McGregor Wellness & Rehabilitation

Mc Gregor, TX

CMS provider ID 455554CMS source updated July 29, 2026

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CMS overview

CMS overall

Health inspection

Staffing

Quality-measure

No proprietary TrustHub score. These ratings are published separately by CMS.

How CMS describes these ratings

CMS overall rating: The CMS overall rating summarizes health inspections, staffing, and quality measures within Medicare's Five-Star system.
Health inspection rating: The CMS health inspection rating reflects findings from standard and complaint inspections used in Medicare's Five-Star system.
Staffing rating: The CMS staffing rating reflects staffing levels and related measures used in Medicare's Five-Star system.
Quality-measure rating: The CMS quality-measure rating summarizes selected resident assessment and claims-based measures used in Medicare's Five-Star system.

CMS certified beds: 186
Ownership descriptor: Government - Hospital district
Medicare participation: Yes
Medicaid participation: Yes

Facility information

Contact

CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.

Phone: 2548403281CMS Provider Information

State regulatory evidence

State License & Oversight

Texas Health and Human Services Commission is the state source for this license record. It does not replace CMS federal certification, ratings, or certified-bed counts.

Texas Health and Human Services Commission

State license: 312930
License type: Nursing Facility

State regulatory data · checked Aug 2026

View source details · Official TX source

Decision guide

What to review

Factual evidence to examine before you decide. These summaries are not a score or recommendation.

Staffing

CMS publishes a 3-star staffing rating for this facility.

RN staffing was 0.77 hours per resident day in 2026Q1, calculated from CMS PBJ records.

View staffing evidence

Inspections

The latest standard inspection on Mar 12, 2026 cited 2 deficiencies.

View inspection evidence

Ownership

CMS-published records list 14 ownership or control parties.

CMS records show an ownership change effective June 2024.

View ownership evidence

Chain context

CMS groups this facility with a chain covering 68 facilities across 5 states or territories.

View chain evidence

Enforcement record

CMS records show a $22,466 fine in the loaded enforcement dataset.

View enforcement evidence →

Ownership & operation

Ownership & Operation

Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.

Ownership type: Government - Hospital districtCMS
Chain: OPCO SKILLED MANAGEMENTCMS identifies this facility as part of the OPCO SKILLED MANAGEMENT chain.
Related facilities: 20Current CMS organization identity
Ownership changes: 1 recordedCMS enrollment records

Explore ownership network →

Who is behind this facility?

SeniorTrustHub found evidence connecting this facility to:

1 CMS-reported ownership organization
CMS reports 8 individual ownership interests
a CMS chain / common-control group
recorded ownership-change events

Related facilities

20 currently connected nursing homes share this CMS organization identity with CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1.

Average CMS overall rating: 2.3 stars across 18 reporting facilities
CMS monetary penalties: 16 of 20 facilities had a recorded monetary penalty in the available CMS period.
Recent CMS penalties: 11 facilities had a CMS penalty in the last 18 months.
Recent high-value CMS enforcement: 10 facilities had a high-value CMS fine or payment denial in the last 18 months.
Recent CMS complaint inspections: 18 facilities had a CMS complaint inspection in the last 18 months.
Total recorded CMS fines: $2,356,911

These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.

Ownership

Who CMS records show is connected to this facility

These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.

Reported party records: 14
Organizations shown: 6
Individuals shown: 8
Latest ownership source update: Jul 27, 2026

