Total health inspections
10
Texas average 7.4
Last Health inspection on May 2025
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Lakeshore Village Nursing and Rehab
Nursing Home
Lakeshore Village Nursing and Rehab
Nursing Home
Overview of Lakeshore Village Nursing and Rehab
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.
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.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
LPN / LVN
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
151
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
81.9%
Residents per day (avg)
124
Occupancy rate
81.9%
Residents per day (avg)
124
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
19% of new residents, usually for short-term rehab.
Typical stay
30 days
Private pay
51% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
29% of new residents, often for long-term daily care.
Typical stay
11 - 12 months
Finances and operations
Governmental home
Facility District
Home revenue
$15.4M
Surplus of revenue
$195.0K
Governmental home
Facility District
Home revenue
$15,382,598.00
Surplus of revenue
$194,961.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$15.4M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$15.4M
151-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.
54 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 38 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Services
About this community
License Status
ActiveFacility Type
Nursing
License Date
January 4, 2025
License Expiration
January 4, 2028
Additional licensing details
License number:
308583
Year opened:
9/1/1971
CMS Certification Number:
675438
County:
MCLENNAN
Ownership & operating entity
Lakeshore Village Nursing and Rehab is administrated by TRAVIS WARD.
Management company:
WACO NURSING AND REHAB CENTER LLC
Owner:
FANNIN COUNTY HOSPITAL AUTHORITY
Ownership type:
HOSPITAL DISTRICT/AUTHORITY
Type Of Units
Medicaid and Medicare
151 units
Total beds
151 units
Staffing
Key information about the people who lead and staff this community.
Leadership
Contact:
Mr. Wynn Sims, Vice President
Care Services
Accepts Medicaid
Accepts Medicare
Nursing Services
Rehabilitation Services
Skilled Nursing
24-Hour Staffing
Amenities & Lifestyle
Programs & Activities
Specific Programs
Skilled Nursing, Rehabilitation Therapy, Long & Short-Term Care
Operating Hours
Mo 00:00-23:59, Tu 00:00-23:59, We 00:00-23:59, Th 00:00-23:59, Fr 00:00-23:59, Sa 00:00-23:59, Su 00:00-23:59
Pricing & Financial Information
What does this home offer?
Building Type: Single-story
Fitness and Recreation
Types of Care at Lakeshore Village Nursing and Rehab
Skilled Nursing
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Medicare Accepted
This facility is certified for eligible Medicare services.
Compare Nursing Homes around Waco
The information below is reported by the Texas Health and Human Services Commission.
Wesley Woods Rehabilitation and Healthcare
-15%
+5%
+31%
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
SNF
Nursing Homes 24/7 care needed
Waco (West Waco)
120
No
A+
39
-
83.4%
$10,795,855.00
$4,861,288.00
45%
112.00
3.8293
3
30
4
-15%+5%+31%
Quality Care of Waco
-23%
-11%
-65%
SNF
Nursing Homes 24/7 care needed
Waco (Dean Highland)
202
No
-
29
WACO OPCO LLC
22.1%
$3,616,022.00
$2,552,220.00
70.6%
63.10
3.2318
3
19
5
-23%-11%-65%
Jeffrey Place Healthcare Center
-73%
+4%
+22%
SNF
Nursing Homes 24/7 care needed
Waco (Richland Hills)
95
No
-
72
ALEXANDER, MACI
77.4%
$7,808,620.00
$2,851,786.00
36.5%
66.60
3.7760
1
39
2
-73%+4%+22%
Lakeshore Village Nursing and Rehab
-57%
+4%
+29%
SNF
Nursing Homes 24/7 care needed
Waco (Cedar Ridge)
151
No
-
38
WACO NURSING AND REHAB CENTER LLC
81.9%
$14,673,318.00
$1.00
0%
123.50
3.7875
3
49
8
-57%+4%+29%
Greenview Nursing and Rehab
-40%
-10%
+10%
SNF
Nursing Homes 24/7 care needed
Waco (Richland Hills)
128
No
-
55
RICHLAND NURSING AND REHAB CENTER LLC
69.9%
$10,055,839.00
$1.00
0%
90.70
3.2860
4
37
8
-40%-10%+10%
Wesley Woods Rehabilitation and Healthcare
Type of care:
MC
SNF
Community:
Waco (West Waco)
Bed Count:
120
Pets Allowed:
No
CCN:
676211
Occupancy:
83.4%
Home Revenue:
$10,795,855.00
Payroll Costs:
$4,861,288.00
Payroll %:
45%
Avg Residents/Day:
112.00
Overall Rating:
Adj Nurse Hours:
3.8293
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
3
Citations:
30
Severe Citations:
4
RN share vs State Avg:
-15%
-15%
Staffing vs State Avg:
+5%
+5%
Occupancy vs State Avg:
+31%
+31%
Quality Care of Waco
Type of care:
SNF
Community:
Waco (Dean Highland)
Bed Count:
202
Pets Allowed:
No
