3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Owned by Waco Opco LLC, Quality Care of Waco is a nursing home in the Dean Highland neighborhood of Waco, Texas, a short drive from the city center. Rodney Harris serves as the administrator. Families can choose from Medicare, Medicaid, and private pay to cover both short-term rehabilitation and long-term nursing care.
The 162-bed community is a mid-sized nursing home in the Waco area and currently has an occupancy rate of about 41%. Residents stay an average of 429 days, suggesting the home serves many people receiving long-term nursing care while also caring for residents recovering after a hospital stay. The community specializes in complex medical care, including IV therapy, tracheostomy care, stroke recovery, and cardiac care. It’s well suited for residents with more advanced healthcare needs.
Residents receive an average of about 3 hours and 14 minutes of nursing care daily from registered nurses, licensed practical nurses, and nurse aides. This staffing level gives families a clearer picture of the hands-on nursing support available throughout the day.
State inspections conducted by the Texas Health and Human Services Commission have reviewed areas such as therapy services, pharmacy services, food safety, infection control, and resident supervision, alongside inspection periods when no deficiencies were identified. Families considering Quality Care of Waco should ask how the care team manages resident supervision and medication safety daily.
Residents also have access to lounges, a beauty salon, and a recreation room. An active resident council meets regularly to provide input on community policies and quality-of-life matters. Flexible meal options are available, and a dedicated housekeeping team helps maintain the community. The surrounding area has a Walk Score of 29, so most errands and outings require a short drive.
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 181st out of 239 homes in Texas for nurse hours. 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 |
|---|---|---|
|
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.
| 23m per day | ▼ 13% State avg: 26m per day · National avg: 41m per day |
|
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.
| 38m per day | ▼ 33% State avg: 57m per day · National avg: 52m per day |
|
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.
| 2h 1m per day | ■ Avg State avg: 2h 1m per day · National avg: 2h 21m per day |
|
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.
| 2h 52m per day | ▼ 4% State avg: 2h 59m per day · National avg: 3h 26m per day |
|
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.
| 10m per day | ▲ 151% State avg: 4m per day · National avg: 4m per day |
|
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.
| 15m per day | ▼ 31% State avg: 21m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
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 |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 20 | 6 | This facility has 233% more total citations than a typical Texas nursing home (20 vs. TX avg 6).↑ 233% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Texas average 7.4
Last Health inspection on Jul 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.
11 of 19 citations resulted from standard inspections; and 8 of 19 resulted from complaint investigations.
150% worse than Texas averageTexas average: 2
100% better than Texas averageTexas average: 0.4
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
75% more staff per resident than Texas average
6% worse than Texas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
14 total: 7 full-time employees and 7 contractors.
14
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hoursAssists with medical care and medications.
35 total: 6 full-time employees and 29 contractors.
35
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.4 hoursHelps with daily care and mobility.
56 total: 32 full-time employees and 24 contractors.
56
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,047 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 32 | 24 | 56 | 11,127 | 92 | 100% | 7.3 |
| Licensed Practical Nurse | 6 | 29 | 35 | 3,814 | 92 | 100% | 10.4 |
| Physical Therapist | 7 | 0 | 7 | 2,151 | 92 | 100% | 5.8 |
| Occupational Therapy Aide | 4 | 0 | 4 | 1,783 | 92 | 100% | 7.2 |
| Registered Nurse | 7 | 7 | 14 | 1,649 | 87 | 95% | 10 |
| Medication Aide/Technician | 7 | 12 | 19 | 1,255 | 88 | 96% | 9.6 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 1,023 | 89 | 97% | 5.8 |
| Physical Therapy Aide | 3 | 0 | 3 | 974 | 73 | 79% | 6.3 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Dietitian | 1 | 0 | 1 | 476 | 61 | 66% | 7.8 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 369 | 45 | 49% | 8 |
| Qualified Social Worker | 2 | 0 | 2 | 306 | 60 | 65% | 4.5 |
| Nurse Practitioner | 2 | 0 | 2 | 293 | 32 | 35% | 8.6 |
| Physical Therapy Assistant | 2 | 0 | 2 | 70 | 21 | 23% | 3.2 |
| Speech Language Pathologist | 1 | 0 | 1 | 66 | 18 | 20% | 3.7 |
| RN Director of Nursing | 1 | 0 | 1 | 51 | 7 | 8% | 7.3 |
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)
197% higher than Texas averageTexas average: $80K
21% more fines than Texas averageTexas average: 2.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
354% more payment denials than Texas averageTexas average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 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.