CMS-published ownership and control parties

DAVID M FISTEL TX LLC
Organization · 5% OR GREATER MORTGAGE INTEREST
Association date reported to CMS: Jun 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across TX.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
DFJL, LLC
Organization · 5% OR GREATER MORTGAGE INTEREST
Association date reported to CMS: Jun 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across TX.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
DZ ARLINGTON, LLC
Organization · 5% OR GREATER MORTGAGE INTEREST
Association date reported to CMS: Jun 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across TX.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
EFROYMSON, DAVID
Individual · 5% OR GREATER MORTGAGE INTEREST
Association date reported to CMS: Jun 1, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
FISTEL, DAVID
Individual · 5% OR GREATER MORTGAGE INTEREST
Association date reported to CMS: Jun 1, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
GREENFIELD, MORDECHAI
Individual · 5% OR GREATER MORTGAGE INTEREST
Association date reported to CMS: Jun 1, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
ZEMEL, DANIEL
Individual · 5% OR GREATER MORTGAGE INTEREST
Association date reported to CMS: Jun 1, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
HEATH, MICHAEL
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
HOUSE, JANELLE
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
NEWTON, ELIZABETH
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jun 1, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
TX2 PROPCO HOLDCO, LLC
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across TX.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
EFROYMSON, DAVID
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 1, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
MCGREGOR MANAGEMENT LLC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across TX.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 19 across TX.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility Enrollments
CMS dataset identifier
5f2c306f-3b1c-42cd-b037-187b2ce22126
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source

Ownership changes reported in CMS enrollment records

Jun 1, 2024CHANGE OF OWNERSHIPCORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY to CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility Change of Ownership
CMS dataset identifier
f557a6ed-95b3-4a22-8433-4175db2dec1c
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source

What this means

Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.

Questions to ask

CMS records list several organizations with ownership or control roles. Which entity is responsible for day-to-day operations at this facility?
CMS enrollment records show a change of ownership effective Jun 1, 2024. What operational or leadership changes followed that event?
CMS records connect CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 to 20 facilities. Which policies and staffing decisions are managed centrally versus locally?

Chain context

CMS groups this facility with OPCO SKILLED MANAGEMENT

Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 773 is a grouping identifier, not a legal organization.

Facilities: 68
States and territories: 5
Average overall rating: 2.2
Average staffing rating: 1.7
Average total nurse HPRD: 3.1
Total fines: 103

Review CMS chain evidence

CMS-published history

Monthly chain measures
Month	Facilities	Overall rating	Staffing rating
Wed Jul	68	2.2	1.7
Mon Jun	66	2.3	1.8
Fri May	64	2.4	1.8
Wed Apr	62	2.3	1.7
Sun Mar	52	2.4	1.8
Sun Feb	47	2.3	1.8

Questions to ask

CMS groups facilities in 5 states or territories under this chain. Which operational policies are set at the chain level?
CMS reports 103 fines across the chain in this dataset. What compliance functions are managed centrally?

CMS chain source and methodology

Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.

View official CMS source

Inspections & deficiencies

What CMS inspection records show

Scope and severity terms below are CMS classifications. They are not a TrustHub score.

Latest recorded inspection

Date: Mar 12, 2026
Survey type: Fire Safety Standard
Linked findings: 0
Highest linked CMS classification: No linked health-deficiency finding in the loaded record

View source details

Dataset: Inspection Dates
CMS dataset ID: svdt-c123
CMS source updated: Jul 1, 2026
CMS provider ID: 455554
Source record locator: csv-row:117776:ccn:455554

View official CMS source

Mar 12, 2026 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Mar 12, 2026 — Health Standard — 2 linked findings

F0641 — Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 13, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
455554
Source record locator
csv-row:325015:ccn:455554
View official CMS source
F0812 — Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 13, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
455554
Source record locator
csv-row:325014:ccn:455554
View official CMS source

Jan 6, 2026 — Health Complaint — 1 linked finding

F0812 — Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 9, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
455554
Source record locator
csv-row:325016:ccn:455554
View official CMS source

Aug 7, 2025 — Health Complaint — 2 linked findings

F0558 — Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 7, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
455554
Source record locator
csv-row:325017:ccn:455554
View official CMS source
F0656 — 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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 7, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
455554
Source record locator
csv-row:325018:ccn:455554
View official CMS source

