414 Johnson Dr, Mc Gregor, TX 76657 (opens Google Maps) · Mc Lennan County · (254) 840-3281· 186 certified beds · avg 57 residents/day · certified since Jun 17, 1985 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: OPCO SKILLED MANAGEMENT (66 facilities, chain avg rating 2.3★)
New to these records? How to read an inspection report →
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 2/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
▲ Immediate jeopardy, isolated · Jun 25, 2025 · F-0580 · triggered by a complaint
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Why it matters: A family could learn about a serious injury or decline days later, after the chance to act has passed.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jul 25, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, isolated · Jun 25, 2025 · F-0690 · triggered by a complaint
The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Why it matters: Poor continence and catheter care leads to infections, skin breakdown, and loss of dignity.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jul 25, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, isolated · Jun 25, 2025 · F-0697 · triggered by a complaint
The facility did not provide safe and appropriate pain management for a resident who needed it.
Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jul 25, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, pattern · Apr 15, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Apr 16, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, pattern · Dec 4, 2023 · F-0755 · triggered by a complaint
The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Why it matters: Weak pharmacy services lead to medication mistakes, delays, and missed drug interactions that can seriously harm residents.
Severity (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Dec 8, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, pattern · Dec 4, 2023 · F-0760 · triggered by a complaint
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
Severity (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Dec 8, 2023 (Deficient, Provider has date of correction)
Showing the latest 3 of 19 inspection findings. Open the full record below to read every finding.
The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. F-0812
The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. F-0641
The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint F-0812
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 12, 2026 | E · Potential for more than minimal harm, pattern | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Mar 12, 2026 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Jan 6, 2026 | E · Potential for more than minimal harm, pattern | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint · F-0812 |
| Aug 7, 2025 | D · Potential for more than minimal harm, isolated | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint · F-0558 |
| Aug 7, 2025 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint · F-0656 |
| Jun 25, 2025 | ▲ J · Immediate jeopardy, isolated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint · F-0580 |
| Jun 25, 2025 | ▲ J · Immediate jeopardy, isolated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint · F-0690 |
| Jun 25, 2025 | ▲ J · Immediate jeopardy, isolated | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint · F-0697 |
| Dec 11, 2024 | E · Potential for more than minimal harm, pattern | The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition. · F-0638 |
| Dec 11, 2024 | E · Potential for more than minimal harm, pattern | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Aug 24, 2024 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880 |
| Jul 31, 2024 | F · Potential for more than minimal harm, widespread | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint · F-0812 |
| Apr 15, 2024 | ▲ K · Immediate jeopardy, pattern | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689 |
| Dec 4, 2023 | ▲ K · Immediate jeopardy, pattern | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755 |
| Dec 4, 2023 | ▲ K · Immediate jeopardy, pattern | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint · F-0760 |
| Nov 1, 2023 | E · Potential for more than minimal harm, pattern | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Nov 1, 2023 | D · Potential for more than minimal harm, isolated | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. · F-0645 |
| Nov 1, 2023 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| Nov 1, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695 |
Citations from standard inspections stayed about the same across the last two inspection cycles (2 → 2).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 2 | K ▲ |
| 2024 | 5 | 1 | K ▲ |
| 2025 | 5 | 3 | J ▲ |
| 2026 | 3 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
How to file a complaint about care →
2 fines totaling $49,443.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Apr 15, 2024 | Fine | $22,466 |
| Dec 4, 2023 | Fine | $26,977 |
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.36 | 3.46 | 3.95 | top 9% in Texas; top 27% in the U.S. |
| Registered Nurse hours | 0.90 | 0.44 | 0.69 | top 4% in Texas; top 20% in the U.S. |
| Weekend total nurse staffing | 3.98 | 3.04 | 3.50 | top 7% in Texas; top 23% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.56 | 0.34 | 0.48 | top 10% in Texas; top 27% in the U.S. |
| Total nursing staff turnover (%) | 100.0 | 55.3 | 45.8 | bottom 1% in Texas; bottom 1% in the U.S. |
| RN turnover (%) | 100.0 | 54.6 | 42.9 | bottom 8% in Texas; bottom 1% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.72, RN 0.77, weekend 3.39.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.72 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for McGregor Wellness & Rehabilitation. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
Government - Hospital district
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| TX2 Propco Holdco, LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 06/01/2024 |
| David M Fistel TX LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 06/01/2024 |
| DFJL, LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 06/01/2024 |
| DZ Arlington, LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 06/01/2024 |
| Efroymson, David | Individual | 5% or Greater Mortgage Interest | NOT APPLICABLE | 06/01/2024 |
| Efroymson, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2024 |
| Fistel, David | Individual | 5% or Greater Mortgage Interest | NOT APPLICABLE | 06/01/2024 |
| Greenfield, Mordechai | Individual | 5% or Greater Mortgage Interest | NOT APPLICABLE | 06/01/2024 |
| Heath, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2024 |
| House, Janelle | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2024 |
| McGregor Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/01/2024 |
| Newton, Elizabeth | Individual | Corporate Director | NOT APPLICABLE | 06/01/2024 |
| Zemel, Daniel | Individual | 5% or Greater Mortgage Interest | NOT APPLICABLE | 06/01/2024 |
All 13 owning or managing parties CMS has on file are shown — none excluded.
CMS lists this facility under the chain Opco Skilled Management — 66 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking. Showing 8 of the 65 others, continuing from this facility's own place in that list.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| St. Joseph's Care Center | 0.2 mi | McGregor, TX | —/5 | ||
| Wesley Woods Health & Rehabilitation | 12.4 mi | Waco, TX | ★★☆☆☆ | 2/5 | |
| St. Catherine Center | 12.5 mi | Waco, TX | ★★★★★ | 4/5 | |
| Avir at Waco | 12.8 mi | Waco, TX | ★★★★☆ | 4/5 | |
| Ridgecrest Retirement and Healthcare Community | 13.0 mi | Waco, TX | ★☆☆☆☆ | 2/5 | |
| Hewitt Nursing and Rehabilitation | 13.3 mi | Hewitt, TX | ★★★☆☆ | 2/5 | |
| Woodway Rehabilitation and Healthcare Center | 13.5 mi | Waco, TX | ★★☆☆☆ | 2/5 | |
| St. Anthony's Care Center | 14.3 mi | Waco, TX | ★★★★☆ | 4/5 | |
| Greenview Nursing and Rehabilitation | 14.5 mi | Waco, TX | ★☆☆☆☆ | 1/5 | |
| Avir at Jeffrey Place | 15.2 mi | Waco, TX | ★★★☆☆ | 3/5 | |
| The Chateau Waco | 15.9 mi | Waco, TX | ★☆☆☆☆ | 1/5 | |
| Ivy Creek Wellness & Rehabilitation | 17.2 mi | Waco, TX | ★☆☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
CMS records place this facility in Mc Lennan, TX — 18 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 455554.
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