WICHITA FALLS, TX — Michael Allen Shotts, a resident at Midwestern Healthcare Center, has been charged with aggravated sexual assault of a disabled woman at the facility, according to local law enforcement. Bond has been set at $500,000 in the case, as reported by texomashomepage.com.

According to reports, a certified nursing assistant at the facility made the discovery that led to criminal charges. The staff member found the alleged victim's hospital gown in a disturbed state and noticed tampering with the resident's diaper, according to authorities. The incident occurred while Shotts was residing at Midwestern Healthcare Center, which marked his third nursing home placement.
Texas law classifies sexual assault of a disabled individual as a first-degree felony, carrying potential penalties of 5 to 99 years in prison. The elevated bond amount reflects the serious nature of the charges and the vulnerability of the alleged victim. Federal regulations require nursing homes to protect residents from all forms of abuse and ensure immediate investigation of any allegations.
CMS Inspection History
Midwestern Healthcare Center operates as a for-profit corporation with 121 beds and currently holds a 1-star overall rating from the Centers for Medicare & Medicaid Services, the lowest possible score on the federal five-star quality rating system. The facility also received a 1-star rating for health inspections, indicating performance substantially below average, according to CMS data.
Federal inspectors have documented 71 total deficiencies across 19 inspections at the facility. Despite the low overall and health inspection ratings, Midwestern Healthcare Center received a 4-star rating for both staffing levels and quality measures, suggesting inconsistent performance across different aspects of care.
The most recent CMS inspection on July 12, 2024, identified multiple compliance issues. Surveyors cited the facility for failing to honor residents' rights to organize and participate in resident and family groups, a violation categorized at severity level E. The same inspection found deficiencies related to food safety, with inspectors noting failures to procure food from approved sources and maintain professional standards for storage, preparation, distribution and service. This violation received a severity rating of F, indicating immediate jeopardy to resident health or safety.
A November 2023 inspection documented additional concerns about resident safety and care planning. Surveyors cited violations for failing to provide a safe, clean, comfortable and homelike environment, according to inspection records. The facility also received citations for inadequate resident assessments and incomplete care plans that failed to meet residents' needs with measurable actions and timetables.
Federal regulations require nursing homes to maintain systems that prevent abuse, neglect and exploitation of residents. Facilities must screen all staff and residents for potential risks, provide training on abuse prevention, and investigate all allegations immediately. The regulations also mandate reporting of suspected crimes to law enforcement within specified timeframes.
Resources for Families
Family members with concerns about resident safety at Texas nursing homes can contact the Texas Long-Term Care Ombudsman at 1-800-252-2412. The ombudsman program provides free, confidential advocacy for residents of nursing homes and assisted living facilities.
Additional support is available through the national ombudsman hotline at 1-800-677-1116 or online at ltcombudsman.org. Families can also report concerns directly to the Texas Health and Human Services Commission, which oversees nursing home licensing and enforcement in the state.
Anyone with information about abuse, neglect or exploitation in a long-term care facility should contact local law enforcement and the Texas Abuse Hotline at 1-800-252-5400. Reports can be made anonymously, and state law protects individuals who report suspected abuse in good faith from retaliation.
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