Jun 25, 2025 — Health Complaint — 3 linked findings

F0580 — 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.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Jul 25, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
455554
Source record locator
csv-row:325019:ccn:455554
View official CMS source
F0690 — 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.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Jul 25, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
455554
Source record locator
csv-row:325020:ccn:455554
View official CMS source
F0697 — Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Jul 25, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
455554
Source record locator
csv-row:325021:ccn:455554
View official CMS source

Dec 11, 2024 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Dec 11, 2024 — Health Standard — 2 linked findings

F0638 — Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 31, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
455554
Source record locator
csv-row:325022:ccn:455554
View official CMS source
F0812 — Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 31, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
455554
Source record locator
csv-row:325023:ccn:455554
View official CMS source

Aug 24, 2024 — Health Complaint — 1 linked finding

F0880 — Infection Control Deficiencies
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 24, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
455554
Source record locator
csv-row:325024:ccn:455554
View official CMS source

Jul 31, 2024 — Health Complaint — 1 linked finding

F0812 — Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 6, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
455554
Source record locator
csv-row:325025:ccn:455554
View official CMS source

Apr 15, 2024 — Health Complaint — 1 linked finding

F0689 — Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity K: Pattern; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Apr 16, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
455554
Source record locator
csv-row:325026:ccn:455554
View official CMS source

Dec 4, 2023 — Health Complaint — 2 linked findings

F0755 — Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS scope/severity K: Pattern; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Dec 8, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
455554
Source record locator
csv-row:325027:ccn:455554
View official CMS source
F0760 — Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
CMS scope/severity K: Pattern; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Dec 8, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
455554
Source record locator
csv-row:325028:ccn:455554
View official CMS source

Nov 1, 2023 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Nov 1, 2023 — Health Standard — 4 linked findings

F0645 — Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 10, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
455554
Source record locator
csv-row:325030:ccn:455554
View official CMS source
F0656 — 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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 10, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
455554
Source record locator
csv-row:325031:ccn:455554
View official CMS source
F0695 — Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 10, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
455554
Source record locator
csv-row:325032:ccn:455554
View official CMS source
F0880 — Infection Control Deficiencies
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 10, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
455554
Source record locator
csv-row:325029:ccn:455554
View official CMS source

Jul 17, 2023 — Health Complaint — 1 linked finding

F0761 — 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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 17, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
455554
Source record locator
csv-row:325033:ccn:455554
View official CMS source

Tags appearing across inspections

F0812 appears in 4 linked inspections.
F0656 appears in 2 linked inspections.
F0880 appears in 2 linked inspections.

Penalties & enforcement

CMS penalty records in the loaded three-year dataset

Fine — Apr 15, 2024
Published fine amount: $22,466.00
View source details
Dataset
Penalties
CMS dataset ID
g6vv-u9sr
CMS source updated
Jul 1, 2026
CMS provider ID
455554
Source record locator
csv-row:12527:ccn:455554
View official CMS source
Fine — Dec 4, 2023
Published fine amount: $26,977.00
View source details
Dataset
Penalties
CMS dataset ID
g6vv-u9sr
CMS source updated
Jul 1, 2026
CMS provider ID
455554
Source record locator
csv-row:12528:ccn:455554
View official CMS source

Questions to ask

Questions generated from the evidence above

CMS records show F0812 in 4 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0656 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0880 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show a monetary penalty dated Apr 15, 2024. What changes were made after that enforcement action?

Facility history

Facility History

18 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.

What changed recently?

Total nurse staffing increasedTotal nurse staffing increased from 3.09 to 3.72 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.
Health inspection completed2 deficiencies were recorded.