Apr 16, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 29, 2023Last 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.
6.4
26% better than Texas averageTexas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
10.8
33% better than Texas averageTexas 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
8.1%
50% better than Texas averageTexas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
12.1%
25% better than Texas averageTexas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
12.1%
23% better than Texas averageTexas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
1.5%
52% better than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
6.6%
50% worse than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
3.4%
In line with Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
18.9%
140% worse than Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas averageTexas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas averageTexas average: 97.9%
Number of hospitalizations per 1,000 long-stay resident days.
2.75
29% worse than Texas averageTexas average: 2.13
Number of outpatient emergency department visits per 1,000 long-stay resident days.
4.47
116% worse than Texas averageTexas average: 2.07
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.4%
8% better than Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
88.9%
In line with Texas averageTexas average: 88.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
18% of new residents, usually for short-term rehab.
27% of new residents, often for short stays.
55% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
60Residents 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 Quality Care of Waco from 2011–2024, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 07/2024.
Based on CMS SNF Cost Report for fiscal year ending in 07/2024.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #225 / 245Payroll — State benchmarkedThis home is ranked 225th out of 245 homes in Texas for payroll. 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #11 / 245Payroll % — State benchmarkedThis home is ranked 11th out of 245 homes in Texas for payroll %. Shows payroll as a percentage of revenue versus the Texas average. Well-run Texas facilities typically land around 51–64% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents stay for extended periods and receive ongoing daily care.
Most new residents arrive under Medicaid (55% of admissions), and a typical Medicaid stay runs around 1 years.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.7 miles from city center
Estimated distance in miles from Waco's city center to Quality Care of Waco's address, calculated via Google Maps.
Add your location
Info below is compiled from CMS reports & the TX Health & Human Services Commission (HHSC), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| St. Anthony‘s Care Center | NH MC SNF | Waco | 120
Facility
120
TX AVG
79
Rank
#204 / 972 |
90.8%
Facility
90.8%
TX AVG
67.3
Rank
#24 / 195 | +35% | 4.38
Facility
4.38
TX AVG
3.63
Rank
#47 / 239 | -67% | +21% | $3.3k
Facility
$3.3k
TX AVG
$81.8k
Rank
#63 / 244 | 14
Facility
14
TX AVG
25.9
Rank
#47 / 241 | 2.8
Facility
2.8
TX AVG
3.7
Rank
#79 / 241 | 2 | 109 | - |
7
Facility
7
TX AVG
41
Rank
#1272 / 1389 | St. Anthony's Care Center LLC | $10.0M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$10.0M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
TX AVG
$8.4M
Rank
#148 / 245 | $3.2M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$3.2M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
TX AVG
$3.5M
Rank
#184 / 245 | 31.5%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
31.5%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
TX AVG
47%
Rank
#179 / 245 | 676462 | ||||