Operator:
WACO OPCO LLC
CCN:
455478
Occupancy:
22.1%
Home Revenue:
$3,616,022.00
Payroll Costs:
$2,552,220.00
Payroll %:
70.6%
Avg Residents/Day:
63.10
Overall Rating:
Adj Nurse Hours:
3.2318
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
3
Citations:
19
Severe Citations:
5
RN share vs State Avg:
-23%
-23%
Staffing vs State Avg:
-11%
-11%
Occupancy vs State Avg:
-65%
-65%
Jeffrey Place Healthcare Center
Type of care:
SNF
Community:
Waco (Richland Hills)
Bed Count:
95
Pets Allowed:
No
Operator:
ALEXANDER, MACI
CCN:
455489
Occupancy:
77.4%
Home Revenue:
$7,808,620.00
Payroll Costs:
$2,851,786.00
Payroll %:
36.5%
Avg Residents/Day:
66.60
Overall Rating:
Adj Nurse Hours:
3.7760
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
39
Severe Citations:
2
RN share vs State Avg:
-73%
-73%
Staffing vs State Avg:
+4%
+4%
Occupancy vs State Avg:
+22%
+22%
Lakeshore Village Nursing and Rehab
Type of care:
SNF
Community:
Waco (Cedar Ridge)
Bed Count:
151
Pets Allowed:
No
Operator:
WACO NURSING AND REHAB CENTER LLC
CCN:
675438
Occupancy:
81.9%
Home Revenue:
$14,673,318.00
Payroll Costs:
$1.00
Payroll %:
0%
Avg Residents/Day:
123.50
Overall Rating:
Adj Nurse Hours:
3.7875
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
3
Citations:
49
Severe Citations:
8
RN share vs State Avg:
-57%
-57%
Staffing vs State Avg:
+4%
+4%
Occupancy vs State Avg:
+29%
+29%
Greenview Nursing and Rehab
Type of care:
SNF
Community:
Waco (Richland Hills)
Bed Count:
128
Pets Allowed:
No
Operator:
RICHLAND NURSING AND REHAB CENTER LLC
CCN:
455638
Occupancy:
69.9%
Home Revenue:
$10,055,839.00
Payroll Costs:
$1.00
Payroll %:
0%
Avg Residents/Day:
90.70
Overall Rating:
Adj Nurse Hours:
3.2860
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
4
Citations:
37
Severe Citations:
8
RN share vs State Avg:
-40%
-40%
Staffing vs State Avg:
-10%
-10%
Occupancy vs State Avg:
+10%
+10%Places of interest near Lakeshore Village Nursing and Rehab
4.1 miles from city center — 2.96 miles to nearest hospital (amily Counseling & Children's Services)
2320 Lake Shore Dr, Waco, TX 76708
Calculate Travel Distance to Lakeshore Village Nursing and Rehab
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
218
Total Staff
152
Employees
66
Contractors
51,530
Total Hours (Quarter)
71
Avg Staff/Day
8
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 7 | 10 | No |
| Licensed Practical Nurse | 63 | 8.4 | Yes |
| Certified Nursing Assistant | 81 | 7.6 | Yes |
Staff by Category
Administration ⓘ
2 staff
6.6hs shift avg
Nursing Staff ⓘ
179 staff
8.1hs shift avg
Physicians & Practitioners ⓘ
2 staff
8hs shift avg
Therapy Services ⓘ
24 staff
7.9hs shift avg
Activities & Recreation ⓘ
3 staff
7.4hs shift avg
Social Services ⓘ
5 staff
7.7hs shift avg
Dietary Services ⓘ
2 staff
7.2hs shift avg
Other Services ⓘ
1 staff
8hs shift avg
Contractor Analysis
4.2%
of total hours from contractors
2,142 contractor hours this quarter
Certified Nursing Assistant: 7
Medication Aide/Technician: 7
Licensed Practical Nurse: 43
Respiratory Therapy Technician: 1
Medical Director: 1
Feeding Assistant: 2
Physical Therapy Assistant: 1
Occupational Therapy Aide: 3
Occupational Therapy Assistant: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 74 | 7 | 81 | 19,217 | 91 | 100% | 7.6 |
| Licensed Practical Nurse | 20 | 43 | 63 | 9,426 | 91 | 100% | 8.4 |
| Physical Therapy Aide | 10 | 0 | 10 | 3,281 | 79 | 87% | 7.4 |
| Medication Aide/Technician | 7 | 7 | 14 | 3,211 | 91 | 100% | 11.3 |
| Speech Language Pathologist | 6 | 0 | 6 | 2,755 | 79 | 87% | 8.4 |
| Qualified Social Worker | 5 | 0 | 5 | 2,339 | 66 | 73% | 7.7 |
| Registered Nurse | 7 | 0 | 7 | 2,263 | 91 | 100% | 10 |
| RN Director of Nursing | 4 | 0 | 4 | 1,925 | 64 | 70% | 8 |
| Respiratory Therapy Technician | 2 | 1 | 3 | 994 | 66 | 73% | 8.5 |
| Nurse Aide in Training | 8 | 0 | 8 | 973 | 68 | 75% | 6.8 |
| Therapeutic Recreation Specialist | 2 | 0 | 2 | 796 | 69 | 76% | 7.6 |
| Other Dietary Services Staff | 2 | 0 | 2 | 700 | 73 | 80% | 7.2 |
| Feeding Assistant | 0 | 2 | 2 | 520 | 65 | 71% | 8 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Physical Therapy Assistant | 0 | 1 | 1 | 455 | 56 | 62% | 8.1 |
| Qualified Activities Professional | 1 | 0 | 1 | 432 | 62 | 68% | 7 |
| Medical Director | 0 | 1 | 1 | 75 | 25 | 27% | 3 |
| Occupational Therapy Aide | 0 | 3 | 3 | 75 | 10 | 11% | 7.5 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 54 | 6 | 7% | 9 |
Health Inspection History
Inspections
Total health citations
49
Citations per inspection
4.9
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).
