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.
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.
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 222nd out of 296 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 |
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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 |
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
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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 |
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Citations per year
Average citations per year since 2023.
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6.7 | 2 | This facility has 235% more citations per year than a typical Texas nursing home (6.7 vs. TX avg 2).↑ 235% 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 average
Texas average: 2
100% better than Texas average
Texas 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 hours
Assists 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 hours
Helps 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 average
Texas average: $80K
21% more fines than Texas average
Texas 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 average
Texas 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, 2023
Last 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 average
Texas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
10.8
33% better than Texas average
Texas 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 average
Texas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
12.1%
25% better than Texas average
Texas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
12.1%
23% better than Texas average
Texas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
1.5%
52% better than Texas average
Texas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
6.6%
50% worse than Texas average
Texas average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Texas average
Texas average: 0.8%
Percent of long-stay residents who lose too much weight
3.4%
In line with Texas average
Texas average: 3.5%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Texas average
Texas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
18.9%
140% worse than Texas average
Texas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas average
Texas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas average
Texas average: 97.9%
Number of hospitalizations per 1,000 long-stay resident days.
2.75
29% worse than Texas average
Texas average: 2.13
Number of outpatient emergency department visits per 1,000 long-stay resident days.
4.47
116% worse than Texas average
Texas average: 2.07
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.4%
8% better than Texas average
Texas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Texas average
Texas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
88.9%
In line with Texas average
Texas 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
60
Residents 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.
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 #275 / 304Payroll — State benchmarkedThis home is ranked 275th out of 304 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.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 #10 / 304Payroll % — State benchmarkedThis home is ranked 10th out of 304 homes in Texas. Shows payroll as a percentage of revenue versus the Texas average. Well-run Texas facilities typically land around 51–63% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.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
The information below is reported by the Texas Health and Human Services Commission.
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| St. Anthony‘s Care Center |
NH
MC
|
Waco |
120
Facility
120
TX AVG
80
Rank
#210 / 988
|
82.0%
Facility
82.0%
TX AVG
63.5%
Rank
#51 / 304
| +29% |
4.38
Facility
4.38
TX AVG
3.63
Rank
#52 / 296
| -67% | +21% |
$3.3k
Facility
$3.3k
TX AVG
$81.8k
Rank
#77 / 301
|
14
Facility
14
TX AVG
25.9
Rank
#58 / 299
|
2.8
Facility
2.8
TX AVG
3.7
Rank
#94 / 299
| 2 | 109 | - |
7
Facility
7
TX AVG
41
Rank
#1274 / 1391
| St. Anthony's Care Center LLC |
$6.5M
Facility
$6.5M
TX AVG
$8.4M
Rank
#263 / 304
|
$2.6M
Facility
$2.6M
TX AVG
$3.5M
Rank
#272 / 304
|
39.9%
Facility
39.9%
TX AVG
47%
Rank
#175 / 304
| 676462 | ||||
| Quality Care of Waco |
NH
|
Waco (Dean Highland) |
162
Facility
162
TX AVG
80
Rank
#43 / 988
|
22.1%
Facility
22.1%
TX AVG
63.5%
Rank
#289 / 304
| -65% |
3.23
Facility
3.23
TX AVG
3.63
Rank
#222 / 296
| +18% | -11% |
$147.7k
Facility
$147.7k
TX AVG
$81.8k
Rank
#271 / 301
|
19
Facility
19
TX AVG
25.9
Rank
#126 / 299
|
3.2
Facility
3.2
TX AVG
3.7
Rank
#144 / 299
| 5 | 67 | - |
29
Facility
29
TX AVG
41
Rank
#942 / 1391
| Waco Opco LLC |
$3.5M
Facility
$3.5M
TX AVG
$8.4M
Rank
#297 / 304
|
$2.8M
Facility
$2.8M
TX AVG
$3.5M
Rank
#275 / 304
|
81.1%
Facility
81.1%
TX AVG
47%
Rank
#10 / 304
| 455478 | ||||
| Lakeshore Village Nursing and Rehab |
NH
|
Waco (Cedar Ridge) |
151
Facility
151
TX AVG
80
Rank
#62 / 988
|
81.9%
Facility
81.9%
TX AVG
63.5%
Rank
#52 / 304
| +29% |
3.79
Facility
3.79
TX AVG
3.63
Rank
#93 / 296
| -15% | +4% |
$136.0k
Facility
$136.0k
TX AVG
$81.8k
Rank
#266 / 301
|
49
Facility
49
TX AVG
25.9
Rank
#275 / 299
|
4.9
Facility
4.9
TX AVG
3.7
Rank
#263 / 299
| 8 | 118 | - |
38
Facility
38
TX AVG
41
Rank
#784 / 1391
| Waco Nursing And Rehab Center LLC |
$12.6M
Facility
$12.6M
TX AVG
$8.4M
Rank
#66 / 304
|
$0.0k
Facility
$0.0k
TX AVG
$3.5M
Rank
#57 / 304
|
0%
Facility
0%
TX AVG
47%
Rank
#141 / 304
| 675438 | ||||
| Woodland Springs Nursing Center |
NH
HC
NC
|
Waco (Carver) |
132
Facility
132
TX AVG
80
Rank
#121 / 988
|
61.5%
Facility
61.5%
TX AVG
63.5%
Rank
#187 / 304
| -3% |
3.12
Facility
3.12
TX AVG
3.63
Rank
#238 / 296
| +2% | -14% |
$98.9k
Facility
$98.9k
TX AVG
$81.8k
Rank
#251 / 301
|
26
Facility
26
TX AVG
25.9
Rank
#196 / 299
|
2.4
Facility
2.4
TX AVG
3.7
Rank
#57 / 299
| 8 | 89 | - |
30
Facility
30
TX AVG
41
Rank
#929 / 1391
| Charleston Waco Operations, LLC |
$6.9M
Facility
$6.9M
TX AVG
$8.4M
Rank
#163 / 304
|
$3.8M
Facility
$3.8M
TX AVG
$3.5M
Rank
#237 / 304
|
54.3%
Facility
54.3%
TX AVG
47%
Rank
#270 / 304
| 675360 | ||||
| Greenview Nursing and Rehab |
NH
|
Waco (Richland Hills) |
128
Facility
128
TX AVG
80
Rank
#152 / 988
|
69.9%
Facility
69.9%
TX AVG
63.5%
Rank
#135 / 304
| +10% |
3.29
Facility
3.29
TX AVG
3.63
Rank
#191 / 296
| +3% | -10% |
$50.2k
Facility
$50.2k
TX AVG
$81.8k
Rank
#208 / 301
|
37
Facility
37
TX AVG
25.9
Rank
#247 / 299
|
2.1
Facility
2.1
TX AVG
3.7
Rank
#35 / 299
| 8 | 86 | - |
55
Facility
55
TX AVG
41
Rank
#387 / 1391
| Richland Nursing And Rehab Center LLC |
$8.0M
Facility
$8.0M
TX AVG
$8.4M
Rank
#159 / 304
|
$0.0k
Facility
$0.0k
TX AVG
$3.5M
Rank
#168 / 304
|
0%
Facility
0%
TX AVG
47%
Rank
#173 / 304
| 455638 |
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%.
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.
(254) 752-0311 will put you in contact with the team at Quality Care of Waco.
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