Skilled nursing facility · CMS certification number 676213
HEWITT NURSING AND REHABILITATION
HEWITT, Texas · Medicare and Medicaid · 140 certified beds in Care Compare
In Care Compare’s provider information: Penalties: 3 · Fines: 3 · Fines, total amount: $33,539.00 · Payment denials: 0. The most recent penalty on file: July 29, 2024, Fine, $13,887. Every penalty on file ↓
HEWITT NURSING AND REHABILITATION: 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 2025, covering September 1, 2024 to August 31, 2025 (364 days), and CMS processed it on July 24, 2026.
- Net patient revenue rose from $6.0M in fiscal year 2024 to $8.7M in fiscal year 2025.
- Its result from service to patients: $352K (2023), −$1.9M (2024), $383K (2025).
- Its cost reports on file run from fiscal year 2009 to fiscal year 2025.
- Its net patient revenue of $8.7M ranks 152nd of the 484 nursing facilities in Texas whose latest cost report on file is fiscal year 2025.
- 3 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2025, also report a gain on service to patients.
HEWITT NURSING AND REHABILITATION: Medicare cost reports
Form CMS-2540-10: every report is settled.
| Form CMS-2540-10 | 2025 · report 1451119 | 2024 · report 1403852 | 2023 · report 1403107 | 2022 · report 1343433 | 2021 · report 1314187 | 2020 · report 1342343 | 2019 · report 1311724 | 2018 · report 1237891 | 2017 · report 1208189 | 2016 · report 1175007 | 2015 · report 1136789 | 2014 · report 1148898 | 2013 · report 1116054 | 2012 · report 1073151 | 2011 · report 1015544 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | September 1, 2024 | September 1, 2023 | September 1, 2022 | October 1, 2021 | January 1, 2021 | January 1, 2020 | January 1, 2019 | January 1, 2018 | January 1, 2017 | January 1, 2016 | January 1, 2015 | January 1, 2014 | January 1, 2013 | January 1, 2012 | August 1, 2011 |
| Period ended | August 31, 2025 | August 31, 2024 | August 31, 2023 | August 31, 2022 | September 30, 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 | — | — | — | — | 272 | — | — | — | — | — | — | — | — | — | 152 |
| Processed by CMS | July 24, 2026 | February 18, 2025 | February 3, 2025 | February 28, 2023 | April 21, 2022 | February 13, 2023 | March 9, 2022 | July 22, 2019 | August 21, 2018 | August 25, 2017 | July 25, 2016 | December 15, 2016 | December 22, 2015 | July 23, 2014 | October 26, 2012 |
| Total patient revenue | $10,648,141 | $10,208,948 | $12,285,237 | $9,691,034 | $7,871,482 | $9,809,641 | $10,268,882 | $11,917,107 | $14,078,697 | $15,625,243 | $15,485,971 | $13,371,794 | $13,649,825 | $13,273,755 | $4,361,594 |
| Contractual allowances and discounts | $1,950,696 | $4,201,675 | $4,198,945 | $3,347,075 | $1,672,030 | $1,932,600 | $2,532,150 | $3,596,987 | $6,198,768 | $7,171,105 | $7,354,187 | $5,257,400 | $4,951,378 | $6,429,765 | $2,154,622 |
| Net patient revenue | $8,697,445 | $6,007,273 | $8,086,292 | $6,343,959 | $6,199,452 | $7,877,041 | $7,736,732 | $8,320,120 | $7,879,929 | $8,454,138 | $8,131,784 | $8,114,394 | $8,698,447 | $6,843,990 | $2,206,972 |
| Total operating expenses | $8,314,070 | $7,905,564 | $7,733,802 | $6,656,068 | $6,473,550 | $7,967,152 | $7,575,042 | $7,646,642 | $7,613,840 | $7,963,953 | $7,842,385 | $7,687,110 | $7,894,878 | $7,333,947 | $2,487,029 |
