Skilled nursing facility · CMS certification number 675128
Midwestern Healthcare Center
Wichita Falls, Texas · Medicare and Medicaid · 121 certified beds in Care Compare
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $29,884.00 · Payment denials: 0. The most recent penalty on file: June 6, 2025, Fine, $29,884. Every penalty on file ↓
Midwestern Healthcare Center: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on February 18, 2026.
- Net patient revenue fell from $6.1M in fiscal year 2023 to $5.7M in fiscal year 2024.
- Its result from service to patients: $282K (2022), $121K (2023), $292K (2024).
- Its cost reports on file run from fiscal year 1996 to fiscal year 2024.
- Since its cost report for fiscal year 2024 was filed on February 18, 2026, no other change appears in the CMS files.
- Its net patient revenue of $5.7M ranks 410th of the 681 nursing facilities in Texas whose latest cost report on file is fiscal year 2024.
- 1 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2024, also reports a gain on service to patients.
Midwestern Healthcare Center: Medicare cost reports
Form CMS-2540-10: every report is settled.
| Form CMS-2540-10 | 2024 · report 1447919 | 2023 · report 1389442 | 2022 · report 1355061 | 2021 · report 1332330 | 2020 · report 1335755 | 2019 · report 1303128 | 2018 · report 1254983 | 2017 · report 1213676 | 2016 · report 1170112 | 2015 · report 1136375 | 2014 · report 1113788 | 2013 · report 1092575 | 2012 · report 1045044 | 2011 · report 1020470 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2024 | January 1, 2023 | January 1, 2022 | January 1, 2021 | January 1, 2020 | January 1, 2019 | January 1, 2018 | April 1, 2017 | January 1, 2016 | January 1, 2015 | January 1, 2014 | January 1, 2013 | January 1, 2012 | January 1, 2011 |
| Period ended | December 31, 2024 | December 31, 2023 | December 31, 2022 | December 31, 2021 | December 31, 2020 | December 31, 2019 | December 31, 2018 | December 31, 2017 | December 31, 2016 | December 31, 2015 | December 31, 2014 | December 31, 2013 | December 31, 2012 | December 31, 2011 |
| Days, where not a full year | — | — | — | — | — | — | — | 274 | — | — | — | — | — | — |
| Processed by CMS | February 18, 2026 | July 19, 2024 | June 27, 2023 | September 16, 2022 | October 26, 2022 | October 25, 2021 | May 5, 2020 | November 6, 2018 | July 20, 2017 | July 25, 2016 | December 3, 2015 | June 2, 2015 | August 1, 2013 | November 21, 2012 |
| Total patient revenue | $6,803,225 | $6,993,886 | $4,664,105 | $2,813,535 | $3,737,236 | $4,980,418 | $4,911,267 | $3,943,804 | $5,999,372 | $7,025,132 | $6,840,426 | $5,668,965 | $6,203,901 | $6,093,147 |
| Contractual allowances and discounts | $1,110,733 | $923,049 | −$267,251 | −$854,104 | −$1,318,503 | $154,702 | $438,362 | $422,048 | $441,885 | $630,884 | $436,825 | −$66,977 | $260,382 | $115,348 |
| Net patient revenue | $5,692,492 | $6,070,837 | $4,931,356 | $3,667,639 | $5,055,739 | $4,825,716 | $4,472,905 | $3,521,756 | $5,557,487 | $6,394,248 | $6,403,601 | $5,735,942 | $5,943,519 | $5,977,799 |
| Total operating expenses | $5,400,724 | $5,949,942 | $4,649,671 | $3,440,637 | $5,322,557 | $4,633,341 | $4,301,047 | $3,429,111 | $6,059,982 | $6,324,596 | $6,139,926 | $5,468,301 | $5,903,545 | $5,985,663 |
| Net income from service to patients | $291,768 | $120,895 | $281,685 | $227,002 | −$266,818 | $192,375 | $171,858 | $92,645 | −$502,495 | $69,652 | $263,675 | $267,641 | $39,974 | −$7,864 |
| Total other income | $620 | $153,923 | $77,153 | $89,964 | $442,984 | $896 | $749 | $632 | $6,690 | $58 | $999 | $1,159 | −$65 | −$642 |
