Nursing homeActive
McGregor Wellness & Rehabilitation
414 Johnson Dr, Mc Gregor, TX 766572548403281186 certified beds · 57 residentsGovernment - Hospital districtMedicare and Medicaid
Surveys on file
10
since 2023
Deficiencies
19
● 0● 13● 6
Penalties · 3 yrs
$49,443
2 fines
Last survey
2026-03-12
Standard
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 1
Staffing 3
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-03-12 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2026-01-06 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-08-07 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-06-25 | Complaint | 003 | CMS-2567 (Care Compare) | — |
| 2024-12-11 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2024-08-24 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-07-31 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-04-15 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2023-12-04 | Complaint | 002 | CMS-2567 (Care Compare) | — |
| 2023-11-01 | Standard | 040 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-13Record 455554-20260312-F641
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-13Record 455554-20260312-F812
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-09Record 455554-20260106-F812
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-07Record 455554-20250807-F558
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-07Record 455554-20250807-F656
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity JHarm
Dignity & rights
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-07-25Record 455554-20250625-F580
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-07-25Record 455554-20250625-F690
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-07-25Record 455554-20250625-F697
F638Assure that each resident’s assessment is updated at least once every 3 months.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-31Record 455554-20241211-F638
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-31Record 455554-20241211-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-24Record 455554-20240824-F880
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-09-06Record 455554-20240731-F812
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity KHarm
Care planningFalls
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-04-16Record 455554-20240415-F689
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity KHarm
Medication
Pattern; immediate jeopardy to resident health or safety.Corrected 2023-12-08Record 455554-20231204-F755
F760Ensure that residents are free from significant medication errors.Scope/severity KHarm
Medication
Pattern; immediate jeopardy to resident health or safety.Corrected 2023-12-08Record 455554-20231204-F760
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-10Record 455554-20231101-F645
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-10Record 455554-20231101-F656
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-10Record 455554-20231101-F695
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-10Record 455554-20231101-F880
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-04-15 | Civil money penalty | $22,466 | CMS · Penalties |
| 2023-12-04 | Civil money penalty | $26,977 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.77
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.72
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours3.39
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover100%
Facility
Texas
National
Texas 55% · National 46%
Registered nurse turnover100%
Facility
Texas
National
Texas 55% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Texas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.5% | 3.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.8% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 18.1% | 9.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.4% | 0.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 13.8% | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 0.0% | 3.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 22.7% | 18.0% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Efroymson, David Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Mcgregor Management LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| David M Fistel Tx LLC Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Dfjl, LLC Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Dz Arlington, LLC Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Efroymson, David Individual | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Fistel, David Individual | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Greenfield, Mordechai Individual | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Heath, Michael Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| House, Janelle Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Newton, Elizabeth Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Tx2 Propco Holdco, LLC Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Zemel, Daniel Individual | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
Part of a chain
Opco Skilled Management — 66 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.
No county cost figures on file for Mc Lennan.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| St. Joseph's Care Center McGregor | 0.2 mi | 2026-04-07 | 011 |
| St. Catherine Center Waco | 12.5 mi | 2026-04-30 | 0111 |
| Wesley Woods Health & Rehabilitation Waco | 12.4 mi | 2026-03-19 | 0172 |
| Ridgecrest Retirement and Healthcare Community Waco | 13.0 mi | 2025-06-15 | 1231 |
| Avir at Waco Waco | 12.8 mi | 2026-04-06 | 1190 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |