiency citations benchmarked to the Texas state average, with a ranking across all 251 TX SNFs. Lower citation counts earn a better rank.
Texas average 25.9
Citations per inspection
5.33
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
21 of 32 citations resulted from standard inspections; and 11 of 32 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
3
Rank #97 / 191Severe citations — state benchmarkedThis home is ranked 97th out of 191 homes in Texas.Shows citations where actual resident harm occurred, compared to the Texas average and ranked across 191 SNFs statewide. Even a single severe citation is significant — lower is always better.
50% worse than Texas averageTexas average: 2
Serious Health citations
0
0
100% better than Texas averageTexas average: 0.4
3 critical citations
0 serious citations
28 moderate citations
1 minor citation
Citations history (last 3 years)
Abuse/Neglect critical citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jun 06, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jun 06, 2025
Corrected
Abuse/Neglect critical citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jun 06, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jun 06, 2025
Corrected
Abuse/Neglect critical citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jun 06, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jun 06, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Jul 12, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
Jul 12, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Wichita Falls The information below is reported by the Texas Health and Human Services Commission.
Filter by care type
| Senior Care Health & Rehabilitation |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Wichita Falls (910) | 144 | 89.4% | +41% | 3.02 | +11% | -17% | 1 | 10 | 2.5 | 0 | 125 | - | 23 | Hood, Delana | $30.8M | $6.2M | 20.1% | 676144 | ||||
| University Park Nursing & Rehabilitation |
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Wichita Falls | 98 | 84.6% | +33% | 3.82 | -27% | +5% | 1 | 32 | 4.0 | 0 | 90 | - | 40 | Wichita Falls I Enterprises, Llc | $7.4M | $3.1M | 41.5% | 455916 | ||||
| Nexion Midwestern Healthcare Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Wichita Falls (601) | 121 | 61.2% | -4% | 4.63 | -23% | +28% | 1 | 32 | 5.3 | 3 | 77 | - | 6 | Decatur Hospital Authority | $7.1M | $3.3M | 45.5% | 675128 | ||||
| Perkins-Prothro Health Care Center | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Wichita Falls | - | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | 42 | - | - | - | - | - |
| The Gables at Rolling Meadows | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Wichita Falls | 22 | 52.7% | -17% | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | 50 | Wichita Falls Retirement Foundation | $11.1M | $4.2M | 38% | 676203 |
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Places of interest near Nexion Midwestern Healthcare Center
3.4 miles from city center
Estimated distance in miles from Wichita Falls's city center to Nexion Midwestern Healthcare Center's address, calculated via Google Maps.
— 0.08 miles to nearest hospital (Texas Back Institute - Wichita Falls)
Calculate Travel Distance to Nexion Midwestern Healthcare Center
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
103
Employees
88
Contractors
15
Staff to resident ratio
1.39:1
8% worse than Texas averageTexas average ratio: 1.51:1
Avg staff/day
41
Average shift
8 hours
0% compared with Texas averageTexas average: 8.1 hours
Total staff hours (quarter)
29,797
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
6
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
17
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
48
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
6.1%
1,806 contractor hours this quarter
Physical Therapy Aide: 3
Physical Therapy Assistant: 2
Speech Language Pathologist: 2
Qualified Social Worker: 2
Respiratory Therapy Technician: 2
Occupational Therapy Aide: 2
Medical Director: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 48 | 0 | 48 | 16,033 | 91 | 100% | 8.2 |
| Licensed Practical Nurse | 17 | 0 | 17 | 6,040 | 91 | 100% | 8.8 |
| Medication Aide/Technician | 3 | 0 | 3 | 1,377 | 90 | 99% | 8 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,037 | 69 | 76% | 8.1 |
| Physical Therapy Aide | 0 | 3 | 3 | 868 | 67 | 74% | 6.9 |
| Nurse Aide in Training | 4 | 0 | 4 | 838 | 72 | 79% | 7.2 |
| Registered Nurse | 6 | 0 | 6 | 739 | 60 | 66% | 9.9 |
| Speech Language Pathologist | 0 | 2 | 2 | 579 | 65 | 71% | 8.9 |
| Nurse Practitioner | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Administrator | 4 | 0 | 4 | 488 | 61 | 67% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 483 | 64 | 70% | 7.6 |
| Dietitian | 1 | 0 | 1 | 460 | 60 | 66% | 7.7 |
| Physical Therapy Assistant | 0 | 2 | 2 | 91 | 52 | 57% | 1.7 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 90 | 53 | 58% | 1.7 |
| Occupational Therapy Aide | 0 | 2 | 2 | 69 | 9 | 10% | 7.7 |
| Qualified Social Worker | 0 | 2 | 2 | 55 | 40 | 44% | 1.4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 30 | 9 | 10% | 3.3 |
| Medical Director | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
