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Nexion Midwestern Healthcare Center
Nursing Home & Skilled Nursing · Wichita Falls, TX
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Exterior view of Nexion Midwestern Healthcare Center sign Cozy common area with seating and lamps Cozy common area with seating and lamps Interior common area with seating and an aquarium Outdoor seating area with tables and chairs Cozy seating area with natural light and decor Simple interior view of a resident's room with a bed and chair

Nexion Midwestern Healthcare Center

Nursing Home & Skilled Nursing · Wichita Falls, TX
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
601 Midwestern Pkwy E, Wichita Falls, TX 76302 View map Calculator: See prices in your area
Nexion Midwestern Healthcare Center accepts Medicaid, Medicare, and private pay.
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Nexion Midwestern Healthcare Center accepts Medicaid, Medicare, and private pay.

Overview of Nexion Midwestern Healthcare Center

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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.

Facility Direct Line (940) 723-0885
Facility Direct Line (940) 723-0885 midwestern.adm@nexion-health.com
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▼ 28.4% Below TX avg. ▼ 28.4% Below TX avg.TX average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▼ 63.8% Below TX avg. ▼ 63.8% Below TX avg.TX average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▲ 41.4% Above TX avg. ▲ 41.4% Above TX avg.TX average: 2.1Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▲ 33.2% Above TX avg. ▲ 33.2% Above TX avg.TX average: 3.8Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to Texas state averages

Total nursing care / resident Info This home is ranked 42nd out of 273 homes in Texas for nurse hours. 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 #42 / 273Nurse hours — State benchmarkedThis home is ranked 42nd out of 273 homes in Texas for Nurse Hours. Shows adjusted nurse hours per resident per day benchmarked to the Texas average, with a ranking across 273 Texas facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
This facility Texas avg (3h 38m per day)
vs Texas avg
+28%

3 of 6 metrics below state avg

Standout metric Nurse Aide is +24% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info 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. 22m per day ▼ 14% State avg: 26m per day · National avg: 41m per day
LPN / LVN Info 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. 56m per day ■ Avg State avg: 57m per day · National avg: 52m per day
Nurse Aide Info 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 29m per day ▲ 24% State avg: 2h 1m per day · National avg: 2h 21m per day
Weekend Total Nursing Info 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 16m per day ▲ 10% State avg: 2h 59m per day · National avg: 3h 26m per day
Physical Therapist Info 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 ▼ 85% State avg: 4m per day · National avg: 4m per day
Weekend RN Info 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. 17m per day ▼ 20% State avg: 21m per day · National avg: 29m per day

Capacity and availability

Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
197 days
Bed community size
121-bed community Rank #200 / 976Bed count — State benchmarkedThis home is ranked 200th out of 976 homes in Texas for Bed Count. Shows this facility's certified or reported bed count compared to other Texas facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
47 years in operation Rank #104 / 584Years in operation — State benchmarkedThis home is ranked 104th out of 584 homes in Texas for Years In Operation. Shows how long this facility has been in operation compared to other Texas facilities. Longer operating histories may benefit residents, families, and staff.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 6 / 100 Rank #1284 / 1389Walk Score — State benchmarkedThis home is ranked 1284th out of 1389 homes in Texas for Walk Score. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Texas facilities. Higher scores benefit residents, families, and staff.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate
60%
Rank #145 / 200Occupancy rate — State benchmarkedThis home is ranked 145th out of 200 homes in Texas for Occupancy. Shows this facility's occupancy rate versus the Texas average, with its Statewide rank out of 200. Higher occupancy signals strong local demand and financial stability.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Lower than the Texas average: 63.5%
Occupied beds
73 / 121
Average occupied beds in Texas homes 75 beds

License Details

Facility TypeNursing
IssuanceJanuary 4, 2023
ExpirationJanuary 4, 2026 Expired
CountyWichita
License Number147816
Year Opened3/1/1979
QualificationNursing

Ownership & Operating Entity

Nexion Midwestern Healthcare Center is administered by Dennis E Haws.

Management CompanyNEXION HEALTH AT WICHITA FALLS, INC
OwnerDecatur Hospital Authority
Ownership TypeHOSPITAL DISTRICT/AUTHORITY

Type Of Units

Medicare
18 units
Medicaid and Medicare
103 units
Total beds
121 units

Staffing

Key information about the people who lead and staff this community.

