Show Inspection Reports
Total health inspections
6
Texas average 7.4
Last Health inspection on Jul 2025
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
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Nursing Home in Waco
CMS overall rating
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.
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.
Quality Care of Waco
Nursing Home in Waco
CMS overall rating
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.
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.
Quality Care of Waco
Quality Care of Waco, located in Waco, Texas, is a trusted rehabilitation center providing exceptional services for seniors. This community stands out by offering adult rehabilitation and long-term care, emphasizing both comprehensive treatment plans and a home-like environment. The highly trained staff ensures residents feel at ease, while the facility boasts well-appointed rooms, including lounges, a beauty salon, and a recreation room.
The home not only provides delicious and flexible meal options but also engages residents in various activities that contribute to their mental, physical, and emotional well-being. The dedicated housekeeping staff adds to the overall excellence of the facility. With a specialized focus on complex care needs such as IV, tracheostomy, stroke, and cardiac care, Quality Care of Waco stands as a beacon in long-term nursing home services, redefining expectations for senior living.
Quality ratings
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
High-capacity home
May provide extensive amenities, services and programs.
Total beds
202
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
22.1%
Residents per day (avg)
63
Occupancy rate
22.1%
Residents per day (avg)
63
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
18% of new residents, usually for short-term rehab.
Typical stay
3 - 4 months
Private pay
27% of new residents, often for short stays.
Typical stay
6 - 7 months
Medicaid
55% of new residents, often for long-term daily care.
Typical stay
1 years
Finances and operations
Governmental community
Operated by state authorities.
Home revenue
$3.9M
Operating deficit
-$386.8K
Governmental community
Operated by state authorities.
Home revenue
$3.9M
Operating deficit
-$386.8K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.6M
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.
$1.8M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$4.3M
Walk Score: 29 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
CMS Certification Number455478
Staffing
Key information about the people who lead and staff this community.
ContactMr. Rodney Harris, Admin.
Types of Care at Quality Care of Waco
Skilled Nursing
Inspection History
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.
7 visits/inspections
3 visits/inspections triggered by complaints
3 routine inspections
Results
6 with issues
1 without issues
Latest inspection
Date
July 23, 2025
Routine20 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Texas average: 32 deficiencies
Health Inspection History
Inspections
Total health citations
19
Texas average 25.9
Citations per inspection
3.17
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.
Breakdown of citation severity (last 3 years)
Critical Health citations
5
5
150% worse than Texas averageTexas average: 2
Serious Health citations
0
0
100% better than Texas averageTexas average: 0.4
5 critical citations
0 serious citations
14 moderate citations
0 minor citations
Citations history (last 3 years)
Environmental moderate citation
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Jul 23, 2025
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Jul 23, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jul 23, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jul 23, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Jul 23, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Jul 23, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jul 23, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jul 23, 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.
Compare Nursing Homes around Waco The information below is reported by the Texas Health and Human Services Commission.
Filter by care type
Wesley Woods Rehabilitation and Healthcare
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.
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 (West Waco)
120
83.4%
+31%
3.83
+5%
3
30
1.9
4
112
A+
39
-
$10.8M
$4.9M
45%
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
-11%
3
19
3.2
5
63
-
29
Waco Opco Llc
$3.6M
$2.6M
70.6%
455478
Jeffrey Place Healthcare 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).