| Net income from service to patients | $383,375 | −$1,898,291 | $352,490 | −$312,109 | −$274,098 | −$90,111 | $161,690 | $673,478 | $266,089 | $490,185 | $289,399 | $427,284 | $803,569 | −$489,957 | −$280,057 |
| Total other income | $1,508 | $283 | $1,431 | $76 | $745,178 | $860,107 | $2,365 | $18,698 | $19,217 | $29,285 | $19,853 | $20,101 | $9,019 | $4,583 | $596 |
| Net income after other income | $384,883 | −$1,898,008 | $353,921 | −$312,033 | $471,080 | $769,996 | $164,055 | $692,176 | $285,306 | $519,470 | $309,252 | $447,385 | $812,588 | −$485,374 | −$279,461 |
| Net income | $384,883 | −$1,898,008 | $353,921 | −$312,033 | $471,080 | $769,996 | $164,055 | $692,176 | $285,306 | $519,470 | $309,252 | $447,385 | $812,588 | −$485,374 | −$279,461 |
| Total facility beds, all components | 140 | 140 | 140 | 140 | 140 | 140 | 140 | 140 | 140 | 140 | 140 | 140 | 140 | 140 | 140 |
| Bed days available, all components | 51,100 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 1,028 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 16,742 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 10,097 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 27,867 | 26,125 | 29,369 | 25,551 | 23,194 | 32,346 | 33,221 | 35,328 | 31,186 | 34,439 | 33,706 | 33,920 | 34,023 | 30,698 | 11,142 |
| Medicare discharges | 31 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 48 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 286 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 365 | 399 | 418 | 272 | 336 | 319 | 373 | 345 | 341 | 401 | 419 | 393 | 402 | 359 | 119 |
| Average length of stay, Medicare, in days | 33.16 | 27.78 | 33.52 | 36.04 | 26.95 | 48.86 | 37.22 | 36.93 | 30.38 | 32.36 | 29.46 | 36.97 | 42.19 | 37.44 | 30.09 |
| Average length of stay, Medicaid, in days | 348.79 | 258.67 | 365.66 | 297.3 | 362.94 | 429.53 | 500.11 | 275.19 | 756.33 | 433.44 | 387.59 | 450.83 | 285.64 | 265.19 | 285.86 |
| Average length of stay, all patients, in days | 76.35 | 65.48 | 70.26 | 93.94 | 69.03 | 101.4 | 89.06 | 102.4 | 91.45 | 85.88 | 80.44 | 86.31 | 84.63 | 85.51 | 93.63 |
Net income, fiscal years 2025, 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: every report is settled.
| Form CMS-2540-96 | 2010 · report 430866 | 2009 · report 380830 |
|---|---|---|
| Period began | January 1, 2010 | March 24, 2009 |
| Period ended | December 31, 2010 | December 31, 2009 |
| Days, where not a full year | — | 282 |
| Processed by CMS | June 24, 2012 | July 14, 2010 |
| Net patient revenue | $4,811,482 | $2,882,405 |
| Total operating expenses | $5,435,922 | $3,947,581 |
| Net income from service to patients | −$624,440 | −$1,065,176 |
| Total other income | $4,987 | $1,609 |
| Net income | −$619,453 | −$1,063,567 |
| Total facility beds, all components | 140 | 140 |
| Total patient days, all components | 25,469 | 13,081 |
| Total discharges, all components | 221 | 188 |
| Average length of stay, Medicare, in days | 33.76 | 35.86 |
| Average length of stay, Medicaid, in days | 659.21 | 154.32 |
| Average length of stay, all patients, in days | 115.24 | 69.58 |
Net income, fiscal years 2010, 2009. Checked against the form’s own arithmetic: what that check shows.