Leadership

Administrator Emailmidwestern.adm@nexion-health.com

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

1 service
24-Hour Staffing

Memory & Specialized Care

1 service
No Alzheimer's certification

Amenities & Lifestyle

Specific ProgramsIndividualized Care, Telemedicine
Operating Hours24 hours a day, 7 days a week

Contact Nexion Midwestern Healthcare Center

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.

Since 2023 · 3 years of data 1 enforcement action 3 citations

Enforcement Actions Info Enforcement actions are formal penalties or interventions imposed by Texas regulators when a nursing home fails to meet state or federal care, safety, or regulatory standards. They may include directed plans of correction, civil monetary penalties, denial of payment, or appointment of temporary management.

Since 2023
1 enforcement action

Inspection Scorecard Info This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2023 vs. Texas state average
Overall vs. TX average 1 Worse Metrics worse than Texas average:
• Health citations (50% above) 3 Better Metrics better than Texas average:
• Total citations (50% below)
• Life safety citations (50% below)
• Citations per year (50% below)
Latest Inspection August 28, 2025 Annual Inspection

Citations Info Citations are formal regulatory issues recorded during state inspections.

This FacilityTX Averagevs. TX Avg
Total citations Info Formal regulatory issues recorded by inspectors across all inspection types. 36 This facility has 50% fewer total citations than a typical Texas nursing home (3 vs. TX avg 6).↓ 50% better
Health citations Info Citations related to resident care, clinical practices, and day-to-day operations. 32 This facility has 50% more health citations than a typical Texas nursing home (3 vs. TX avg 2).↑ 50% worse
Life safety citations Info Citations related to building safety — fire prevention, emergency egress, and similar. 36 This facility has 50% fewer life safety citations than a typical Texas nursing home (3 vs. TX avg 6).↓ 50% better
Citations per year Info Average citations per year since 2023. 12 This facility has 50% fewer citations per year than a typical Texas nursing home (1 vs. TX avg 2).↓ 50% better

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • June 6, 2025 complaint investigation found Immediate Jeopardy for verbal abuse by LVN B and failure to timely report, with multiple policy and protection failures.
  • August 28, 2025 annual inspection cited six deficiencies including disrespect during meals, incomplete care plans, inadequate activities, pressure ulcer prevention failures, unsanitary kitchen, and staff training gaps.
  • April 15, 2023 annual inspection found no health deficiencies, showing the facility met required standards at that time.
Show Inspection Reports

Health Inspection History

Inspections since 2022
Total health inspections 6

Texas average 7.4

Last Health inspection on Jun 2025

Total health citations
32 Rank #212 / 274Health citations — State benchmarkedThis home is ranked 212th out of 274 homes in Texas for Health Citations. Shows this facility's total health deficiency citations benchmarked to the Texas State average, with a ranking across all 274 TX facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Texas average 25.9

Citations per inspection
5.33 Rank #254 / 274Citations per inspection — State benchmarkedThis home is ranked 254th out of 274 homes in Texas for Citations Per Inspection. Shows average deficiency citations per CMS inspection for this facility versus the Texas mean across 274 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

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 4 years)
Critical health citations
3
50% worse than Texas average

Texas average: 2

Serious health citations
0
100% better than Texas average

Texas average: 0.4

3 critical citations Texas average: 2
0 serious citations Texas average: 0.4
28 moderate citations Texas average: 23
1 minor citation Texas average: 0.4
Citations history (last 4 years)
Abuse/Neglect critical citation Jun 06, 2025
Corrected
Abuse/Neglect critical citation Jun 06, 2025
Corrected
Abuse/Neglect critical citation Jun 06, 2025
Corrected
Nutrition moderate citation 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.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 87
Employees 75
Contractors 12
Staff to resident ratio 1.18 : 1
20% fewer staff per resident than Texas average
Texas average ratio: 1.48 : 1 Texas average ratio: 1.48 : 1See full Texas ranking
Avg staff/day 38
Average shift 8.1 hours
0% compared with Texas average
Texas average: 8.1 hours Texas average shift: 8.1 hoursSee full Texas ranking
Total staff hours (quarter) 28,417

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 6 RN Staff are full-time employees. No contractors work on this role. 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.7 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 16 LPN Staff are full-time employees. No contractors work on this role. 16
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.5 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 39 CNA Staff are full-time employees. No contractors work on this role. 39
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.4 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

