Mcgregor Wellness & Rehabilitation

Penalties

• Apr 15, 2024 — Fine ($22,466)
• Dec 4, 2023 — Fine ($26,977)

Inspection findings

1. Mar 12, 2026 Health · 5 findings
   • Not serious Scope/severity D

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Mar 13, 2026 · CMS health inspection

   • Not serious Scope/severity E

     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.

     Corrected Mar 13, 2026 · CMS health inspection

   • Not serious Scope/severity E

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Apr 1, 2026 · CMS fire safety

   • Not serious Scope/severity E

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Apr 1, 2026 · CMS fire safety

   • Not serious Scope/severity B

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     CMS fire safety

2. Jan 6, 2026 Health · 1 finding
   • Not serious Scope/severity E Complaint

     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.

     Corrected Jan 9, 2026 · CMS health inspection

3. Aug 7, 2025 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected Sep 7, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     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.

     Corrected Sep 7, 2025 · CMS health inspection

4. Jun 25, 2025 Health · 3 findings
   • Serious Scope/severity J Complaint

     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.

     Corrected Jul 25, 2025 · CMS health inspection

   • Serious Scope/severity J Complaint

     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.

     Corrected Jul 25, 2025 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0697 Quality of Life and Care Deficiencies

     Provide safe, appropriate pain management for a resident who requires such services.

     Corrected Jul 25, 2025 · CMS health inspection

5. Dec 11, 2024 Health · 2 findings
   • Not serious Scope/severity E

     F0638 Resident Assessment and Care Planning Deficiencies

     Assure that each resident’s assessment is updated at least once every 3 months.

     Corrected Dec 31, 2024 · CMS health inspection

   • Not serious Scope/severity E

     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.

     Corrected Dec 31, 2024 · CMS health inspection

6. Aug 24, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Sep 24, 2024 · CMS health inspection

7. Jul 31, 2024 Health · 1 finding
   • Not serious Scope/severity F Complaint

     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.

     Corrected Sep 6, 2024 · CMS health inspection

8. Apr 15, 2024 Health · 1 finding
   • Serious Scope/severity K Complaint

     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.

     Corrected Apr 16, 2024 · CMS health inspection

9. Dec 4, 2023 Health · 2 findings
   • Serious Scope/severity K Complaint

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Dec 8, 2023 · CMS health inspection

   • Serious Scope/severity K Complaint

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected Dec 8, 2023 · CMS health inspection

10. Nov 1, 2023 Health · 7 findings
    • Not serious Scope/severity D

      F0645 Resident Assessment and Care Planning Deficiencies

      PASARR screening for Mental disorders or Intellectual Disabilities

      Corrected Nov 10, 2023 · CMS health inspection

    • Not serious Scope/severity D

      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.

      Corrected Nov 10, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0695 Quality of Life and Care Deficiencies

      Provide safe and appropriate respiratory care for a resident when needed.

      Corrected Nov 10, 2023 · CMS health inspection

    • Not serious Scope/severity E

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Nov 10, 2023 · CMS health inspection

    • Not serious Scope/severity C

      K0353 Smoke Deficiencies

      Inspect, test, and maintain automatic sprinkler systems.

      Corrected Nov 20, 2023 · CMS fire safety

    • Not serious Scope/severity D

      K0511 Services Deficiencies

      Have properly installed electrical wiring and gas equipment.

      Corrected Nov 20, 2023 · CMS fire safety

    • Not serious Scope/severity C

      K0521 Services Deficiencies

      Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

      Corrected Nov 20, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• EFROYMSON, DAVID — 5% or greater mortgage interest, NOT APPLICABLE, since 06/01/2024
• EFROYMSON, DAVID — operational/managerial control, NOT APPLICABLE, since 06/01/2024
• FISTEL, DAVID — 5% or greater mortgage interest, NOT APPLICABLE, since 06/01/2024
• GREENFIELD, MORDECHAI — 5% or greater mortgage interest, NOT APPLICABLE, since 06/01/2024
• HEATH, MICHAEL — adp of the snf, NOT APPLICABLE, since 06/01/2024
• HOUSE, JANELLE — adp of the snf, NOT APPLICABLE, since 06/01/2024
• NEWTON, ELIZABETH — corporate director, NOT APPLICABLE, since 06/01/2024
• ZEMEL, DANIEL — 5% or greater mortgage interest, NOT APPLICABLE, since 06/01/2024
• DAVID M FISTEL TX LLC — 5% or greater mortgage interest, NOT APPLICABLE, since 06/01/2024
• DFJL, LLC — 5% or greater mortgage interest, NOT APPLICABLE, since 06/01/2024
• DZ ARLINGTON, LLC — 5% or greater mortgage interest, NOT APPLICABLE, since 06/01/2024
• MCGREGOR MANAGEMENT LLC — operational/managerial control, NOT APPLICABLE, since 06/01/2024
• TX2 PROPCO HOLDCO, LLC — direct ownership interest, NOT APPLICABLE, since 06/01/2024