Show Inspection Reports
Total health inspections
16
Texas average 7.4
Last Health inspection on Aug 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.
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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.
Wesley Woods Rehabilitation and Healthcare
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.
Wesley Woods Rehabilitation and Healthcare
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.
Debra Thomasson is the Administrator at Wesley Woods Rehabilitation and Healthcare. She leads the entire team, ensuring that residents' stays meet their expectations by addressing issues promptly and coordinating resources to provide the highest standard of care.
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.
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.
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
120
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
72.5%
Residents per day
87
Occupancy rate
72.5%
Residents per day
87
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
27% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
57% of new residents, often for short stays.
Typical stay
3 - 4 months
Medicaid
15% of new residents, often for long-term daily care.
Typical stay
2 years
Finances and operations
Governmental community
Operated by state authorities.
Home revenue
$11.4M
Surplus of revenue
$740.8K
Governmental community
Operated by state authorities.
Home revenue
$11.4M
Surplus of revenue
$740.8K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.9M
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.
$5.8M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$10.7M
Walk Score: 39 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
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About this community
Staffing
Key information about the people who lead and staff this community.
ContactMr. Chris Johnson, Administrator
Accept Medicaid
Rehabilitation Services
Respite Care
24-Hour Staffing
Rehab To Home
Long Term Care
Beauty Salon
Communal Spaces
Private Dining Room
Specific ProgramsRehab to Home, Long Term Care, Respite Care, Memory Care
Operating HoursMonday-Friday: 9a -5p PM, Saturday-Sunday: Closed
Types of Care at Wesley Woods Rehabilitation and Healthcare
Skilled Nursing
Memory Care
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.
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.
17 visits/inspections
10 visits/inspections triggered by complaints
3 routine inspections
Results
15 with issues
2 without issues
Latest inspection
Date
August 15, 2025
Other32 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
30
Texas average 25.9
Citations per inspection
1.88
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
11 of 30 citations resulted from standard inspections; and 19 of 30 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
2
2
In line with Texas averageTexas average: 2
Serious Health citations
2
2
400% worse than Texas averageTexas average: 0.4
2 critical citations
2 serious citations
26 moderate citations
0 minor citations
Citations history (last 3 years)
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Aug 15, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Aug 15, 2025
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Aug 15, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Aug 15, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Jun 24, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Jun 24, 2025
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Jun 24, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Jun 24, 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 Wesley Woods Rehabilitation and Healthcare
7.4 miles from city center — 0.32 miles to nearest hospital (Baylor Scott & White Urgent Care+ Waco (Hewitt))
Calculate Travel Distance to Wesley Woods Rehabilitation and Healthcare
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
125
Employees
118
Contractors
7
Staff to resident ratio
1.20:1
20% worse than Texas averageTexas average ratio: 1.51:1
Avg staff/day
50
Average shift
8 hours
0% compared with Texas averageTexas average: 8.1 hours
Total staff hours (quarter)
36,232
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
27
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
63
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
0.6%
233 contractor hours this quarter
Licensed Practical Nurse: 4
Occupational Therapy Aide: 1
Medical Director: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 63 | 0 | 63 | 18,043 | 91 | 100% | 7.9 |
| Licensed Practical Nurse | 23 | 4 | 27 | 6,616 | 91 | 100% | 7.7 |
| Medication Aide/Technician | 15 | 0 | 15 | 4,805 | 91 | 100% | 9.8 |
| Registered Nurse | 8 | 0 | 8 | 2,532 | 91 | 100% | 8.1 |
| RN Director of Nursing | 4 | 0 | 4 | 1,697 | 69 | 76% | 7.6 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Dietitian | 1 | 0 | 1 | 514 | 63 | 69% | 8.2 |
| Other Dietary Services Staff | 1 | 0 | 1 | 394 | 59 | 65% | 6.7 |
| Mental Health Service Worker | 1 | 0 | 1 | 390 | 52 | 57% | 7.5 |
| Occupational Therapy Aide | 0 | 1 | 1 | 101 | 13 | 14% | 7.7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 52 | 8 | 9% | 6.5 |
| Medical Director | 0 | 1 | 1 | 50 | 10 | 11% | 5 |
63 Certified Nursing Assistant
% of Days
100%
27 Licensed Practical Nurse
% of Days
100%
15 Medication Aide/Technician
% of Days
100%
8 Registered Nurse
% of Days
100%
4 RN Director of Nursing
% of Days
76%
1 Administrator
% of Days
71%
1 Nurse Practitioner
% of Days
71%
1 Dietitian
% of Days
69%
1 Other Dietary Services Staff
% of Days
65%
1 Mental Health Service Worker
% of Days
57%
1 Occupational Therapy Aide
% of Days
14%
1 Occupational Therapy Assistant
% of Days
9%
1 Medical Director
% of Days
11%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
104 residents
Residents by payment source
Medicare
7 residents (6.7%)
Medicaid
62 residents (59.6%)
Private pay or other
35 residents (33.7%)
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.
12.0
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.0
39% worse than Texas averageTexas average: 8.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.9
37% worse than Texas averageTexas average: 16.0
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
19.8%
Percent of long-stay residents whose need for help with daily activities has increased
19.8%
23% worse than Texas averageTexas average: 16.2%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
22.3%
Percent of long-stay residents whose ability to move independently worsened
22.3%
38% worse 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
23.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.5%
50% worse than Texas averageTexas average: 15.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.7%
Percent of long-stay residents experiencing one or more falls with major injury
2.7%
16% better than Texas averageTexas average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.0%
Percent of long-stay high risk residents with pressure ulcers
4.0%
10% better than Texas averageTexas average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.3%
Percent of long-stay residents with a urinary tract infection
0.3%
69% better than Texas averageTexas average: 0.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
10.9%
Percent of long-stay residents who lose too much weight
10.9%
214% worse than 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
20.4%
Percent of long-stay residents who received an antipsychotic medication
20.4%
158% 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
92.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
92.6%
5% worse than Texas averageTexas average: 97.9%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.44
Number of hospitalizations per 1,000 long-stay resident days.
2.44
15% worse 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.
3.30
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.30
59% worse than Texas averageTexas average: 2.07
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
10% better than Texas averageTexas average: 90.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.2%
Percent of short-stay residents who newly received an antipsychotic medication
1.2%
21% better than Texas averageTexas average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
80.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
80.5%
9% worse than Texas averageTexas average: 88.0%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
28.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
28.3%
9% worse than Texas averageTexas average: 25.9%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
29.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
29.9%
149% 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.
59.1%
Percentage of residents at or above expected ability to care for themselves at discharge.
59.1%
10% better 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.
49.2%
Rate of successful return to home or community from a skilled nursing facility.
49.2%
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
$73K
9% lower 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
$73K
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.
Mar 19, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 19, 2025
$56K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Mar 19, 2025
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Mar 19, 2025
8 days
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 19, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 19, 2023
$6K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 19, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 19, 2023
$11K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Wesley Woods Rehabilitation and Healthcare based on CMS SNF Cost Reports.
Occupancy Rate
83.4%
↑ 13.0pp vs 2023
Net Income
$740.8K
↑ ~$2.1M vs 2023
Total Payroll
$7.7M
↑ ~$3.1M vs 2023
Profit Margin
6.9%
↑ 26.4pp vs 2023
Loading trend charts...
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