5.6%

1,581 contractor hours this quarter

Physical Therapy Aide: 3 Speech Language Pathologist: 2 Qualified Social Worker: 2 Physical Therapy Assistant: 1 Respiratory Therapy Technician: 1 Medical Director: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant3903914,58192100%8.4
Licensed Practical Nurse160166,21092100%8.5
Medication Aide/Technician5051,43292100%8.2
Registered Nurse6061,0428997%8.7
Clinical Nurse Specialist2029436571%7.9
Physical Therapy Aide0338506874%6.9
Nurse Aide in Training3036736368%7.2
Nurse Practitioner1015126470%8
Administrator1015046470%7.9
Dietitian1014886470%7.6
Speech Language Pathologist0224796368%7.6
Mental Health Service Worker1014505964%7.6
Respiratory Therapy Technician011654043%1.6
Physical Therapy Assistant011644145%1.6
Occupational Therapy Aide0114989%6.1
Occupational Therapy Assistant0113289%4
Medical Director0112433%8
Qualified Social Worker022182022%0.9
39 Certified Nursing Assistant
% of Days 100%
16 Licensed Practical Nurse
% of Days 100%
5 Medication Aide/Technician
% of Days 100%
6 Registered Nurse
% of Days 97%
2 Clinical Nurse Specialist
% of Days 71%
3 Physical Therapy Aide
% of Days 74%
3 Nurse Aide in Training
% of Days 68%
1 Nurse Practitioner
% of Days 70%
1 Administrator
% of Days 70%
1 Dietitian
% of Days 70%
2 Speech Language Pathologist
% of Days 68%
1 Mental Health Service Worker
% of Days 64%
1 Respiratory Therapy Technician
% of Days 43%
1 Physical Therapy Assistant
% of Days 45%
1 Occupational Therapy Aide
% of Days 9%
1 Occupational Therapy Assistant
% of Days 9%
1 Medical Director
% of Days 3%
2 Qualified Social Worker
% of Days 22%
View All Staffing Data in Wichita Falls

Penalties and fines

Includes penalties issued in 2025

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 Rank #166 / 278Federal fines — State benchmarkedThis home is ranked 166th out of 278 homes in Texas for Federal Fines. Shows this facility's cumulative CMS federal fine dollars versus the Texas average among facilities with fines, and where it ranks among 278 facilities in the pool. Lower total dollars mean a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
43% lower than Texas average

Texas average: $80K

Number of fines 1
60% fewer fines than Texas average

Texas average: 2.5

Payment Denials Info 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.

1 penalty in the past 3 years

Jun 6, 2025 · $46K

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jun 6, 2025
$46K

Last updated: Jan 2026

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 Info 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 Info 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
Significantly above average Texas avg: 4.1 Info 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 Info 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 Info 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 Info 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 Info 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 Info Percent of long-stay high risk residents with pressure ulcers 5.3%
20% worse than Texas average

Texas average: 4.4%

Urinary Tract Infection Info 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 Info Percent of long-stay residents who lose too much weight 6.5%
86% worse than Texas average

Texas average: 3.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 5.6%
95% worse than Texas average

Texas average: 2.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 1.0%
87% better than Texas average

Texas average: 7.9%

Pneumococcal Vaccine Info 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 Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with Texas average

Texas average: 97.9%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.75
18% better than Texas average

Texas average: 2.13

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.63
21% better than Texas average

Texas average: 2.07

Short-stay resident measures
Above average Texas avg: 3.1 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info 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 Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Texas average

Texas average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 94.6%
7% better than Texas average

Texas average: 88.0%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 3.0%
88% better than Texas average

Texas average: 25.9%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 13.4%
12% worse than Texas average

Texas average: 12.0%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Texas average

Texas average: 0.8%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 46.8%
7% worse than Texas average

Texas average: 50.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

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

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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$6.1M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$120.9K
For-profit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$6.1M Rank #240 / 280Revenue — State benchmarkedThis home is ranked 240th out of 280 homes in Texas for Revenue. Shows this facility's annual revenue compared to the Texas average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$120.9K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$153.9K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #198 / 280Payroll — State benchmarkedThis home is ranked 198th out of 280 homes in Texas for Payroll. 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$3.8M 62% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #40 / 280Payroll % — State benchmarkedThis home is ranked 40th out of 280 homes in Texas for Payroll %. Shows payroll as a percentage of revenue versus the Texas average. Well-run Texas facilities typically land around 50–64% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$2.2M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$5.9M
How we calculate these figures

This home is administered by Dennis E Haws.

This home is owned by Decatur Hospital Authority

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 675128

Show certification details

What does this home offer?

Pets allowed icon
Pets allowed icon

Pets Allowed

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

New residents most often arrive under Medicare (36% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Admissions
154 total

Coverage residents most often arrive under.