HEWITT NURSING AND REHABILITATION: nurse staffing hours by quarter →
Who owns HEWITT NURSING AND REHABILITATION, as filed with CMS
Care Compare
- ADP OF THE SNF: BALSAMO, KRYSTAL (individual), since 04/01/2021; BHUSARI, VAISHALI (individual), since 04/01/2021; DOHN, WILLIAM (individual), since 04/01/2021; GALLARDO, CHRISTOPHER (individual), since 04/15/2025; REINARZ, CHRISTIAN (individual), since 04/01/2021; SATHER, DEBBIE (individual), since 12/18/2023; SINGH, DARLA (individual), since 04/23/2024; STANBRIDGE, NORMA (individual), since 04/01/2021
- CORPORATE DIRECTOR: STRAMECKI, ANTHONY (individual), since 11/01/2016; VRATIS, KACEY (individual), since 11/01/2020; WAY, GEORGE (individual), since 01/01/2013
- CORPORATE OFFICER: MURRELL, EDWARD (individual), since 11/01/2012; ROLLO, JEFFERY (individual), since 11/01/2012; WAY, GEORGE (individual), since 01/01/2013
- OPERATIONAL/MANAGERIAL CONTROL: BALSAMO, KRYSTAL (individual), since 04/01/2021; CULP, ROLAND (individual), since 04/01/2021; DASPIT, LAURENCE (individual), since 04/01/2021; DOHN, WILLIAM (individual), since 04/01/2021; GALLARDO, CHRISTOPHER (individual), since 04/15/2025; HMG PARK MANOR OF HEWITT, LLC (organization), since 10/01/2021; PICO, ANA (individual), since 01/04/2021; PRINCE, DEREK (individual), since 04/01/2021; REINARZ, CHRISTIAN (individual), since 04/01/2021; ROLLO, JEFFERY (individual), since 11/01/2012; SATHER, DEBBIE (individual), since 12/18/2023; SINGH, DARLA (individual), since 04/23/2024; STRAMECKI, ANTHONY (individual), since 11/01/2016; VRATIS, KACEY (individual), since 11/01/2016; WAY, GEORGE (individual), since 01/01/2013; WINNIE-STOWELL HOSPITAL DISTRICT (organization), since 10/01/2021
Ownership percentage for each: NOT APPLICABLE.
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of WINNIE-STOWELL HOSPITAL DISTRICT (enrollment ID O20211007001085).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: WINNIE-STOWELL HOSPITAL DISTRICT (organization), 100.00%, since 10/01/2021
- ADP OF THE SNF: CHRISTIAN REINARZ (individual), since 04/01/2021; CHRISTOPHER GALLARDO (individual), since 04/15/2025; DARLA SINGH (individual), since 04/23/2024; DEBBIE SATHER (individual), since 12/18/2023; KRYSTAL BALSAMO (individual), since 04/01/2021; NORMA STANBRIDGE (individual), since 04/01/2021; VAISHALI KAWADUJI BHUSARI (individual), since 04/01/2021; WILLIAM W DOHN (individual), since 04/01/2021
- CORPORATE DIRECTOR: ANTHONY STRAMECKI (individual), 100.00%, since 11/01/2016; GEORGE WAY (individual), 100.00%, since 01/01/2013; KACEY VRATIS (individual), 100.00%, since 11/01/2020
- CORPORATE OFFICER: EDWARD R MURRELL (individual), 100.00%, since 11/01/2012; GEORGE WAY (individual), 100.00%, since 01/01/2013; JEFFERY ROLLO (individual), 100.00%, since 11/01/2012
- OPERATIONAL/MANAGERIAL CONTROL: ANA I PICO (individual), 25.00%, since 01/04/2021; ANTHONY STRAMECKI (individual), 100.00%, since 11/01/2016; CHRISTIAN REINARZ (individual), since 04/01/2021; CHRISTOPHER GALLARDO (individual), since 04/15/2025; DARLA SINGH (individual), since 04/23/2024; DEBBIE SATHER (individual), since 12/18/2023; DEREK L PRINCE (individual), 33.33%, since 04/01/2021; GEORGE WAY (individual), 100.00%, since 01/01/2013; HMG PARK MANOR OF HEWITT, LLC (organization), 100.00%, since 10/01/2021; JEFFERY ROLLO (individual), 100.00%, since 11/01/2012; KACEY VRATIS (individual), 100.00%, since 11/01/2016; KRYSTAL BALSAMO (individual), since 04/01/2021; LAURENCE C DASPIT (individual), 33.33%, since 04/01/2021; ROLAND WAYNE CULP (individual), 33.33%, since 04/01/2021; WILLIAM W DOHN (individual), since 04/01/2021; WINNIE-STOWELL HOSPITAL DISTRICT (organization), 100.00%, since 10/01/2021
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: WINNIE-STOWELL HOSPITAL DISTRICT; HMG PARK MANOR OF HEWITT, LLC; WINNIE-STOWELL HOSPITAL DISTRICT.
