Facility type
Nursing
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
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Nursing Home
Nexion Midwestern Healthcare Center
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
121
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
61.2%
Residents per day (avg)
77
Occupancy rate
61.2%
Residents per day (avg)
77
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
$7,147,809.00
Surplus of revenue
$274,818.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.3M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
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
Car-dependent. Most errands require a car, with limited nearby walkable options.
Services
About this community
License details
Issuance
January 4, 2023
Expiration
January 4, 2026
County:
WICHITA
Additional licensing details
License number:
147816
Year opened:
3/1/1979
Ownership & operating entity
Nexion Midwestern Healthcare Center is administrated by DENNIS E HAWS.
Management company:
NEXION HEALTH AT WICHITA FALLS, INC
Owner:
DECATUR HOSPITAL AUTHORITY
Ownership type:
HOSPITAL DISTRICT/AUTHORITY
Type Of Units
Medicare
18 units
Medicaid and Medicare
103 units
Total beds
121 units
Safety & Compliance
Staffing
Key information about the people who lead and staff this community.
Leadership
Administrator email:
[email protected]
Care Services
Nursing Services
Rehabilitation Services
Skilled Nursing
24-Hour Staffing
Additional Policies & Features
Pets Allowed
Programs & Activities
Specific Programs
Rehabilitation, Skilled Nursing, Long-Term Care, Individualized Care, Wound Care, Telemedicine
Operating Hours
24 hours a day, 7 days a week
Types of Care at Nexion Midwestern Healthcare Center
Skilled Nursing
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
2 visits/inspections triggered by complaints
1 routine inspections
Results
5 with issues
1 without issues
Show Inspection Reports
Latest inspection
Date:August 28, 2025
Type:Annual Inspection
22 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Health Inspection History
Inspections
Total health inspections
6
Texas average 7.4
Last Health inspection on Jun 2025
Total health citations
32
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
3
50% worse than Texas average
Texas average: 2
Serious Health citations
0
0
100% better than Texas average
Texas 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.
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
144
89.4%
+41%
3.02
-17%
1
10
0
125
23
Hood, Delana
$30,5M
$6,2M
20.2%
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
+5%
1
32
0
90
40
Wichita Falls I Enterprises, Llc
$6,0M
$3,1M
51.3%
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
121
61.2%
-4%
4.63
+28%
1
32
3
77
6
Decatur Hospital Authority
$7,0M
$3,3M
46.5%
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
-
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
86
52.7%
-17%
-
-
0
0
0
-
50
Wichita Falls Retirement Foundation
$8,4M
$4,2M
50.5%
676203
Places of interest near Nexion Midwestern Healthcare Center
3.4 miles from city center — 0.08 miles to nearest hospital (Texas Back Institute - Wichita Falls)
601 Midwestern Pkwy E, Wichita Falls, TX 76302
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 average
Texas average ratio: 1.51:1
Avg staff/day
41
Average shift
8 hours
0% compared with Texas average
Texas 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 hours
No 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 hours
No 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 hours
No 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 census
74 residents
Residents by payment source
Medicare
3 residents (4.1%)
Medicaid
58 residents (78.4%)
Private pay or other
13 residents (17.6%)
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 average
Texas 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 average
Texas average: 16.0
Long-stay resident measures
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 average
Texas 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 average
Texas 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 average
Texas 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 average
Texas 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 average
Texas 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 average
Texas 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 average
Texas 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 average
Texas 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 average
Texas 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 average
Texas 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 average
Texas average: 97.9%
Short-stay resident measures
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 average
Texas 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 average
Texas 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 average
Texas average: 88.0%
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 average
Texas average: $80K
Number of fines
1
60% fewer fines than Texas average
Texas 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 average
Texas 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
$274,818
↓ ~$84K vs 2022
Total Payroll
$4,262,816
↑ ~$792K vs 2022
Profit Margin
3.9%
↓ 3.8pp vs 2022
Loading trend charts...
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