| Net income after other income | $292,388 | $274,818 | $358,838 | $316,966 | $176,166 | $193,271 | $172,607 | $93,277 | −$495,805 | $69,710 | $264,674 | $268,800 | $39,909 | −$8,506 |
| Net income | $292,388 | $274,818 | $358,838 | $316,966 | $176,166 | $193,271 | $172,607 | $93,277 | −$495,805 | $69,710 | $264,674 | $268,800 | $39,909 | −$8,506 |
| Total facility beds, all components | 121 | 121 | 121 | 121 | 121 | 121 | 121 | 121 | 121 | 121 | 121 | 121 | 121 | 121 |
| Bed days available, all components | 44,286 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 1,261 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 17,395 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 6,755 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 25,411 | 27,039 | 20,003 | 15,837 | 21,304 | 23,800 | 23,059 | 17,552 | 30,643 | 31,464 | 32,592 | 29,669 | 30,443 | 11,340 |
| Medicare discharges | 20 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 74 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 67 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 161 | 137 | 153 | 102 | 138 | 133 | 171 | 101 | 144 | 233 | 230 | 181 | 182 | 81 |
| Average length of stay, Medicare, in days | 63.05 | 67.93 | 32.39 | 47.95 | 66.92 | 45.24 | 36.06 | 38.18 | 53.96 | 55.63 | 48.68 | 47.03 | 58.52 | 56.3 |
| Average length of stay, Medicaid, in days | 235.07 | 270.42 | 226.76 | 227.59 | 210.99 | 236.74 | 216.84 | 332.91 | 492.03 | 282.36 | 367.63 | 423.56 | 325.74 | — |
| Average length of stay, all patients, in days | 157.83 | 197.36 | 130.74 | 155.26 | 154.38 | 178.95 | 134.85 | 173.78 | 212.8 | 135.04 | 141.7 | 163.92 | 167.27 | 140 |
Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.
| Form CMS-2540-96 | 2010 · report 412721 | 2009 · report 384445 | 2008 · report 352057 | 2007 · report 317272 | 2006 · report 302346 | 2005 · report 273193 | 2004 · report 246839 | 2003 · report 208350 | 2002 · report 176464 | 2001 · report 119404 | 2000 · report 114474 | 1999 · report 28359 | 1998 · report 28356 | 1997 · report 28354 | 1996 · report 28352 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2010 | January 1, 2009 | January 1, 2008 | January 1, 2007 | January 1, 2006 | January 1, 2005 | January 1, 2004 | January 1, 2003 | November 1, 2002 | January 1, 2001 | January 1, 2000 | January 1, 1999 | January 1, 1998 | January 1, 1997 | January 1, 1996 |
| Period ended | December 31, 2010 | December 31, 2009 | December 31, 2008 | December 31, 2007 | December 31, 2006 | December 31, 2005 | December 31, 2004 | December 31, 2003 | December 31, 2002 | December 31, 2001 | December 31, 2000 | December 31, 1999 | December 31, 1998 | December 31, 1997 | December 31, 1996 |
| Days, where not a full year | — | — | — | — | — | — | — | — | 60 | — | — | — | — | — | — |
| Report status | settled | settled | settled | settled | settled | settled | settled | settled | settled | as submitted | settled | settled | reopened | settled | reopened |
| Processed by CMS | July 25, 2011 | July 30, 2010 | July 22, 2009 | June 24, 2008 | February 15, 2008 | February 23, 2007 | April 11, 2006 | February 22, 2005 | May 17, 2004 | February 12, 2003 | February 11, 2003 | September 17, 2001 | May 9, 2001 | July 12, 2001 | May 24, 1999 |
| Net patient revenue | $5,492,501 | $5,205,910 | $5,238,531 | $6,111,283 | $5,801,601 | $5,367,282 | $5,329,353 | $4,956,710 | $758,010 | $4,142,125 | $3,829,502 | $3,655,197 | $3,438,551 | $5,996,443 | $3,302,946 |
| Total operating expenses | $5,803,388 | $5,514,753 | $5,440,475 | $6,039,335 | $5,218,142 | $5,286,640 | $5,257,183 | $4,867,743 | $792,564 | $3,870,665 | $3,444,293 | $3,461,463 | $3,537,023 | $3,919,144 | $3,343,517 |