Private equity company, real estate investment trust and holding company: Paused by CMS: CHRISTIAN REINARZ; CHRISTOPHER GALLARDO; DARLA SINGH; DEBBIE SATHER; KRYSTAL BALSAMO; NORMA STANBRIDGE; VAISHALI KAWADUJI BHUSARI; WILLIAM W DOHN; ANTHONY STRAMECKI; GEORGE WAY; KACEY VRATIS; EDWARD R MURRELL; GEORGE WAY; JEFFERY ROLLO; ANA I PICO; ANTHONY STRAMECKI; CHRISTIAN REINARZ; CHRISTOPHER GALLARDO; DARLA SINGH; DEBBIE SATHER; DEREK L PRINCE; GEORGE WAY; JEFFERY ROLLO; KACEY VRATIS; KRYSTAL BALSAMO; LAURENCE C DASPIT; ROLAND WAYNE CULP; WILLIAM W DOHN.
Changes in ownership
- July 1, 2026, enrollment ownership file; no longer listed: HMG PARTNERS III LLC (OTHER); DEREK L PRINCE (OTHER); ANTHONY YBARRA (W-2 MANAGING EMPLOYEE); SHERRIE NORRIS (W-2 MANAGING EMPLOYEE); ROLAND WAYNE CULP (OTHER); first listed: VAISHALI KAWADUJI BHUSARI (ADP OF THE SNF), associated since April 1, 2021; CHRISTIAN REINARZ (ADP OF THE SNF), associated since April 1, 2021; CHRISTIAN REINARZ (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2021; DARLA SINGH (ADP OF THE SNF), associated since April 23, 2024; DARLA SINGH (OPERATIONAL/MANAGERIAL CONTROL), associated since April 23, 2024; CHRISTOPHER GALLARDO (ADP OF THE SNF), associated since April 15, 2025; CHRISTOPHER GALLARDO (OPERATIONAL/MANAGERIAL CONTROL), associated since April 15, 2025; DEBBIE SATHER (ADP OF THE SNF), associated since December 18, 2023; DEBBIE SATHER (OPERATIONAL/MANAGERIAL CONTROL), associated since December 18, 2023; WILLIAM W DOHN (ADP OF THE SNF), associated since April 1, 2021; WILLIAM W DOHN (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2021; NORMA STANBRIDGE (ADP OF THE SNF), associated since April 1, 2021; KRYSTAL BALSAMO (ADP OF THE SNF), associated since April 1, 2021; KRYSTAL BALSAMO (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
Recent changes on this record
- August 20, 2026: A deficiency was cited under tag F 0656, scope and severity D. NH_HealthCitations_Oct2026.csv
- June 25, 2026: A deficiency was cited under tag F 0803, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- June 25, 2026: A deficiency was cited under tag F 0584, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- June 25, 2026: A deficiency was cited under tag F 0558, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- June 25, 2026: A deficiency was cited under tag F 0656, scope and severity E. NH_HealthCitations_Sep2026_2.csv
- June 25, 2026: An inspection was recorded in inspection cycle 1. NH_SurveySummary_Sep2026_2.csv
Inspections of HEWITT NURSING AND REHABILITATION
- Cycle 1: health June 25, 2026 (7 deficiencies), fire safety June 25, 2026 (2)
- Cycle 2: health April 17, 2025 (3 deficiencies), fire safety April 17, 2025 (1)
- Cycle 3: health February 25, 2024 (21 deficiencies), fire safety February 25, 2024 (4)
- Cycle 3: health December 16, 2022 (15 deficiencies), fire safety December 16, 2022 (1)
Deficiencies cited at HEWITT NURSING AND REHABILITATION
35 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 15 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0656, resident assessment and care planning: August 20, 2026 (D, from a complaint, corrected August 24, 2026); June 25, 2026 (E, corrected June 29, 2026); February 25, 2024 (D, corrected February 27, 2024).
