CCN 675128 · Wichita County, Texas

Midwestern Healthcare Center

601 Midwestern Pkwy, Wichita Falls, TX 76302

Midwestern Healthcare Center is a 121-bed for-profit nursing home in Wichita Falls, Texas, first certified for Medicare or Medicaid in 1993. CMS rates it 3 out of 5 stars overall in its September 2026 data, and it averaged 75.5 residents a day, about 62% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).

Facility facts

Certified beds
121
Average residents per day
75.5 (62.4% of beds)
Ownership type
For profit - Corporation
Certification
Medicare and Medicaid
Legal business name
Decatur Hospital Authority
Certified since
Feb 8, 1993
Chain or affiliated group
Nexion Health (51 facilities, chain average 2.2 stars)
Location
Urban, inside a hospital

Ratings and staffing

Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.

MeasureThis facilityTexas medianUS median
Overall rating3 of 5State spread: 322 at 1, 244 at 2, 247 at 3, 211 at 4, 141 at 5
Health inspections2 of 5
Quality measures5 of 5
Staffing3 of 5
Total nurse hours per resident per day3.863.273.68
RN hours per resident per day0.340.380.58
Weekend nurse hours per resident per day3.34
Nursing staff turnover44.9%52.1%44.9%
Occupancy (residents / beds)62.4%68.6%85.7%
Fines reported by CMS1 totaling $29,884
Health deficiencies, latest standard survey7 (Aug 28, 2025)

HUD 223(f) Express Lane: the CMS part

HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Midwestern Healthcare Center meets that part today: 3 stars overall, 2 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.

Who owns and operates it

These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.

NameRoleShareSince
Decatur Hospital AuthorityOrganizationDirect Ownership Interest100%04/01/2017
Nexion Health at Wichita Falls, Inc.OrganizationOperational / Managerial Controln/a04/01/2017
Fallon, JohnIndividualOperational / Managerial Controln/a04/01/2017
Kirley, FrancisIndividualOperational / Managerial Controln/a04/01/2017
Lee, BrianIndividualOperational / Managerial Controln/a04/01/2017
Oswald, JohnIndividualOperational / Managerial Controln/a03/22/2022
Pierce, DanielIndividualOperational / Managerial Controln/a03/16/2021
Riner, MeeraIndividualOperational / Managerial Controln/a04/01/2017
Scroggins, BrianIndividualOperational / Managerial Controln/a04/01/2017

Changes of ownership

EffectiveBuyerSeller
Apr 1, 2017Decatur Hospital AuthorityNexion Health at Wichita Falls, Inc.

HUD Section 232 loans

No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.

Watch this facility

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Sources and dates

Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.

SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.