| Net income from service to patients | −$310,887 | −$308,843 | −$201,944 | $71,948 | $583,459 | $80,642 | $72,170 | $88,967 | −$34,554 | $271,460 | $385,209 | $193,734 | −$98,472 | $2,077,299 | −$40,571 |
| Total other income | $865 | $1,060 | $1,808 | $2,113 | $991 | $4,515 | $6,954 | $14,625 | — | $57 | $133 | $1,255 | $2,152 | $20,343 | $18,211 |
| Total other expenses | — | — | — | $898 | — | — | — | — | — | — | — | — | — | — | — |
| Net income | −$310,022 | −$307,783 | −$200,136 | $73,163 | $584,450 | $85,157 | $79,124 | $103,592 | −$34,554 | $271,517 | $385,342 | $194,989 | −$96,320 | $2,097,642 | −$22,360 |
| Total facility beds, all components | 121 | 121 | 121 | 121 | 121 | 121 | 121 | 121 | 121 | 121 | 120 | 120 | 121 | 121 | 121 |
| Total patient days, all components | 31,409 | 31,053 | 31,792 | 37,403 | 39,109 | 39,267 | 38,870 | 38,121 | 6,470 | 40,247 | 40,118 | 40,241 | 38,478 | 39,414 | 36,370 |
| Total discharges, all components | 147 | 142 | 155 | 183 | 102 | 189 | 155 | 121 | 13 | 83 | 69 | 100 | 101 | 185 | 170 |
| Average length of stay, Medicare, in days | 64.72 | 73.8 | 67.56 | 51.91 | 80.83 | 66.02 | 96.85 | 79.27 | 16 | 80.69 | 102.25 | 96.97 | 68.89 | 35.29 | 44.59 |
| Average length of stay, Medicaid, in days | 394 | 381.41 | 357.42 | 359.11 | 1,077.36 | 420.52 | 404.28 | 506.56 | 688 | 890.25 | 825.81 | 584.59 | — | 532.02 | 666.15 |
| Average length of stay, all patients, in days | 213.67 | 218.68 | 205.11 | 204.39 | 383.42 | 207.76 | 250.77 | 315.05 | 497.69 | 484.9 | 581.42 | 402.41 | 380.97 | 213.05 | 213.94 |
Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2001, 2000, 1999, 1998, 1997, 1996. Checked against the form’s own arithmetic: what that check shows.
Midwestern Healthcare Center: nurse staffing hours by quarter →
Who owns Midwestern Healthcare Center, as filed with CMS
Care Compare
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: DECATUR HOSPITAL AUTHORITY (organization), 100%%, since 04/01/2017
- CORPORATE OFFICER: SCROGGINS, BRIAN (individual), NOT APPLICABLE, since 04/01/2017
- OPERATIONAL/MANAGERIAL CONTROL: FALLON, JOHN (individual), NOT APPLICABLE, since 04/01/2017; KIRLEY, FRANCIS (individual), NOT APPLICABLE, since 04/01/2017; LEE, BRIAN (individual), NOT APPLICABLE, since 04/01/2017; NEXION HEALTH AT WICHITA FALLS, INC. (organization), NOT APPLICABLE, since 04/01/2017; OSWALD, JOHN (individual), NOT APPLICABLE, since 03/22/2022; PIERCE, DANIEL (individual), NOT APPLICABLE, since 03/16/2021; RINER, MEERA (individual), NOT APPLICABLE, since 04/01/2017; SCROGGINS, BRIAN (individual), NOT APPLICABLE, since 04/01/2017
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of DECATUR HOSPITAL AUTHORITY (enrollment ID O20170531000000).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: DECATUR HOSPITAL AUTHORITY (organization), 100.00%, since 04/01/2017
- CORPORATE OFFICER: BRIAN T SCROGGINS (individual), 100.00%, since 04/01/2017
- OPERATIONAL/MANAGERIAL CONTROL: BRIAN LEE (individual), since 04/01/2017; BRIAN T SCROGGINS (individual), 100.00%, since 04/01/2017; DANIEL PIERCE (individual), since 03/16/2021; FRANCIS KIRLEY (individual), since 04/01/2017; JOHN OSWALD (individual), since 03/22/2022; JOHN R FALLON (individual), since 04/01/2017; MEERA RINER (individual), since 04/01/2017; NEXION HEALTH AT WICHITA FALLS, INC. (organization), 100.00%, since 04/01/2017
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: DECATUR HOSPITAL AUTHORITY; NEXION HEALTH AT WICHITA FALLS, INC..
Private equity company, real estate investment trust and holding company: Paused by CMS: BRIAN T SCROGGINS; BRIAN LEE; BRIAN T SCROGGINS; DANIEL PIERCE; FRANCIS KIRLEY; JOHN OSWALD; JOHN R FALLON; MEERA RINER.
