Midwestern Healthcare Center
601 MIDWESTERN PKWY, Wichita Falls, TX, 76302
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 Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Nexion Health
- Certified beds
- 121 · avg 76 residents/day
- Total nursing staff turnover
- 44.7% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 16.7% — lower 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)
- 1 fine · $45,975 total
State licensing & capacity
- License number
- 147816
- Service type
- Medicare/medicaid
- Licensed capacity
- 121 beds
- Bed type breakdown
- 18 Medicare-only · 103 Medicaid/Medicare
- Current license effective
- April 1, 2026
- Current license expires
- April 1, 2029
- Initial license date
- March 1, 1979
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Decatur Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Nexion Health At Wichita Falls, Inc
- Administrator
- Tammera S Russell
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Nexion Health chain — 52 facilities across 3 states. Chain-wide average overall rating 2.3 / 5.
Disclosed owners (9 on record)
- John Oswald
Operational/managerial Control · since 2022
- Daniel Pierce
Operational/managerial Control · since 2021
- Brian Lee
Operational/managerial Control · since 2017
- Brian t Scroggins
Corporate Officer · 100% · since 2017
- Decatur Hospital Authority
5% or Greater Direct Ownership Interest · 100% · since 2017
- Francis Kirley
Operational/managerial Control · since 2017
+ 3 additional owners on the federal record.
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 22)
- E0940·Aug 28, 2025
Administration Deficiencies
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
- E0812·Aug 28, 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.
- D0686·Aug 28, 2025
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D0679·Aug 28, 2025
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
- D0656·Aug 28, 2025
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.
- E0550·Aug 28, 2025
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- K0609·Jun 6, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- K0607·Jun 6, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Federal penalties
By year
- 20251 fine · $46K
Most recent events
- Jun 6, 2025Fine · $46K
Fire-safety citations
14 Life-Safety-Code citations on file. Most recent: Aug 28, 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
Midwestern Healthcare Center is a 121-bed nursing home in Wichita Falls, Texas, managed by Nexion Health and licensed through a hospital district authority. CMS rates it 1 star overall, with a 1-star health inspection rating and a substantiated finding of resident abuse within the past 36 months. Staffing rates 4 stars and quality measures rate 4 stars overall. The facility is operating at roughly 63% of licensed capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 1 star overall, driven by a 1-star health inspection score. That score reflects the pattern of deficiencies found during state surveys — the lowest tier in the CMS rating system. The quality-measures rating is 4 stars, and the long-stay quality-measures rating is 5 stars, so outcomes data does not track with the inspection record.
CMS has substantiated findings of resident abuse or neglect here within the past 36 months. That finding comes from the federal inspection record and sits independently of the staffing or outcomes ratings.
One CMS fine totaling $45,975 has been issued. The median fine among Texas nursing homes that receive any fine at all is roughly $20,699, and about 30% of Texas nursing homes have no fines at all; this facility's single fine runs more than twice the state median.
Staffing rates 4 stars — roughly the top 9% of Texas nursing homes on staffing. Each resident receives about 227 minutes of nursing care per day. Staff hours per resident exceed what a typical resident mix would require, meaning the residents here need less hands-on care than at a typical facility, so those 227 minutes stretch further than the raw number suggests.
RN turnover is exceptionally low: roughly 2 in 10 registered nurses left in the past year, better than about three-quarters of nursing homes in Texas. Total nursing staff turnover was not flagged as non-typical.
One administrator has turned over in the past year — a single transition, but one worth understanding in context of the facility's broader inspection record.
The facility is running at roughly 63% of its 121 licensed beds — 76 residents on an average day. Paired with the safety flags and inspection rating, the low occupancy reflects the facility's standing in its market.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Substantiated abuse finding details
CMS records a substantiated finding of resident abuse or neglect within the past 36 months — ask what the incident involved, what corrective steps were taken, and how outcomes have been tracked since.
Health inspection score and remediation
The 1-star health inspection rating reflects the most recent survey cycle — ask which specific deficiencies were cited and what the facility's plan of correction covered.
The $45,975 CMS fine
A single CMS fine of $45,975 was issued — ask what violation triggered it and whether CMS has since verified the corrective action.
Administrator transition and continuity
One administrator left in the past year — ask who is currently in that role, how long they have been on site, and who provides day-to-day oversight.
Occupancy and staffing ratios today
The facility averages about 76 residents against 121 licensed beds — ask whether current staffing levels are sized to actual census or to licensed capacity.
Resident Council structure and access
The facility has a Resident Council but no Family Council — ask how families surface concerns, how often the Resident Council meets, and whether family members may attend.
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.