01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-03-12 | 5 | 2026-03-12 | 3 |
| Cycle 2 | 2024-12-11 | 6 | 2024-12-11 | 0 |
| Cycle 3 | 2023-11-01 | 8 | 2023-11-01 | 3 |
CMS CCN 4555542026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Mcgregor Wellness & Rehabilitation
414 Johnson Dr · Mc Gregor, TX 76657 · Mc Lennan County
Certified beds186CMS provider file
Recent citation rows25current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
25 rows in the current release
6 rows carry G–L scope/severity codes; 6 carry J–L. 5 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-03-12 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2026-03-132026-03-12 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-03-132026-03-12 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2026-04-012026-03-12 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2026-04-012026-03-12 · FIREK0521Severity B · pattern; potential for minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: No revisit needed2026-01-06 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-01-09 · complaint2025-08-07 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2025-09-07 · complaint2025-08-07 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2025-09-07 · complaint2025-06-25 · HEALTHF0580Severity J · isolated immediate jeopardy
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2025-07-25 · complaint2025-06-25 · HEALTHF0690Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2025-07-25 · complaint2025-06-25 · HEALTHF0697Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2025-07-25 · complaint2024-12-11 · HEALTHF0638Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
Correction field: Deficient, Provider has date of correction · 2024-12-312024-12-11 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-12-312024-08-24 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-09-24 · complaint2024-07-31 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-09-06 · complaint2024-04-15 · HEALTHF0689Severity K · pattern of immediate jeopardy
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-04-16 · complaint2023-12-04 · HEALTHF0755Severity K · pattern of immediate jeopardy
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2023-12-08 · complaint2023-12-04 · HEALTHF0760Severity K · pattern of immediate jeopardy
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2023-12-08 · complaint2023-11-01 · HEALTHF0645Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Correction field: Deficient, Provider has date of correction · 2023-11-102023-11-01 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2023-11-102023-11-01 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2023-11-102023-11-01 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2023-11-102023-11-01 · FIREK0353Severity C · widespread; potential for minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2023-11-202023-11-01 · FIREK0511Severity D · isolated; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2023-11-2003 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-04-15 | Fine | $22,466 | 0 |
| 2023-12-04 | Fine | $26,977 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- TX2 PROPCO HOLDCO, LLCOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 06/01/2024
- DAVID M FISTEL TX LLCOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 06/01/2024
- DFJL, LLCOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 06/01/2024
- DZ ARLINGTON, LLCOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 06/01/2024
- EFROYMSON, DAVIDIndividual · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 06/01/2024
- FISTEL, DAVIDIndividual · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 06/01/2024
- GREENFIELD, MORDECHAIIndividual · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 06/01/2024
- ZEMEL, DANIELIndividual · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 06/01/2024
- NEWTON, ELIZABETHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/01/2024
- MCGREGOR MANAGEMENT LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/01/2024
- EFROYMSON, DAVIDIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/01/2024
- HEATH, MICHAELIndividual · ADP OF THE SNFNOT APPLICABLE · since 06/01/2024
- HOUSE, JANELLEIndividual · ADP OF THE SNFNOT APPLICABLE · since 06/01/2024
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.72per resident day
RN hours0.77per resident day
Weekend nurse hours3.39per resident day
Staff turnover100.0%CMS reported field
06 / LOCAL RECORDS
Open the Texas ledger →Other published facilities nearby
No second facility in the same city met the directory rule.