Changes in ownership
- March 1, 2025, enrollment ownership file; no longer listed: JASON WREN (W-2 MANAGING EMPLOYEE); JASON WREN (CORPORATE OFFICER); DENNIS HAWS (W-2 MANAGING EMPLOYEE). Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2024, enrollment ownership file; first listed: BRIAN T SCROGGINS (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2017; BRIAN T SCROGGINS (OFFICER), associated since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
Inspections of Midwestern Healthcare Center
- Cycle 1: health August 28, 2025 (7 deficiencies), fire safety August 28, 2025 (6)
- Cycle 2: health July 12, 2024 (5 deficiencies), fire safety July 12, 2024 (6)
- Cycle 3: health May 24, 2023 (11 deficiencies), fire safety May 24, 2023 (2)
Deficiencies cited at Midwestern Healthcare Center
23 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 11 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0693, quality of life and care: February 10, 2026 (E, from a complaint, corrected March 4, 2026).
- F 0550, resident rights: August 28, 2025 (E, corrected September 5, 2025).
- F 0656, resident assessment and care planning: August 28, 2025 (D, corrected August 29, 2025); November 16, 2023 (D, from a complaint, corrected December 1, 2023).
- F 0679, quality of life and care: August 28, 2025 (D, corrected August 29, 2025).
- F 0686, quality of life and care: August 28, 2025 (D, corrected August 29, 2025).
- F 0812, nutrition and dietary: August 28, 2025 (E, corrected August 29, 2025); July 12, 2024 (F, corrected July 31, 2024).
- F 0940, administration: August 28, 2025 (E, corrected September 30, 2025).
- F 0600, freedom from abuse, neglect, and exploitation: June 6, 2025 (J, from a complaint, corrected June 7, 2025).
- F 0607, freedom from abuse, neglect, and exploitation: June 6, 2025 (K, from a complaint, corrected June 7, 2025).
- F 0609, freedom from abuse, neglect, and exploitation: June 6, 2025 (K, from a complaint, corrected June 7, 2025).
- F 0565, resident rights: July 12, 2024 (E, corrected August 5, 2024).
- F 0584, resident rights: November 16, 2023 (E, from a complaint, corrected December 1, 2023).
- F 0641, resident assessment and care planning: November 16, 2023 (D, from a complaint, corrected December 1, 2023).
- F 0677, quality of life and care: November 16, 2023 (D, from a complaint, corrected December 1, 2023).
- F 0732, nursing and physician services: November 16, 2023 (B, from a complaint, corrected December 1, 2023).
- F 0761, pharmacy service: November 16, 2023 (D, from a complaint, corrected December 1, 2023).
- F 0842, resident assessment and care planning: November 16, 2023 (D, from a complaint, corrected December 1, 2023).
- F 0637, resident assessment and care planning: May 24, 2023 (D, corrected June 21, 2023).
- F 0644, resident assessment and care planning: May 24, 2023 (D, corrected June 21, 2023).
- F 0657, resident assessment and care planning: May 24, 2023 (D, corrected June 21, 2023).
- F 0803, nutrition and dietary: May 24, 2023 (F, corrected June 21, 2023).
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| June 6, 2025 | Fine | $29,884 | 113939 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
Midwestern Healthcare Center in Care Compare
- Ownership Type: For profit - Corporation
- Legal Business Name: DECATUR HOSPITAL AUTHORITY
- Date First Approved to Provide Medicare and Medicaid Services: 1993-02-08
- Provider Resides in Hospital: Y
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Wichita
- Telephone Number: 9407230885
- Chain Name: NEXION HEALTH
- Chain ID: 370
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Resident
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 81.4
- Overall Rating: 3
- Health Inspection Rating: 2
- QM Rating: 5
- Long-Stay QM Rating: 4
- Short-Stay QM Rating: 5
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Other nursing facilities in Wichita Falls and Texas
- Advanced Rehabilitation and Healthcare of Wichita
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- Whispering Oaks Rehab & Nursing Cuero
- DENTON REHABILITATION AND NURSING CENTER DENTON
- THERON GRAINGER NURSING & REHAB CTR HUGHES SPRINGS
- INSPIRATION HILLS REHABILITATION CENTER SAN ANTONIO
- Windsor Healthcare Residence Groesbeck
Report a figure on Midwestern Healthcare Center’s record that differs from its CMS file, quoting 675128.