Medicare 36%
Private pay 28%
Medicaid 36%
Discharges
137 total

Coverage residents most often leave under.

Medicare 22%
Private pay 31%
Medicaid 47%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Nexion Midwestern Healthcare Center

Address 3.4 miles from city center Info Estimated distance in miles from Wichita Falls's city center to Nexion Midwestern Healthcare Center's address, calculated via Google Maps.

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The information below is reported by the Texas Health and Human Services Commission.

CMS & TX Dept. of Health data

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-3%
4.57
Facility 4.57
TX AVG 3.63
Rank #42 / 273
 -36%+26%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 278
12
Facility 12
TX AVG 25.9
Rank #35 / 274
3.0
Facility 3.0
TX AVG 3.7
Rank #112 / 274
-153-
8
Facility 8
TX AVG 41
Rank #1257 / 1389
Texhoma Christian Care Center Inc
$16.4MFiscal year ending 02/2024
Facility $16.4MFiscal year ending 02/2024
TX AVG $8.4M
Rank #90 / 280
$10.3MFiscal year ending 02/2024
Facility $10.3MFiscal year ending 02/2024
TX AVG $3.5M
Rank #21 / 280
63.1%Fiscal year ending 02/2024
Facility 63.1%Fiscal year ending 02/2024
TX AVG 47%
Rank #6 / 280
455965
Senior Care Health & Rehabilitation
NH
SNF
Wichita Falls (910)
144
Facility 144
TX AVG 80
Rank #78 / 976
89.1%
Facility 89.1%
TX AVG 67.5
Rank #36 / 200
+32%
3.02
Facility 3.02
TX AVG 3.63
Rank #237 / 273
 +2%-17%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 278
10
Facility 10
TX AVG 25.9
Rank #23 / 274
2.5
Facility 2.5
TX AVG 3.7
Rank #60 / 274
-128-
23
Facility 23
TX AVG 41
Rank #1055 / 1389
Delana Hood
$17.6MFiscal year ending 08/2024
Facility $17.6MFiscal year ending 08/2024
TX AVG $8.4M
Rank #16 / 280
$6.9MFiscal year ending 08/2024
Facility $6.9MFiscal year ending 08/2024
TX AVG $3.5M
Rank #64 / 280
39.4%Fiscal year ending 08/2024
Facility 39.4%Fiscal year ending 08/2024
TX AVG 47%
Rank #276 / 280
676144
University Park Nursing & Rehabilitation
NH
SNF
Wichita Falls
98
Facility 98
TX AVG 80
Rank #370 / 976
93.8%
Facility 93.8%
TX AVG 67.5
Rank #12 / 200
+39%
3.82
Facility 3.82
TX AVG 3.63
Rank #87 / 273
 -31%+5%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 278
32
Facility 32
TX AVG 25.9
Rank #212 / 274
4.0
Facility 4.0
TX AVG 3.7
Rank #202 / 274
-92-
40
Facility 40
TX AVG 41
Rank #732 / 1389
Wichita Falls I Enterprises, LLC
$5.4M*Fiscal year ending 03/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility $5.4M*Fiscal year ending 03/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
TX AVG $8.4M
Rank #238 / 280
$2.8M*Fiscal year ending 03/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility $2.8M*Fiscal year ending 03/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
TX AVG $3.5M
Rank #235 / 280
52.2%*Fiscal year ending 03/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility 52.2%*Fiscal year ending 03/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
TX AVG 47%
Rank #107 / 280
455916
Nexion Midwestern Healthcare Center
NH
SNF
Wichita Falls (601)
121
Facility 121
TX AVG 80
Rank #200 / 976
60.2%
Facility 60.2%
TX AVG 67.5
Rank #145 / 200
-11%
4.63
Facility 4.63
TX AVG 3.63
Rank #42 / 273
 -10%+28%
$29.9k
Facility $29.9k
TX AVG $81.8k
Rank #166 / 278
32
Facility 32
TX AVG 25.9
Rank #212 / 274
5.3
Facility 5.3
TX AVG 3.7
Rank #254 / 274
373-
6
Facility 6
TX AVG 41
Rank #1284 / 1389
Decatur Hospital Authority
$6.1MFiscal year ending 12/2023
Facility $6.1MFiscal year ending 12/2023
TX AVG $8.4M
Rank #240 / 280
$3.8MFiscal year ending 12/2023
Facility $3.8MFiscal year ending 12/2023
TX AVG $3.5M
Rank #198 / 280
62%Fiscal year ending 12/2023
Facility 62%Fiscal year ending 12/2023
TX AVG 47%
Rank #40 / 280
675128
The Pines at Rolling Meadows -
NH
AL
IL
MC
SNF
Wichita Falls
22
Facility 22
TX AVG 80
Rank #788 / 976
--------------
50
Facility 50
TX AVG 41
Rank #513 / 1389
Wichita Falls Retirement Foundation
$8.4MFiscal year ending 12/2023
Facility $8.4MFiscal year ending 12/2023
TX AVG $8.4M
Rank #138 / 280
$4.6MFiscal year ending 12/2023
Facility $4.6MFiscal year ending 12/2023
TX AVG $3.5M
Rank #158 / 280
54.9%Fiscal year ending 12/2023
Facility 54.9%Fiscal year ending 12/2023
TX AVG 47%
Rank #176 / 280
676203
Nursing Home Explorer

