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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Lakeshore Village Nursing and Rehab, located in Waco, TX, is a trusted skilled nursing facility committed to providing exceptional care and rehabilitation services to its residents. The nursing home prioritizes individual wellness and places a special emphasis on rehabilitation, ensuring the best possible experience for its residents.
With a dedicated team of professionals, Lakeshore Village Nursing and Rehab delivers personalized and compassionate care, setting it apart from other facilities in the area. The skilled nursing staff, equipped with specialized training and a deep understanding of residents’ needs, provides comprehensive medical care, adept medication management, and tailor-made treatment plans. The nursing home’s mission is to treat every patient with the utmost care and respect, creating a warm and welcoming environment where residents can maintain their dignity and independence while receiving the care they need. Lakeshore Village Nursing and Rehab offers a seamless continuum of care, ensuring a smooth transition for residents and fostering consistency in their support.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 88th out of 289 homes in Texas. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
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Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
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20m per day | ▼ 23% State avg: 26m per day · National avg: 41m per day |
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LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
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1h 0m per day | ▲ 5% State avg: 57m per day · National avg: 52m per day |
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Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
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2h 4m per day | ■ Avg State avg: 2h 1m per day · National avg: 2h 21m per day |
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Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
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2h 50m per day | ▼ 5% State avg: 2h 59m per day · National avg: 3h 26m per day |
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Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
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6m per day | ▲ 50% State avg: 4m per day · National avg: 4m per day |
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Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
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14m per day | ▼ 33% State avg: 21m per day · National avg: 29m per day |
Lakeshore Village Nursing and Rehab is administrated by Travis Ward.
Key information about the people who lead and staff this community.
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
|
This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
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Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
|
72 | 6 | This facility has 1100% more total citations than a typical Texas nursing home (72 vs. TX avg 6).↑ 1100% worse |
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Citations per year
Average citations per year since 2022.
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18 | 1.5 | This facility has 1100% more citations per year than a typical Texas nursing home (18 vs. TX avg 1.5).↑ 1100% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on December 11, 2025, identified a deficiency related to inadequate supervision of a resident during ambulation when an occupational therapist was inattentive due to phone use. Earlier inspections showed a pattern of deficiencies involving resident care, including failure to notify responsible parties about significant health changes, issues with dignity and respect toward residents, medication administration problems, and multiple food safety violations. Complaint investigations substantiated concerns about abuse reporting, medication errors, and supervision failures, with some findings involving immediate jeopardy that was later removed after corrective actions. Enforcement actions included immediate jeopardy findings in 2023 and 2025, but fines or license suspensions were not listed in the available reports. The facility’s inspection history shows ongoing challenges with supervision, resident dignity, medication management, and food safety, with some improvements noted between 2024 and 2025, though deficiencies remain.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsTexas average 7.4
Last Health inspection on May 2025
Texas average 25.9
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
16 of 49 citations resulted from standard inspections; 10 of 49 resulted from complaint investigations; and 23 of 49 came from combined inspections (standard and complaint).
250% worse than Texas average
Texas average: 2
150% worse than Texas average
Texas average: 0.4
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with Texas average
0% compared with Texas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
No contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hours
This role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
No contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,192 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 64 | 0 | 64 | 18,141 | 92 | 100% | 7.4 |
| Licensed Practical Nurse | 21 | 33 | 54 | 9,055 | 92 | 100% | 8.6 |
| Physical Therapy Aide | 9 | 0 | 9 | 3,569 | 85 | 92% | 7.6 |
| Registered Nurse | 12 | 0 | 12 | 3,245 | 91 | 99% | 8.9 |
| Speech Language Pathologist | 6 | 1 | 7 | 3,058 | 82 | 89% | 7.8 |
| Medication Aide/Technician | 7 | 0 | 7 | 2,974 | 92 | 100% | 10.2 |
| Qualified Social Worker | 5 | 1 | 6 | 2,348 | 71 | 77% | 7.8 |
| RN Director of Nursing | 4 | 0 | 4 | 1,421 | 64 | 70% | 8 |
| Respiratory Therapy Technician | 2 | 1 | 3 | 1,162 | 66 | 72% | 7.6 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,031 | 81 | 88% | 7.6 |
| Nurse Aide in Training | 4 | 0 | 4 | 534 | 61 | 66% | 7 |
| Feeding Assistant | 0 | 2 | 2 | 528 | 66 | 72% | 8 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Qualified Activities Professional | 2 | 0 | 2 | 327 | 46 | 50% | 7 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 321 | 41 | 45% | 7.8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 89 | 11 | 12% | 8.1 |
| Medical Director | 0 | 1 | 1 | 75 | 25 | 27% | 3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 51 | 9 | 10% | 5.7 |
Includes penalties issued in 2023-2025
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
69% higher than Texas average
Texas average: $80K
21% more fines than Texas average
Texas average: 2.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Texas average
Texas average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
3 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 10, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 16, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 26, 2023
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.8
21% better than Texas average
Texas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.6
28% better than Texas average
Texas average: 16.0
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
14.0%
14% better than Texas average
Texas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
8.6%
47% better than Texas average
Texas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
12.1%
23% better than Texas average
Texas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
3.1%
In line with Texas average
Texas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
4.5%
In line with Texas average
Texas average: 4.4%
Percent of long-stay residents with a urinary tract infection
1.9%
142% worse than Texas average
Texas average: 0.8%
Percent of long-stay residents who lose too much weight
4.0%
14% worse than Texas average
Texas average: 3.5%
Percent of long-stay residents who have depressive symptoms
5.9%
106% worse than Texas average
Texas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
8.6%
9% worse than Texas average
Texas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas average
Texas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas average
Texas average: 97.9%
Number of hospitalizations per 1,000 long-stay resident days.
