Winfield Rehab & Nursing
1108 E LOOP 304, Crockett, TX, 75835
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Individual · Chain: Advanced Healthcare Solutions
- Certified beds
- 83 · avg 59 residents/day
- Total nursing staff turnover
- 64.3% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 100% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 5 fines · $355,773 total
State licensing & capacity
- License number
- 147844
- Service type
- Medicare/medicaid
- Licensed capacity
- 83 beds
- Bed type breakdown
- 83 Medicaid/Medicare
- Current license effective
- April 1, 2023
- Current license expires
- April 1, 2026
- Initial license date
- August 10, 1977
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Coryell County Memorial Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Advanced Hcs
- Administrator
- Cindy Pugh
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Advanced Healthcare Solutions chain — 30 facilities. Chain-wide average overall rating 3.2 / 5.
Disclosed owners (6 on record)
- Eliezer Scheiner
Corporate Director · since 2021
- Michael Meisner
Operational/managerial Control · 21% · since 2021
- Teddy Lichtschein
Operational/managerial Control · 40% · since 2021
- Advanced Hcs Llc
Operational/managerial Control · since 2017
- Coryell County Memorial Hospital Authority
5% or Greater Indirect Ownership Interest · since 2017
- David Byrom
Corporate Officer · since 2017
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 48)
- D0677·Dec 10, 2025Complaint
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D0644·Dec 10, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- E0908·Dec 10, 2025
Environmental Deficiencies
Keep all essential equipment working safely.
- D0880·Dec 10, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- F0851·Dec 10, 2025
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- D0813·Dec 10, 2025
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- E0812·Dec 10, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0761·Dec 10, 2025
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Federal penalties
By year
- 20251 fine · $17K
- 20244 fines · $339K
Most recent events
- May 1, 2025Fine · $17K
- Sep 11, 2024Fine · $105K
- Jul 1, 2024Fine · $201K
- Jun 12, 2024Fine · $16K
- Jun 12, 2024Fine · $16K
Largest single fine on record: $201K.
Fire-safety citations
7 Life-Safety-Code citations on file. Most recent: Dec 10, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Winfield Rehab & Nursing is an 83-bed Medicare/Medicaid nursing home in Crockett, TX, licensed to Coryell County Memorial Hospital Authority and managed by Advanced Healthcare Solutions. CMS rates it 1 star overall, with 1-star ratings on both health inspections and staffing. Five CMS fines total $355,773 since the facility's data window — more than 17 times the Texas median. Quality-of-care outcomes rate 4 stars, a notable contrast to the other ratings.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the bottom tier, shared by about 38% of Texas nursing homes. Each resident receives roughly 180 minutes of total nursing care per day, about 61 minutes less than at a 4-star-staffing facility in Texas. Of those 180 minutes, only 4 come from a registered nurse. Residents here also require more hands-on care than at a typical facility — they are sicker or less mobile on average — so those nursing hours stretch thinner than the raw minutes suggest.
About 6 in 10 nursing staff left in the past year — above the 75th percentile for Texas, meaning turnover is worse than at least three-quarters of nursing homes in the state. A long-stay resident will likely go through two or three primary caregivers over the course of a year. RN turnover reached 10 in 10 — effectively complete replacement of the registered nursing staff within the past year. That level of RN churn affects care consistency in ways that direct-care staffing ratios alone don't capture.
Five CMS fines total $355,773. The Texas median for fined facilities is about $20,699; this facility's total is roughly 17 times that figure. About 30% of Texas nursing homes received no fines at all during the same period.
The facility is operating at roughly 71% of its licensed 83 beds — about 59 residents on an average day. That occupancy level, alongside the staffing, turnover, and fine totals, places it in a pattern that families researching here will want to weigh carefully.
Quality-of-care outcomes tell a different story: CMS rates them 4 stars overall, with long-stay outcomes at 5 stars and short-stay outcomes at 3 stars. These measures track things like pressure wounds, falls, and pain management — and they rate well above what the staffing and inspection scores would predict. The gap between the process ratings and the outcome ratings is one of the more distinctive features of this record.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Five fines totaling $355,773
Ask what each of the five CMS citations was for and what specific changes were made after each one to prevent recurrence.
Complete RN staff turnover
Every registered nurse on staff left in the past year — ask how many RNs are currently employed and how long each has been in their role.
4-minute daily RN contact
Reported RN hours average about 4 minutes per resident per day; ask which specific clinical decisions an RN is present to make and how quickly an RN can be reached after hours.
Outcomes versus inspection gap
Long-stay quality outcomes rate 5 stars while health inspections rate 1 star — ask staff to explain what drives the outcome scores and which deficiencies the inspections cited.
Current occupancy at 71%
The facility is running well below its 83-bed capacity; ask whether that reflects recent admissions trends and how staffing levels are adjusted as census changes.
Administrator continuity
One administrator change was recorded in the past year; ask how long the current administrator, Cindy Pugh, has been in the role and who oversees day-to-day operations.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.