2026

Mar 2026
Total nurse staffing increased
Total nurse staffing increased from 3.09 to 3.72 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.
3.09 → 3.72
CMS · Reported in a source release · View related evidence
Mar 2026
RN staffing increased
RN staffing increased from 0.54 to 0.77 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.
0.54 → 0.77
CMS · Reported in a source release · View related evidence
Mar 12
Health inspection completed
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Jan 6
Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence

2025

Dec 2025
RN staffing increased
RN staffing increased from 0.33 to 0.54 hours per resident day between 2025Q3 and 2025Q4. Staffing improved across those reported periods.
0.33 → 0.54
CMS · Reported in a source release · View related evidence
Dec 2025
Total nurse staffing decreased
Total nurse staffing decreased from 3.38 to 3.09 hours per resident day between 2025Q3 and 2025Q4. Staffing declined across those reported periods.
3.38 → 3.09
CMS · Reported in a source release · View related evidence
Aug 7
Complaint inspection recorded
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Jun 25
Complaint inspection recorded
3 deficiencies were recorded. That includes 3 higher-severity deficiencies.
CMS · Recorded event date · View related evidence

2024

Dec 11
Health inspection completed
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Aug 24
Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
Jul 31
Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
Jun 1
Ownership change recorded
An ownership change was recorded. New organization: CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1.
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY → CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1
CMS · Recorded event date · View related evidence

Staffing

Reported nursing staffing at a glance

CMS staffing rating: 3 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).

Inspect a PBJ quarter

Total nursing: 3.724
RN categories: 0.772
LPN/LVN categories: 0.697
CNA: 2.093

Weekday and weekend calculations

2026Q1 reported hours per resident day
Measure	Monday–Friday	Saturday–Sunday
Total nursing	3.858	3.394
RN categories	0.859	0.558

Contract staff accounted for 0% of reported nursing hours included in this quarter calculation.

Reported RN-category hours per resident day were 0.232 higher than the prior loaded quarter.

Staffing over time

Solid bar: Total nursing · Outlined bar: RN categories

Calculated reported hours per resident day by PBJ quarter
Quarter	Total nursing	RN categories	LPN/LVN	CNA	Contract share	Days
2025Q2	3.27	0.235	0.901	1.68	0%	91
2025Q3	3.382	0.327	0.804	1.661	0%	92
2025Q4	3.089	0.54	0.68	1.47	0%	92
2026Q1	3.724	0.772	0.697	2.093	0%	90

Questions to ask

PBJ records show lower calculated RN-category hours per resident day on weekends this quarter. How does the facility plan RN coverage on Saturdays and Sundays?

Staffing source and calculation details

Source: Centers for Medicare & Medicaid Services (CMS)
Dataset: Payroll Based Journal Daily Nurse Staffing
CMS dataset ID: 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Quarter: 2026Q1
Coverage: Jan 1, 2026–Mar 31, 2026
Days represented: 90 (90 with positive MDS census)
CMS source updated: Jul 29, 2026
Calculation version: pbj-quarter-ratio-of-sums-v1

Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.

View official CMS PBJ source

What we can verify today

Current Provider Information facts

These measures come from the current successfully ingested CMS Nursing Home Provider Information release.

CMS reports a 2-star overall rating.
CMS reports a 1-star health inspection rating.
CMS reports a 3-star staffing rating.
CMS reports a 5-star quality-measure rating.

Planned evidence layers

Additional public-source research

These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.

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Provider Information

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 4pq5-n9py
Source updated: Jul 29, 2026
Retrieved: Aug 14, 2026
Supports: Overview, facility facts, and CMS ratings

View official CMS source

Inspection Dates

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: svdt-c123
Source updated: Jul 1, 2026
Retrieved: Aug 14, 2026
Supports: Inspections and facility history

View official CMS source

Health Deficiencies

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: r5ix-sfxw
Source updated: Jul 1, 2026
Retrieved: Aug 14, 2026
Supports: Health deficiencies and facility history

View official CMS source

Penalties

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: g6vv-u9sr
Source updated: Jul 1, 2026
Retrieved: Aug 14, 2026
Supports: Penalties, enforcement, and facility history

View official CMS source

Payroll Based Journal Daily Nurse Staffing

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Coverage: Apr 1, 2025–Mar 31, 2026
Source updated: Jul 29, 2026
Retrieved: Aug 15, 2026
Supports: PBJ staffing cards, history, and transparent calculations

