For profit - Limited Liability company · 140 certified beds · CMS number 676213

Hewitt Nursing and Rehabilitation, Hewitt, TX

CMS records 30 health deficiencies at Hewitt Nursing and Rehabilitation in Hewitt, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jun 25, 2026. The highest severity cited is K (immediate jeopardy to resident health or safety). 4 citations were at the immediate jeopardy level. CMS lists 3 fines totaling $33,539 in the last three years.

Inspections and deficiencies

CMS findings for Hewitt Nursing and Rehabilitation as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Hewitt Nursing and Rehabilitation may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (6 deficiencies)

Standard inspection Jun 25, 2026. CMS counts 6 health deficiencies and 2 fire safety deficiencies in this cycle.

Jun 25, 2026 · Standard inspection

4 deficiencies, highest E

F803 · Menus that meet nutritional needs

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 29, 2026

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jun 29, 2026

F584 · Safe, clean, homelike surroundings

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 29, 2026

F558 · Accommodating individual needs and preferences

Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 29, 2026

Dec 22, 2025 · Complaint inspection

2 deficiencies, highest E

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Dec 24, 2025

F842 · Complete, confidential medical records

Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 24, 2025
Previous cycle: 3 deficiencies (standard inspection Apr 17, 2025)

Standard inspection Apr 17, 2025. CMS counts 3 health deficiencies and 1 fire safety deficiency in this cycle.

Jun 23, 2025 · Complaint inspection

1 deficiency, highest D

F644 · Coordinating with PASARR screening

Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 27, 2025

Apr 17, 2025 · Standard inspection

2 deficiencies, highest D

F641 · Accurate resident assessments

Requirement cited (CMS): Ensure each resident receives an accurate assessment.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 2, 2025

F558 · Accommodating individual needs and preferences

Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 2, 2025
Earlier cycle: 21 deficiencies (standard inspection Feb 25, 2024)

Standard inspection Feb 25, 2024. CMS counts 21 health deficiencies and 4 fire safety deficiencies in this cycle.

Jul 29, 2024 · Complaint inspection

4 deficiencies, highest K

F770 · Timely laboratory services

Requirement cited (CMS): Provide timely, quality laboratory services/tests to meet the needs of residents.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jul 30, 2024

F755 · Pharmacy services and a consultant pharmacist

Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity
K Immediate jeopardy to resident health or safety, pattern
Status
Correction date Jul 30, 2024

F690 · Bladder, bowel, and catheter care

Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jul 30, 2024

F600 · Freedom from abuse and neglect

Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Severity
K Immediate jeopardy to resident health or safety, pattern
Status
Correction date Jul 30, 2024

Jul 3, 2024 · Complaint inspection

2 deficiencies, highest H

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 29, 2024

F684 · Quality of care

Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Severity
H Actual harm (not immediate jeopardy), pattern
Status
Correction date Jul 29, 2024

May 14, 2024 · Complaint inspection

1 deficiency, highest J

F695 · Respiratory and oxygen care

Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.

Severity
J Immediate jeopardy to resident health or safety, isolated
Status
Correction date May 15, 2024

Feb 25, 2024 · Standard + complaint inspection

12 deficiencies, highest J

F919 · Working call system

Requirement cited (CMS): Make sure that a working call system is available in each resident's bathroom and bathing area.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Feb 27, 2024

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Feb 27, 2024

F760 · No significant medication errors

Requirement cited (CMS): Ensure that residents are free from significant medication errors.

Severity
J Immediate jeopardy to resident health or safety, isolated
Status
Correction date Feb 27, 2024

F758 · Psychotropic drug safeguards

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 27, 2024

F745 · Medically related social services

Requirement cited (CMS): Provide medically-related social services to help each resident achieve the highest possible quality of life.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 27, 2024

F690 · Bladder, bowel, and catheter care

Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 27, 2024

F684 · Quality of care

Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Severity
G Actual harm (not immediate jeopardy), isolated
Status
Correction date Feb 27, 2024

F677 · Help with daily care

Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Feb 27, 2024

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 27, 2024

F655 · Baseline care plan within 48 hours

Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 27, 2024

F645 · Pre-admission screening for mental disorder or intellectual disability

Requirement cited (CMS): PASARR screening for Mental disorders or Intellectual Disabilities

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 27, 2024

F641 · Accurate resident assessments

Requirement cited (CMS): Ensure each resident receives an accurate assessment.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 27, 2024

Jan 11, 2024 · Complaint inspection

2 deficiencies, highest D

F887 · COVID-19 vaccine education and offering

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 12, 2024
Found in
infection control inspection

F883 · Flu and pneumonia vaccines

Requirement cited (CMS): Develop and implement policies and procedures for flu and pneumonia vaccinations.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 12, 2024
Found in
infection control inspection

Tags cited in more than one inspection

6 tags cited on more than one inspection date at Hewitt Nursing and Rehabilitation; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F558 Accommodating individual needs and preferences2Jun 25, 2026; Apr 17, 2025
F641 Accurate resident assessments2Apr 17, 2025; Feb 25, 2024
F656 Comprehensive person-centered care plan2Jun 25, 2026; Feb 25, 2024
F684 Quality of care2Jul 3, 2024; Feb 25, 2024
F690 Bladder, bowel, and catheter care2Jul 29, 2024; Feb 25, 2024
F880 Infection prevention and control program2Dec 22, 2025; Jul 3, 2024

Fines and payment denials

DateTypeAmount / length
Jul 29, 2024Fine$13,887
May 14, 2024Fine$6,155
Feb 25, 2024Fine$13,497

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.20 h (about the same as the Texas median of 3.27 h)
RN hours per resident per day
0.39 h (about the same as the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
2.76 h
Nursing staff turnover
62.5% (Texas median 52.1%)
Administrators who left
0
CMS overall rating
3 of 5
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measure rating
5 of 5

CMS figures for Hewitt Nursing and Rehabilitation, copied as published; Texas medians are ours.

Facility details

Address
8836 Mars Dr, Hewitt, TX 76643
Phone
(254) 420-5500
County
Mc Lennan
Accepts
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Chain (CMS)
HMG Healthcare
Certified beds
140
Average residents per day
78.8
In Medicare/Medicaid since
Mar 24, 2009
Inside a hospital
No
Continuing care retirement community
No
Resident and family council
Resident
Sprinklers in all required areas
Yes

Questions to ask on a visit

Based on the tags cited most often here.

  • How does the home adapt rooms and routines for residents with limited mobility, vision, or hearing? (F558, cited 2 times)
  • How does the home check that resident assessments match what staff actually observe? (F641, cited 2 times)
  • How are a resident's goals and preferences written into the care plan? (F656, cited 2 times)
  • How does the home make sure doctor's orders are followed consistently across shifts? (F684, cited 2 times)

Other nursing homes in Hewitt and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

How we build this · Report an error