48 Certified Nursing Assistant
% of Days
100%
17 Licensed Practical Nurse
% of Days
100%
3 Medication Aide/Technician
% of Days
99%
3 Clinical Nurse Specialist
% of Days
76%
3 Physical Therapy Aide
% of Days
74%
4 Nurse Aide in Training
% of Days
79%
6 Registered Nurse
% of Days
66%
2 Speech Language Pathologist
% of Days
71%
1 Nurse Practitioner
% of Days
68%
4 Administrator
% of Days
67%
1 Mental Health Service Worker
% of Days
70%
1 Dietitian
% of Days
66%
2 Physical Therapy Assistant
% of Days
57%
2 Respiratory Therapy Technician
% of Days
58%
2 Occupational Therapy Aide
% of Days
10%
2 Qualified Social Worker
% of Days
44%
1 Occupational Therapy Assistant
% of Days
10%
1 Medical Director
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
74
Medicare
3
4.1% of residents
Medicaid
58
78.4% of residents
Private pay or other
13
17.6% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.8
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.8
In line with Texas averageTexas average: 8.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.1
19% better than Texas averageTexas average: 16.0
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
17.2%
Percent of long-stay residents whose need for help with daily activities has increased
17.2%
7% worse than Texas averageTexas average: 16.2%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
12.6%
Percent of long-stay residents whose ability to move independently worsened
12.6%
22% better than Texas averageTexas average: 16.2%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
9.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
9.3%
41% better than Texas averageTexas average: 15.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.1%
Percent of long-stay residents experiencing one or more falls with major injury
2.1%
34% better than Texas averageTexas average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.3%
Percent of long-stay high risk residents with pressure ulcers
5.3%
20% worse than Texas averageTexas average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Texas averageTexas average: 0.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.5%
Percent of long-stay residents who lose too much weight
6.5%
86% worse than Texas averageTexas average: 3.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
5.6%
Percent of long-stay residents who have depressive symptoms
5.6%
95% worse than Texas averageTexas average: 2.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
1.0%
Percent of long-stay residents who received an antipsychotic medication
1.0%
87% better than Texas averageTexas average: 7.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.9%
In line with Texas averageTexas average: 97.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas averageTexas average: 97.9%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.75
Number of hospitalizations per 1,000 long-stay resident days.
1.75
18% better than Texas averageTexas average: 2.13
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.63
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.63
21% better than Texas averageTexas average: 2.07
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
87.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
87.3%
In line with Texas averageTexas average: 90.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Texas averageTexas average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.6%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.6%
7% better than Texas averageTexas average: 88.0%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
3.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
3.0%
88% better than Texas averageTexas average: 25.9%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
13.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
13.4%
12% worse than Texas averageTexas average: 12.0%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Texas averageTexas average: 0.8%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
46.8%
Rate of successful return to home or community from a skilled nursing facility.
46.8%
7% worse than Texas averageTexas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$46K
43% lower than Texas averageTexas average: $80K
Number of fines
1 Rank #1 / 194Federal fines — state benchmarkedThis home is ranked 1st out of 194 homes in Texas.Shows this facility's CMS fine count alongside the Texas average, and where it ranks among all 194 skilled nursing facilities in the state. Fewer fines mean a better rank.
60% fewer fines than Texas averageTexas average: 2.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Texas averageTexas average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$46K
Texas average
$80K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 6, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 6, 2025
$46K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Nexion Midwestern Healthcare Center based on CMS SNF Cost Reports.
Occupancy Rate
61.2%
↑ 15.9pp vs 2022
Net Income
$274.8K
↓ ~$84.0K vs 2022
Total Payroll
$4.3M
↑ ~$791.9K vs 2022
Profit Margin
3.9%
↓ 3.8pp vs 2022
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