Financial Assistance for
Nursing Home in Texas

Nexion Midwestern Healthcare Center is located in Wichita Falls, Texas.
Here are the financial assistance programs available to residents in Texas.

Get Financial aid guidance

Community Care for the Aged and Disabled (CCAD)

TX Medicaid CCAD

Age 65+ or disabled
General Texas resident, Medicaid-eligible, care need (not always nursing home level).
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
TX

Large state; rural access challenges.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home aides

Texas Community Care Services

TX CCS

Age 60+
General Texas resident, at risk of decline.
Income Limits ~$2,000/month individual, varies
Asset Limits $5,000 individual
TX

Limited funding; high demand in urban areas.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Transportation (~5 trips/month)

Area Agency on Aging (AAA) Services

Texas AAA Services

Age 60+
General TX resident; no income/asset limits.
Income Limits (2025) None; donations encouraged.
Asset Limits Not assessed.
TX

28 AAAs; includes Meals on Wheels in some areas.

Benefits
Meals (~$5-$7/meal) Transportation Homemaker services (~4 hours/week) Respite (~5 days/year) Legal aid

Medicare Savings Program (MSP)

Texas Medicare Savings Program

Age 65+ or disabled
General TX resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
TX

Includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Family Caregiver Support Program (FCSP)

Texas Family Caregiver Support Program

Age —
General Caregivers of 60+ needing care or 55+ caregivers of others; TX resident; 2+ ADLs.
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year
Asset Limits Not assessed.
TX

High rural demand; includes grandparent caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

VA Aid and Attendance (A&A) and Housebound Benefits

Texas VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General TX resident, wartime service, ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth
TX

High veteran population; supports rural/urban needs.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs

Property Tax Exemption for Seniors

Texas Senior Property Tax Exemption

Age 65+
General TX resident, homeowner (homestead).
Income Limits (2025) None; tax-based eligibility.
Asset Limits Not assessed.
TX

$25,000+ exemption; optional freeze in some counties; saves ~$500-$1,000/year.

Benefits
Tax exemption or freeze (~$500-$1,000/year savings)

Senior Farmers’ Market Nutrition Program (SFMNP)

Texas SFMNP

Age 60+
General TX resident, low-income.
Income Limits (2025) ~$2,322/month 185% FPL
Asset Limits Not assessed.
TX

Vouchers (~$50/season); serves ~20,000 via 28 AAAs.

Benefits
Vouchers (~$50/season) for produce at farmers’ markets

Frequently Asked Questions about Nexion Midwestern Healthcare Center

What neighborhood is Nexion Midwestern Healthcare Center in?

Nexion Midwestern Healthcare Center is in the 601 neighborhood of Wichita Falls.

Who is the owner of Nexion Midwestern Healthcare Center?

Nexion Midwestern Healthcare Center is legally operated by Decatur Hospital Authority, and administered by Dennis E Haws.

Is Nexion Midwestern Healthcare Center in a walkable area?

Nexion Midwestern Healthcare Center has a walk score of 6. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Nexion Midwestern Healthcare Center?

According to TX state health department records, Nexion Midwestern Healthcare Center's license number is 147816.

When does Nexion Midwestern Healthcare Center's license expire?

According to TX state health department records, Nexion Midwestern Healthcare Center's license expires on January 4, 2026.

What is the occupancy rate at Nexion Midwestern Healthcare Center?

Nexion Midwestern Healthcare Center's occupancy is 60%.

Are pets allowed at Nexion Midwestern Healthcare Center?

Yes, Nexion Midwestern Healthcare Center allows residents to bring their pets.

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