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Why trust this guide?
Our editorial team analyzed 7 nursing homes in Waco, TX using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in TX
Video Tour: Top-rated Nursing Homes facilities in Waco, Texas.
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Avg Overall CMS Rating:2.0/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Waco, TX. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average:3.2/ 5
Avg Staffing Rating:1.6/ 5The average Staffing Rating across all CMS-certified nursing homes in Waco, TX. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average:3.4/ 5
Avg Health Insp. Rating:2.1/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Waco, TX. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average:3.0/ 5
Compare Nursing Homes around Waco (Metro Area)
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.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This TableNH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Texas average is: 71.6% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
$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.
$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.
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.
St. Anthony’s Care Center is a trusted haven providing both rehabilitation and long-term care, assuring residents a profound sense of peace. Boasting an exceptional performance record, this facility houses a highly skilled nursing team adept at offering a spectrum of services. From short to long-term care, including IV therapy, CVC management, antibiotics, lab services, blood draws, and more, Saint Anthony’s Care Center prioritizes comprehensive healthcare.
Distinguishing itself further, the facility places a strong emphasis on restorative activities that stimulate independence, elevating the overall quality of life for seniors. In addition to exemplary skilled nursing care, St. Anthony’s Care Center extends its commitment to those with dementia, fostering a compassionate and supportive environment. Whether aiding in rehabilitation post-surgery or illness, or catering to long-term care needs, this facility stands as a beacon, dedicated to enhancing the well-being of its residents.
Owned by Maci Alexander, Jeffrey Place Healthcare Center is a skilled nursing home in Waco, Texas. The community offers skilled nursing, long-term nursing care, hospice care, palliative care, and memory care, giving families several care options in one location. Families can choose from Medicare, Medicaid, and private pay to cover both short-term and long-term care.
The community is certified for 95 beds and currently has an occupancy rate of about 68.6%. Residents stay an average of about 302 days, showing that the home mainly serves people who need long-term care rather than short rehabilitation stays. Nursing staff provide an average of about 3 hours and 47 minutes of care per resident daily. Residents get support from registered nurses, licensed practical nurses, and nurse aides.
Residents can join in an active resident council that meets regularly to discuss community policies, quality of care, and activities. Residents and families can share their opinions and stay involved in how the community is run.
The area has a Walk Score of 72. Family members and caregivers can easily visit and run errands here. Families considering Jeffrey Place Healthcare Center should ask which care programs, including memory care, hospice care, and palliative care, are available for their loved one’s specific needs.
Overview of Wesley Woods Rehabilitation and Healthcare
Wesley Woods Rehabilitation and Healthcare in Waco, Texas, is a leading provider of senior long-term care and rehabilitation services. With an Alzheimer’s unit accommodating up to 150 residents, the facility ensures a secure and supportive community environment. Beyond its comprehensive care offerings, Wesley Woods boasts an on-site dialysis clinic and a myriad of engaging activities tailored to residents’ needs.
The facility takes pride in delivering personalized care, accepting various payment options, including Medicare, Medicaid, private insurance, and private pay resources. Wesley Woods understands the importance of connectivity in today’s world, providing wireless Internet services. The exceptional nursing services offered contribute to the overall excellence of this facility, making it a standout choice for those seeking quality senior living and comprehensive care.
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.
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.
Nestled in the tranquil Owen Lane, Waco, TX, Greenview Nursing and Rehab is committed to providing exceptional care services including skilled nursing, rehabilitation, and long- and short-term care. Featuring elegant and spacious rooms, the community ensures the comfort and safety of its residents. Greenview Nursing and Rehab boasts a team of compassionate and highly skilled professionals consisting of licensed nurses, therapists, and social workers.
The community values the individuality of each resident, collaborating with them to devise a care plan that best matches their specific needs. Moreover, seniors may let go of their worries and their loved ones at ease with 24-hour care and assistance available onsite. Delightful and nutritious meals are served to cater to residents’ dietary needs and preferences. Greenview Nursing and Rehab provides an ideal place to heal and relax with its beautiful surroundings and wonderful amenities such as a therapy room and spacious lounge.
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.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.
How we're paid:If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
Frequently Asked Questions about Nursing Homes in Waco, TX
What's the difference between assisted living and a nursing home in Texas?
Assisted living in Texas is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.
Does Texas Medicaid cover nursing home care?
Yes — Texas Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.
What is nursing home care?
Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.
How many nursing homes are listed on this page?
This page features 7 nursing homes in Waco, TX. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
How do I choose the right nursing home in Waco, TX?
Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Waco, TX, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.
What should I look for when visiting nursing homes in Waco, TX?
Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.
If you move into a community through us, that community may pay us a referral fee. This never changes your cost or which options we recommend. Learn more
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