Waco (Richland Hills)
95
77.4%
+22%
3.78
+4%
1
39
3.0
2
67
-
72
Alexander, Maci
$7.8M
$2.9M
36.5%
455489
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
+4%
3
49
4.9
8
124
-
38
Waco Nursing And Rehab Center Llc
$14.7M
$0.0M
0%
675438
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
-10%
4
37
2.1
8
91
-
55
Richland Nursing And Rehab Center Llc
$10.1M
$0.0M
0%
455638
Places of interest near Quality Care of Waco
1.7 miles from city center — 0.56 miles to nearest hospital (Baylor Scott & White Hospice - Waco)
Calculate Travel Distance to Quality Care of Waco
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
121
Employees
73
Contractors
48
Staff to resident ratio
2.02:1
34% better than Texas averageTexas average ratio: 1.51:1
Avg staff/day
33
Average shift
7.4 hours
9% worse than Texas averageTexas average: 8.1 hours
Total staff hours (quarter)
22,302
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
7
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
47
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
33
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
7.9%
1,764 contractor hours this quarter
Licensed Practical Nurse: 41
Certified Nursing Assistant: 5
Medication Aide/Technician: 2
Staff by category
| Certified Nursing Assistant | 28 | 5 | 33 | 8,124 | 91 | 100% | 7.2 |
| Licensed Practical Nurse | 6 | 41 | 47 | 3,654 | 90 | 99% | 9.2 |
| Occupational Therapy Aide | 5 | 0 | 5 | 2,133 | 91 | 100% | 7.2 |
| Medication Aide/Technician | 4 | 2 | 6 | 1,521 | 90 | 99% | 10.4 |
| Physical Therapist | 6 | 0 | 6 | 1,498 | 91 | 100% | 5.5 |
| Registered Nurse | 7 | 0 | 7 | 873 | 66 | 73% | 9.9 |
| Physical Therapy Assistant | 3 | 0 | 3 | 755 | 65 | 71% | 6.9 |
| RN Director of Nursing | 1 | 0 | 1 | 542 | 61 | 67% | 8.9 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 498 | 65 | 71% | 7.7 |
| Administrator | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| Dietitian | 1 | 0 | 1 | 420 | 56 | 62% | 7.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 383 | 51 | 56% | 7.5 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 342 | 62 | 68% | 4.6 |
| Physical Therapy Aide | 1 | 0 | 1 | 266 | 50 | 55% | 5.3 |
| Qualified Social Worker | 2 | 0 | 2 | 236 | 65 | 71% | 3 |
| Speech Language Pathologist | 2 | 0 | 2 | 60 | 16 | 18% | 3.7 |
33 Certified Nursing Assistant
% of Days
100%
47 Licensed Practical Nurse
% of Days
99%
5 Occupational Therapy Aide
% of Days
100%
6 Medication Aide/Technician
% of Days
99%
6 Physical Therapist
% of Days
100%
7 Registered Nurse
% of Days
73%
3 Physical Therapy Assistant
% of Days
71%
1 RN Director of Nursing
% of Days
67%
1 Clinical Nurse Specialist
% of Days
71%
1 Nurse Practitioner
% of Days
71%
1 Administrator
% of Days
66%
1 Dietitian
% of Days
62%
1 Mental Health Service Worker
% of Days
56%
3 Respiratory Therapy Technician
% of Days
68%
1 Physical Therapy Aide
% of Days
55%
2 Qualified Social Worker
% of Days
71%
2 Speech Language Pathologist
% of Days
18%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
60 residents
Residents by payment source
Medicaid
45 residents (75%)
Private pay or other
15 residents (25%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
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.
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.
6.4
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
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
10.8
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
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
8.1%
Percent of long-stay residents whose need for help with daily activities has increased
8.1%
50% better than Texas averageTexas average: 16.2%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
12.1%
Percent of long-stay residents whose ability to move independently worsened
12.1%
25% 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
1.5%
Percent of long-stay residents experiencing one or more falls with major injury
1.5%
52% better than Texas averageTexas average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
6.6%
Percent of long-stay high risk residents with pressure ulcers
6.6%
50% worse than Texas averageTexas average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Texas averageTexas average: 0.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.4%
Percent of long-stay residents who lose too much weight
3.4%
In line with Texas averageTexas average: 3.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Texas averageTexas average: 2.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
18.9%
Percent of long-stay residents who received an antipsychotic medication
18.9%
140% 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%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.4%
8% better than Texas averageTexas average: 90.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Texas averageTexas average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
88.9%
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.
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
$239K
197% 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.
1
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
Fines amount comparison
Fines amount comparison
This facility
$239K
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.
Apr 16, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 16, 2025
$136K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 29, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 29, 2023
$9K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 29, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 29, 2023
$94K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Apr 29, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Apr 29, 2023
6 days
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Quality Care of Waco based on CMS SNF Cost Reports.
Occupancy Rate
22.1%
↑ 2.3pp vs 2023
Net Income
-$386.8K
↑ ~$1.1M vs 2023
Total Payroll
$2.9M
↑ ~$28.9K vs 2023
Profit Margin
-10.7%
↑ 26.9pp vs 2023
Loading trend charts...
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