Breakdown of citation severity (last 3 years)
Critical Health citations
7
7
250% worse than Texas averageTexas average: 2
Serious Health citations
1
1
150% worse than Texas averageTexas average: 0.4
7 critical citations
1 serious citation
41 moderate citations
0 minor citations
Citations history (last 3 years)
Quality of Care critical citation
May 10, 2025
Corrected
Resident Rights critical citation
May 10, 2025
Corrected
Nutrition moderate citation
Feb 20, 2025
Corrected
Nutrition moderate citation
Feb 20, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: Hospital District
Part of: Fannin County Hospital Authority
Resident Census by Payment Source
123
Total Residents
Medicare
13
(10.6%)
ⓘ
Medicaid
77
(62.6%)
ⓘ
Private Pay/Other
33
(26.8%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.8
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 averageTexas average: 8.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.6
28% better than Texas averageTexas average: 16.0
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
14.0%
Percent of long-stay residents whose need for help with daily activities has increased
14.0%
14% better than Texas averageTexas average: 16.2%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
8.6%
Percent of long-stay residents whose ability to move independently worsened
8.6%
47% better than Texas averageTexas average: 16.2%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
12.1%
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%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.1%
Percent of long-stay residents experiencing one or more falls with major injury
3.1%
In line with Texas averageTexas average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.5%
Percent of long-stay high risk residents with pressure ulcers
4.5%
In line with Texas averageTexas average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.9%
Percent of long-stay residents with a urinary tract infection
1.9%
142% worse than Texas averageTexas average: 0.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.0%
Percent of long-stay residents who lose too much weight
4.0%
14% worse than Texas averageTexas average: 3.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
5.9%
Percent of long-stay residents who have depressive symptoms
5.9%
106% worse than Texas averageTexas average: 2.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
8.6%
Percent of long-stay residents who received an antipsychotic medication
8.6%
9% worse than Texas averageTexas average: 7.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas averageTexas average: 97.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas averageTexas average: 97.9%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.52
Number of hospitalizations per 1,000 long-stay resident days.
1.52
29% better than Texas averageTexas average: 2.13
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.05
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.05
In line with Texas averageTexas average: 2.07
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
93.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
93.3%
In line with Texas averageTexas average: 90.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.7%
Percent of short-stay residents who newly received an antipsychotic medication
1.7%
17% worse than Texas averageTexas average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.0%
In line with Texas averageTexas average: 88.0%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.7%
16% better than Texas averageTexas average: 25.9%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
16.1%
Percentage of short-stay residents who had an outpatient emergency department visit.
16.1%
34% worse than Texas averageTexas average: 12.0%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Texas averageTexas average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
42.4%
Percentage of residents at or above expected ability to care for themselves at discharge.
42.4%
21% worse than Texas averageTexas average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
48.5%
Rate of successful return to home or community from a skilled nursing facility.
48.5%
In line with Texas averageTexas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
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)
Total fines amount
$136K
69% higher than Texas averageTexas average: $80K
Number of fines
3
21% more fines than Texas averageTexas average: 2.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Texas averageTexas average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$136K
Texas average
$80K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
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.
May 10, 2025
$23K
Civil Money Penalty
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.
Dec 16, 2023
$84K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 26, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 26, 2023
$29K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Lakeshore Village Nursing and Rehab based on CMS SNF Cost Reports.
Occupancy Rate
81.9%
↓ 2.8pp vs 2023
Net Income
N/A
Total Payroll
$7,268,762
↑ ~$1.1M vs 2023
Profit Margin
0.0%
→ 0.0pp vs 2023
Loading trend charts...
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