Hewitt Nursing and Rehabilitation
A nursing home in Hewitt, Texas 76643
8836 Mars Dr, Hewitt, Texas 76643. (254) 420-5500.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 7 health citations at the latest inspection cycle Texas average: 9.6
- 3.38 nurse hours per resident per day Texas average: 3.42
- 3 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
7 health citations at the latest inspection cycle
The Texas average is 9.6.
Last standard inspection Jun 25, 2026.
Most serious in three years: immediate jeopardy to health or safety (K), at a complaint inspection on Jul 29, 2024
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
31 citations in 9 months of the last 36. Last cited Aug 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 31 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 15 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Aug 20, 2026: complaint inspection1 citation
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
Jun 25, 2026: standard inspection4 citations
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Reasonably accommodate the needs and preferences of each resident.
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Honor the resident’s right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Dec 22, 2025: complaint inspection2 citations
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Provide and implement an infection prevention and control program.
Jun 23, 2025: complaint inspection1 citation
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Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Apr 17, 2025: standard inspection2 citations
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Reasonably accommodate the needs and preferences of each resident.
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Ensure each resident receives an accurate assessment.
Jul 29, 2024: complaint inspection4 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Provide timely, quality laboratory services/tests to meet the needs of residents.
Jul 3, 2024: complaint inspection2 citations
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide and implement an infection prevention and control program.
May 14, 2024: complaint inspection1 citation
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Provide safe and appropriate respiratory care for a resident when needed.
Feb 25, 2024: standard inspection10 citations
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Ensure each resident receives an accurate assessment.
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PASARR screening for Mental disorders or Intellectual Disabilities
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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Provide medically-related social services to help each resident achieve the highest possible quality of life.
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Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Make sure that a working call system is available in each resident’s bathroom and bathing area.
Feb 25, 2024: complaint inspection2 citations
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Ensure that residents are free from significant medication errors.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Jan 11, 2024: complaint inspection2 citations
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Develop and implement policies and procedures for flu and pneumonia vaccinations.
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Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member’s vaccination status.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Mar 24, 2009.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 140 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 3 fines in the last three years, $33,539 in all.
- No Medicare payment denials in the last three years.
- 15 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Jul 29, 2024 | Fine | $13,887 |
| May 14, 2024 | Fine | $6,155 |
| Feb 25, 2024 | Fine | $13,497 |
Who does the caring?
3.38 nurse hours per resident per day
The Texas average is 3.42.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Texas average |
|---|---|---|
| Nurse hours per resident per day | 3.38 | 3.42 |
| Of which registered nurses | 0.36 | 0.44 |
| At weekends | 2.89 | 2.99 |
| Nursing staff turnover | 60% | 50.8% |
| Registered nurse turnover | 55.6% | 49.8% |
| Administrators who left | 0 | Not given |
Who owns it?
- Winnie-Stowell Hospital District owns 100% directly since Oct 1, 2021.
- Hmg Park Manor of Hewitt, LLC and Winnie-Stowell Hospital District run it.
- 28 owners or officers are people: Edward R Murrell (corporate officer, 100%); Anthony Stramecki (corporate director, 100%); Anthony Stramecki (runs it (operational or managerial control), 100%); George Way (corporate officer, 100%); George Way (corporate director, 100%); George Way (runs it (operational or managerial control), 100%); Jeffery Rollo (corporate officer, 100%); Jeffery Rollo (runs it (operational or managerial control), 100%); Kacey Vratis (corporate director, 100%); Kacey Vratis (runs it (operational or managerial control), 100%); Roland Wayne Culp (runs it (operational or managerial control), 33.33%); Laurence C Daspit (runs it (operational or managerial control), 33.33%); Derek L Prince (runs it (operational or managerial control), 33.33%); Ana I Pico (runs it (operational or managerial control), 25%); Krystal Balsamo (runs it (operational or managerial control)); Krystal Balsamo (additional disclosable party (controls, leases property to, or provides services to the home)); Norma Stanbridge (additional disclosable party (controls, leases property to, or provides services to the home)); William W Dohn (runs it (operational or managerial control)); William W Dohn (additional disclosable party (controls, leases property to, or provides services to the home)); Debbie Sather (runs it (operational or managerial control)); Debbie Sather (additional disclosable party (controls, leases property to, or provides services to the home)); Christopher Gallardo (runs it (operational or managerial control)); Christopher Gallardo (additional disclosable party (controls, leases property to, or provides services to the home)); Darla Singh (runs it (operational or managerial control)); Darla Singh (additional disclosable party (controls, leases property to, or provides services to the home)); Christian Reinarz (runs it (operational or managerial control)); Christian Reinarz (additional disclosable party (controls, leases property to, or provides services to the home)); Vaishali Kawaduji Bhusari (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Hmg Healthcare (31 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Hmg Park Manor of Hewitt, LLC | Runs it (operational or managerial control) | 100% | Oct 1, 2021 |
| Winnie-Stowell Hospital District | Owns 5% or more directly | 100% | Oct 1, 2021 |
| Winnie-Stowell Hospital District | Runs it (operational or managerial control) | 100% | Oct 1, 2021 |
How do residents fare?
- CMS rates its quality measures 4 of 5 (Texas average 3.8).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 1 of 5 |
| Quality measures | 4 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 8.5 miles, this one had the 6th most health citations at the latest inspection cycle (7; the middle value was 7).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Hewitt Nursing and Rehabilitation This nursing home | 7 | |
| Avir at Waco | 1.2 | 7 |
| St. Anthony’s Care Center | 1.2 | 4 |
| Wesley Woods Health & Rehabilitation | 1.9 | 5 |
| Woodway Rehabilitation and Healthcare Center | 3.1 | 9 |
| The Chateau Waco | 3.4 | 4 |
| Greenview Nursing and Rehabilitation | 3.9 | 19 |
| Avir at Jeffrey Place | 4.6 | 3 |
| Ridgecrest Retirement and Healthcare Community | 5.0 | 13 |
| St. Catherine Center | 5.8 | 5 |
| Ivy Creek Wellness & Rehabilitation | 6.9 | 9 |
| Woodland Springs Nursing Center | 8.5 | 9 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.