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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.
Woodland Springs Nursing Center, situated in Waco, Texas, distinguishes itself as a dependable nursing home with a commitment to personalized care. Unlike adopting a one-size-fits-all approach, this facility caters specifically to seniors in need of nursing care. With professional care available 24 hours a day, residents can access a range of therapy services, including physical, occupational, and speech therapies, along with IV therapy. The facility offers regular physician visits, IV antibiotics, hospice care, and more, ensuring a comprehensive approach to healthcare.
The facility goes beyond the standard services by providing on-site dental, podiatry, and optometry care, enhancing the overall well-being of its residents. As a Medicare and Medicaid-approved provider, this nursing home stands as a reliable choice for seniors seeking high-quality healthcare services, with a focus on skilled nursing tailored to individual needs.
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 231st 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 |
|---|---|---|
|
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.
| 19m per day | ▼ 27% 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.
| 41m per day | ▼ 28% 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 10m per day | ▲ 7% 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 31m per day | ▼ 16% 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.
| 2m per day | ▼ 50% 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.
| 12m per day | ▼ 43% State avg: 21m per day · National avg: 29m per day |
Similar to the Texas average: 63.5%Woodland Springs Nursing Center is administrated by Michael Okoronkwo.
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.
Enforcement actions are formal penalties or interventions imposed by Texas regulators when a nursing home fails to meet state or federal care, safety, or regulatory standards. They may include directed plans of correction, civil monetary penalties, denial of payment, or appointment of temporary management.
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.
| 6 | 6 | This facility has total citations in line with the Texas average (6 vs. TX avg 6).— At avg |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 6 | 2 | This facility has 200% more health citations than a typical Texas nursing home (6 vs. TX avg 2).↑ 200% worse |
|
Citations per year
Average citations per year since 2022.
| 1.5 | 1.5 | This facility has citations per year in line with the Texas average (1.5 vs. TX avg 1.5).— At avg |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on December 30, 2025, identified deficiencies related to medication management, including failure to provide prescribed antibiotics to a resident. Earlier inspections showed a pattern of medication errors, delayed reporting of incidents, and challenges with resident supervision and abuse prevention. Main themes across reports included medication management issues, failure to timely report incidents or abuse, and inadequate protection from resident-to-resident aggression. Several complaint investigations were substantiated, including cases involving medication errors, resident abuse, and failure to notify appropriate parties of significant changes in condition; enforcement actions included immediate jeopardy findings that were later removed, but no fines or license suspensions were listed in the available reports. The facility’s inspection history shows ongoing challenges with medication and resident safety, with some corrective actions implemented but repeated citations over time.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsTexas average 7.4
Last Health inspection on Aug 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.
15 of 26 citations resulted from standard inspections; and 11 of 26 resulted from complaint investigations.
150% worse than Texas averageTexas average: 2
650% worse 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.
15% worse 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.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursThis 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.
7.8 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,113 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 47 | 3 | 50 | 15,032 | 92 | 100% | 7.8 |
| Licensed Practical Nurse | 13 | 1 | 14 | 4,740 | 92 | 100% | 7.5 |
| Medication Aide/Technician | 9 | 0 | 9 | 2,983 | 92 | 100% | 9.3 |
| Registered Nurse | 6 | 2 | 8 | 1,362 | 91 | 99% | 8.5 |
| Physical Therapy Aide | 0 | 6 | 6 | 1,277 | 74 | 80% | 5.1 |
| RN Director of Nursing | 3 | 0 | 3 | 1,073 | 89 | 97% | 7.2 |
| Speech Language Pathologist | 0 | 5 | 5 | 875 | 82 | 89% | 5.2 |
| Dietitian | 1 | 0 | 1 | 597 | 74 | 80% | 8.1 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 540 | 64 | 70% | 8.4 |
| Nurse Practitioner | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Qualified Social Worker | 0 | 1 | 1 | 476 | 63 | 68% | 7.6 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 395 | 53 | 58% | 7.5 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 242 | 46 | 50% | 5.3 |
| Physical Therapy Assistant | 0 | 1 | 1 | 126 | 28 | 30% | 4.5 |
Includes penalties issued in 2024-2025
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)
38% higher than Texas averageTexas average: $80K
61% 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.
5 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 17, 2025
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
May 17, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 15, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 31, 2024Last 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.
11.8
37% worse than Texas averageTexas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.4
46% worse 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
26.0%
61% worse than Texas averageTexas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
23.0%
42% worse than Texas averageTexas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.2%
35% worse than Texas averageTexas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
2.1%
36% better than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
4.6%
In line with Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.3%
63% better than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
3.2%
7% better than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
0.6%
78% better than Texas averageTexas average: 2.9%
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.
1.84
14% better than Texas averageTexas average: 2.13
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.96
43% worse than Texas averageTexas average: 2.07
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
11% better than Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
10.4%
619% worse than Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
14% better than Texas averageTexas average: 88.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
26.4%
In line with Texas averageTexas average: 25.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
15.0%
25% worse than Texas averageTexas average: 12.0%
Percentage of SNF residents who experience falls with major injury during their stay.
3.7%
381% worse than Texas averageTexas average: 0.8%
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.
70% of new residents, often for short stays.
11% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
82Residents 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 Woodland Springs Nursing Center 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 #231 / 297Payroll — State benchmarkedThis home is ranked 231st 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.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
1.9 miles from city center
Estimated distance in miles from Waco's city center to Woodland Springs Nursing Center's address, calculated via Google Maps.
— 1.37 miles to nearest hospital (amily Counseling & Children's Services)
Add your location
Woodland Springs Nursing Center 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.
| 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 |
Woodland Springs Nursing Center is in the Carver neighborhood of Waco.
The legal owner and operator of Woodland Springs Nursing Center is South Limestone Hospital District.
Woodland Springs Nursing Center has a walk score of 30. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to TX state health department records, Woodland Springs Nursing Center's license number is 144441.
According to TX state health department records, Woodland Springs Nursing Center's license expires on January 23, 2028.
Woodland Springs Nursing Center's occupancy is 62%.
Michael Okoronkwo is the administrator of Woodland Springs Nursing Center.
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