View official CMS source

Ownership

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: y2hd-n93e
Source updated: Jul 1, 2026
Retrieved: Aug 15, 2026
Supports: Ownership parties, organization connections, and ownership history

View official CMS source

Skilled Nursing Facility Enrollments

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 5f2c306f-3b1c-42cd-b037-187b2ce22126
Source updated: Jul 27, 2026
Retrieved: Aug 15, 2026
Supports: Ownership parties, organization connections, and ownership history

View official CMS source

Skilled Nursing Facility Change of Ownership

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: f557a6ed-95b3-4a22-8433-4175db2dec1c
Source updated: Jul 27, 2026
Retrieved: Aug 15, 2026
Supports: Ownership parties, organization connections, and ownership history

View official CMS source

Nursing Home Chain Performance Measures

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 97ecfad1-d3f1-4d42-b774-d74661d830bc
Coverage: Wed Jul
Source updated: Aug 12, 2026
Retrieved: Aug 16, 2026
Supports: CMS chain context, performance, and monthly history

View official CMS source

Directory of Nursing Facilities with an Active License

Source organization: Texas Health and Human Services Commission
Dataset identifier: state-regulator:tx
Coverage: State license 312930
Source updated: Aug 18, 2026
Retrieved: Aug 18, 2026
Supports: state license, and license type. Separate from CMS certification, ratings, and ownership.

View official state source

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CMS rating overview

CMS overall

Health inspection

Staffing

Quality-measure

Contact

State License & Oversight

What to review

Staffing

Inspections

Ownership

Chain context

Ownership & Operation

Who is behind this facility?

Related facilities

Facilities currently connected to this organization

Who CMS records show is connected to this facility

CMS-published ownership and control parties

DAVID M FISTEL TX LLC

DFJL, LLC

DZ ARLINGTON, LLC

EFROYMSON, DAVID

FISTEL, DAVID

GREENFIELD, MORDECHAI

ZEMEL, DANIEL

HEATH, MICHAEL

HOUSE, JANELLE

NEWTON, ELIZABETH

TX2 PROPCO HOLDCO, LLC

EFROYMSON, DAVID

MCGREGOR MANAGEMENT LLC

CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1

Ownership changes reported in CMS enrollment records

What this means

Questions to ask

CMS groups this facility with OPCO SKILLED MANAGEMENT

CMS-published history

Questions to ask

What CMS inspection records show

Latest recorded inspection

F0641 — Resident Assessment and Care Planning Deficiencies

F0812 — Nutrition and Dietary Deficiencies

F0812 — Nutrition and Dietary Deficiencies

F0558 — Resident Rights Deficiencies

F0656 — Resident Assessment and Care Planning Deficiencies

F0580 — Resident Rights Deficiencies

F0690 — Quality of Life and Care Deficiencies

F0697 — Quality of Life and Care Deficiencies

F0638 — Resident Assessment and Care Planning Deficiencies

F0812 — Nutrition and Dietary Deficiencies

F0880 — Infection Control Deficiencies

F0812 — Nutrition and Dietary Deficiencies

F0689 — Quality of Life and Care Deficiencies

F0755 — Pharmacy Service Deficiencies

F0760 — Pharmacy Service Deficiencies

F0645 — Resident Assessment and Care Planning Deficiencies

F0656 — Resident Assessment and Care Planning Deficiencies

F0695 — Quality of Life and Care Deficiencies

F0880 — Infection Control Deficiencies

F0761 — Pharmacy Service Deficiencies

Tags appearing across inspections

CMS penalty records in the loaded three-year dataset

Fine — Apr 15, 2024

Fine — Dec 4, 2023

Questions generated from the evidence above

Facility History

What changed recently?

2026

2025

2024

Reported nursing staffing at a glance

Weekday and weekend calculations

Staffing over time

Questions to ask

Current Provider Information facts

Additional public-source research

See something that needs correction?

See where this record came from