- F 0558, resident rights: June 25, 2026 (D, corrected June 29, 2026); April 17, 2025 (D, corrected May 2, 2025).
- F 0584, resident rights: June 25, 2026 (D, corrected June 29, 2026).
- F 0803, nutrition and dietary: June 25, 2026 (D, corrected June 29, 2026).
- F 0842, resident assessment and care planning: December 22, 2025 (D, from a complaint, corrected December 24, 2025).
- F 0880, infection control: December 22, 2025 (E, from a complaint, corrected December 24, 2025); July 3, 2024 (D, from a complaint, corrected July 29, 2024).
- F 0644, resident assessment and care planning: June 23, 2025 (D, from a complaint, corrected June 27, 2025).
- F 0641, resident assessment and care planning: April 17, 2025 (D, corrected May 2, 2025); February 25, 2024 (D, corrected February 27, 2024).
- F 0600, freedom from abuse, neglect, and exploitation: July 29, 2024 (K, from a complaint, corrected July 30, 2024).
- F 0690, quality of life and care: July 29, 2024 (E, from a complaint, corrected July 30, 2024); February 25, 2024 (D, corrected February 27, 2024).
- F 0755, pharmacy service: July 29, 2024 (K, from a complaint, corrected July 30, 2024).
- F 0770, administration: July 29, 2024 (E, from a complaint, corrected July 30, 2024).
- F 0684, quality of life and care: July 3, 2024 (H, from a complaint, corrected July 29, 2024); February 25, 2024 (G, from a complaint, corrected February 27, 2024).
- F 0695, quality of life and care: May 14, 2024 (J, from a complaint, corrected May 15, 2024); December 16, 2022 (D, corrected December 19, 2022).
- F 0645, resident assessment and care planning: February 25, 2024 (D, corrected February 27, 2024).
- F 0655, resident assessment and care planning: February 25, 2024 (D, corrected February 27, 2024); December 16, 2022 (D, corrected December 19, 2022).
- F 0677, quality of life and care: February 25, 2024 (E, corrected February 27, 2024).
- F 0745, quality of life and care: February 25, 2024 (D, corrected February 27, 2024); December 16, 2022 (E, corrected January 16, 2023).
- F 0758, pharmacy service: February 25, 2024 (D, corrected February 27, 2024).
- F 0760, pharmacy service: February 25, 2024 (J, from a complaint, corrected February 27, 2024).
- F 0812, nutrition and dietary: February 25, 2024 (F, corrected February 27, 2024).
- F 0919, environmental: February 25, 2024 (E, corrected February 27, 2024).
- F 0883, infection control: January 11, 2024 (D, from a complaint, corrected January 12, 2024).
- F 0887, infection control: January 11, 2024 (D, from a complaint, corrected January 12, 2024).
- F 0814, nutrition and dietary: December 16, 2022 (D, corrected January 10, 2023).
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| July 29, 2024 | Fine | $13,887 | 113082 | ||
| May 14, 2024 | Fine | $6,155 | 112862 | ||
| February 25, 2024 | Fine | $13,497 | 112389 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
HEWITT NURSING AND REHABILITATION in Care Compare
- Ownership Type: For profit - Limited Liability company
- Legal Business Name: WINNIE-STOWELL HOSPITAL DISTRICT
- Date First Approved to Provide Medicare and Medicaid Services: 2009-03-24
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Mc Lennan
- Telephone Number: 2544205500
- Chain Name: HMG HEALTHCARE
- Chain ID: 272
- 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: 75.7
- Overall Rating: 1
- Health Inspection Rating: 2
- QM Rating: 4
- Long-Stay QM Rating: 5
- Short-Stay QM Rating: 4
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.
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Report a figure on HEWITT NURSING AND REHABILITATION’s record that differs from its CMS file, quoting 676213.