1.52
29% better than Texas average
Texas average: 2.13
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.05
In line with Texas average
Texas average: 2.07
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
93.3%
In line with Texas average
Texas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
1.7%
17% worse than Texas average
Texas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.0%
In line with Texas average
Texas average: 88.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.7%
16% better than Texas average
Texas average: 25.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
16.1%
34% worse than Texas average
Texas average: 12.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Texas average
Texas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
42.4%
21% worse than Texas average
Texas average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
48.5%
In line with Texas average
Texas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
19% of new residents, usually for short-term rehab.
51% of new residents, often for short stays.
29% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
123
Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Lakeshore Village Nursing and Rehab based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #55 / 297Payroll — State benchmarkedThis home is ranked 55th out of 297 homes in Texas. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Building Type: Single-story
Fitness and Recreation
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Travis Ward serves as the Administrator at Lakeshore Village Nursing and Rehab, where he leads a team dedicated to providing personalized care and therapy plans. Under his leadership, the community emphasizes a holistic approach to healing and recovery, ensuring residents are treated like family and kept safe during the COVID-19 pandemic.
4.1 miles from city center
Estimated distance in miles from Waco's city center to Lakeshore Village Nursing and Rehab's address, calculated via Google Maps.
— 2.96 miles to nearest hospital (amily Counseling & Children's Services)
Add your location
Lakeshore Village Nursing and Rehab is located in Waco, Texas.
Here are the financial assistance programs available to residents in Texas.
The information below is reported by the Texas Health and Human Services Commission.
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| Wesley Woods Rehabilitation and Healthcare |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. |
Waco (West Waco) | 120 | 72.5% | +14% | 3.83 | -31% | +5% | $73.5k | 30 | 1.9 | 4 | 87 | A+ | 39 | - | $11.4M | $7.7M | 67.4% | 676211 | ||||
| Quality Care of Waco |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). |
Waco (Dean Highland) | 202 | 22.1% | -65% | 3.23 | +18% | -11% | $312.1k | 19 | 3.2 | 5 | 63 | - | 29 | Waco Opco LLC | $3.9M | $2.9M | 72.8% | 455478 | ||||
| Lakeshore Village Nursing and Rehab |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). |
Waco (Cedar Ridge) | 151 | 81.9% | +29% | 3.79 | -15% | +4% | $148.1k | 49 | 4.9 | 8 | 124 | - | 38 | Waco Nursing And Rehab Center LLC | $15.4M | $7.3M | 47.3% | 675438 | ||||
| Woodland Springs Nursing Center |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary. |
Waco (Carver) | 132 | 61.5% | -3% | 3.12 | +2% | -14% | $110.9k | 26 | 2.4 | 8 | 89 | - | 30 | Charleston Waco Operations, LLC | $10.5M | $3.8M | 35.7% | 675360 | ||||
| Greenview Nursing and Rehab |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). |
Waco (Richland Hills) | 128 | 69.9% | +10% | 3.29 | +3% | -10% | $59.6k | 37 | 2.1 | 8 | 91 | - | 55 | Richland Nursing And Rehab Center LLC | $10.6M | $4.8M | 45.2% | 455638 |
Lakeshore Village Nursing and Rehab is in the Cedar Ridge neighborhood of Waco.
The legal owner and operator of Lakeshore Village Nursing and Rehab is Fannin County Hospital Authority.
Lakeshore Village Nursing and Rehab has a walk score of 38. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to TX state health department records, Lakeshore Village Nursing and Rehab's license number is 308583.
According to TX state health department records, Lakeshore Village Nursing and Rehab's license expires on January 4, 2028.
Travis Ward is the administrator of Lakeshore Village Nursing and Rehab.
Lakeshore Village Nursing and Rehab has 151 beds.
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