| Quality Care of Waco | NH | Waco (Dean Highland) | 162
Facility
162
TX AVG
79
Rank
#43 / 972 |
41.0%
Facility
41.0%
TX AVG
67.3
Rank
#174 / 195 | -39% | 3.23
Facility
3.23
TX AVG
3.63
Rank
#181 / 239 | +18% | -11% | $147.7k
Facility
$147.7k
TX AVG
$81.8k
Rank
#219 / 244 | 19
Facility
19
TX AVG
25.9
Rank
#102 / 241 | 3.2
Facility
3.2
TX AVG
3.7
Rank
#119 / 241 | 5 | 67 | - |
29
Facility
29
TX AVG
41
Rank
#940 / 1389 | Waco Opco LLC | $3.5MFiscal year ending 07/2024
Facility
$3.5MFiscal year ending 07/2024
TX AVG
$8.4M
Rank
#242 / 245 | $2.8MFiscal year ending 07/2024
Facility
$2.8MFiscal year ending 07/2024
TX AVG
$3.5M
Rank
#225 / 245 | 81.1%Fiscal year ending 07/2024
Facility
81.1%Fiscal year ending 07/2024
TX AVG
47%
Rank
#11 / 245 | 455478 | ||||
| Wesley Woods Rehabilitation and Healthcare | NH MC RC SNF | Waco (West Waco) | 120
Facility
120
TX AVG
79
Rank
#204 / 972 |
72.5%
Facility
72.5%
TX AVG
67.3
Rank
#93 / 195 | +8% | 3.83
Facility
3.83
TX AVG
3.63
Rank
#77 / 239 | -31% | +5% | $17.6k
Facility
$17.6k
TX AVG
$81.8k
Rank
#105 / 244 | 30
Facility
30
TX AVG
25.9
Rank
#180 / 241 | 1.9
Facility
1.9
TX AVG
3.7
Rank
#19 / 241 | 4 | 87 | A+ |
39
Facility
39
TX AVG
41
Rank
#752 / 1389 | - | $10.6MFiscal year ending 08/2024
Facility
$10.6MFiscal year ending 08/2024
TX AVG
$8.4M
Rank
#115 / 245 | $5.3MFiscal year ending 08/2024
Facility
$5.3MFiscal year ending 08/2024
TX AVG
$3.5M
Rank
#48 / 245 | 50.2%Fiscal year ending 08/2024
Facility
50.2%Fiscal year ending 08/2024
TX AVG
47%
Rank
#17 / 245 | 676211 | ||||
| Jeffrey Place Healthcare Center | NH HOS MC PC SNF | Waco (Richland Hills) | 95
Facility
95
TX AVG
79
Rank
#386 / 972 |
68.6%
Facility
68.6%
TX AVG
67.3
Rank
#105 / 195 | +2% | 3.78
Facility
3.78
TX AVG
3.63
Rank
#77 / 239 | -53% | +4% | $22.1k
Facility
$22.1k
TX AVG
$81.8k
Rank
#116 / 244 | 39
Facility
39
TX AVG
25.9
Rank
#205 / 241 | 3.0
Facility
3.0
TX AVG
3.7
Rank
#100 / 241 | 2 | 65 | - |
72
Facility
72
TX AVG
41
Rank
#108 / 1389 | Maci Alexander | $6.0MFiscal year ending 12/2023
Facility
$6.0MFiscal year ending 12/2023
TX AVG
$8.4M
Rank
#185 / 245 | $3.2MFiscal year ending 12/2023
Facility
$3.2MFiscal year ending 12/2023
TX AVG
$3.5M
Rank
#210 / 245 | 52.7%Fiscal year ending 12/2023
Facility
52.7%Fiscal year ending 12/2023
TX AVG
47%
Rank
#184 / 245 | 455489 | ||||
| Lakeshore Village Nursing and Rehab | NH SNF | Waco (Cedar Ridge) | 151
Facility
151
TX AVG
79
Rank
#62 / 972 |
77.9%
Facility
77.9%
TX AVG
67.3
Rank
#69 / 195 | +16% | 3.79
Facility
3.79
TX AVG
3.63
Rank
#77 / 239 | -15% | +4% | $136.0k
Facility
$136.0k
TX AVG
$81.8k
Rank
#214 / 244 | 49
Facility
49
TX AVG
25.9
Rank
#224 / 241 | 4.9
Facility
4.9
TX AVG
3.7
Rank
#213 / 241 | 8 | 118 | - |
38
Facility
38
TX AVG
41
Rank
#782 / 1389 | Waco Nursing And Rehab Center LLC | $12.6MFiscal year ending 08/2024
Facility
$12.6MFiscal year ending 08/2024
TX AVG
$8.4M
Rank
#55 / 245 | $0.0kFiscal year ending 08/2024
Facility
$0.0kFiscal year ending 08/2024
TX AVG
$3.5M
Rank
#51 / 245 | 0%Fiscal year ending 08/2024
Facility
0%Fiscal year ending 08/2024
TX AVG
47%
Rank
#111 / 245 | 675438 |
Quality Care of Waco is located in Waco, Texas.
Here are the financial assistance programs available to residents in Texas.
Quality Care of Waco is in the Dean Highland neighborhood of Waco.
Quality Care of Waco has a walk score of 29. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Quality Care of Waco's occupancy is 22.1%.
No, Quality Care of Waco has a no-pet policy.
Quality Care of Waco is registered as a for-profit in TX.
Yes — there are 3 photos of Quality Care of Waco in the photo gallery on this page.
Quality Care of Waco is located at 2501 Maple Ave, Waco, TX 76707.
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