1900 W. State Hwy 6, Waco, TX 76712 · Mc Lennan County · (254) 776-9681
90 certified beds, about 74 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1986
CMS Care Compare ratings, data as of September 1, 2026 · CCN 455670 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on June 15, 2025, inspectors cited 13 health deficiencies (the Texas average is 9.4, the national average 9.2).
Of 27 health citations since March 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $14,267 in the last three years; the largest was $14,267, and the latest is dated June 15, 2025.
Nurses and nurse aides worked 2.97 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.20 of those hours.
82.1% of nursing staff left within the year CMS measured (Texas average 55.3%).
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 27 health citations on file.
Inspectors wroteBased on interview and record the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 1 of 9 Residents (Resident #53) reviewed for quality of care. The facility failed to provide needed care or services by failing to communicate to staff Resident #53's need for supervision while taking medications as stated in his Psych NP note dated 04/22/25, remain in room and ask to open mouth to check to see he swallowed his medication. This resulted in Resident #53 being able to pocket 21 pills that he planned to use to commit suicide and caused him to be sent to a psychiatric hospital on [DATE]. This failure resulted in an identification of an Immediate Jeopardy (IJ) on 06/12/25 at 07:09 PM and an IJ template was given. [...]
Inspectors wroteBased on interview and record review, the facility failed to complete a comprehensive assessment within 14 calendar days after admission as required for 3 (Resident #19, Resident #63, and Resident #168) of 5 residents records reviewed for comprehensive assessment accuracy and timing. The facility failed on 6/11/2025 to complete Resident #19, Resident #63, and Resident #168's comprehensive MDS assessments within 14 days following their admissions to the facility. This deficient practice could result in newly admitted residents not receiving the proper care required to attain or maintain the highest practicable physical, mental, and psychosocial well-being.
Inspectors wroteBased on observation, interviews and record review the facility failed to develop a comprehensive person-centered care plan furnishing services to attain, or maintain, the resident's highest practicable physical, mental, and psychosocial well-being for 2 (Resident #19, Resident #63, and Resident #119) of 6 residents reviewed for comprehensive care plans. The facility failed on 6/11/2025 to develop and implement a comprehensive care plan for Resident #19 and Resident #63. The facility failed to care plan Resident #119's wound on her right foot. These failures place residents at risk of not receiving appropriate care and treatment.
Inspectors wroteBased on observation, interview, and record review the facility failed to provide pharmaceutical services which included procedures that assured the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals to meet the needs of resident for 2 of 3 residents (Resident #60 and Resident #168), and 1 of 2 medication rooms (Medication room [ROOM NUMBER]) reviewed for pharmacy services. 1. The MA failed to check Resident #168's blood pressure prior to the administration of his Metoprolol (a medication used to lower blood pressure) on 06/11/2025 at 9:45am during medication pass observation. 2. The facility failed to ensure Resident #60's physician's ordered medication Hydralazine was available for administration. 3. The facility failed to ensure 1 of 2 medication rooms observed (Medication room [ROOM NUMBER]) was free from expired drugs. [...]
Inspectors wroteBased on interviews, and record reviews, the facility failed to ensure that all alleged violations involving abuse, neglect are reported immediately, but not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, to the State Survey Agency in accordance with State law through established procedures for 1 of 9 residents (Resident #53) reviewed for abuse and neglect, in that: The facility did not report an incident concerning Resident #53 when on 06/09/25 Resident #53 told the SW he was planning to commit suicide and was found to have hoarded 21 pills of his medication administration to do so. This deficient practice could place residents at risk of not having incident and accidents reported or investigated.
Inspectors wroteBased on interviews and record review the facility failed to ensure the resident assessment accurately reflected the resident's status for 2 (Resident #119, and Resident #168) of 12 residents reviewed for accuracy of assessments. The facility failed on 6/11/2025 to ensure Resident's #119 and #168's comprehensive MDS assessments accurately reflected their healthcare status and needs. This deficient practice could have placed the resident at risk for inadequate care due to incomplete assessments.
Inspectors wroteBased on interview, and record review the facility failed to develop and implement a baseline care plan within 48 hours from admission for 1 of 5 resident (Resident #120) reviewed for care plans. The facility failed to ensure Resident #120 had a Baseline Care Plan that was due within 48 hours of admission to reflect the person-centered needs of Resident #120. This failure could place residents at risk of getting insufficient care and having personal needs not met and could result in diminished physical and psychosocial well-being.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a resident was given the appropriate treatment and services to maintain or improve his or her ability to carry out the activities of daily living for 1 of 6 residents (Resident #19) reviewed for ADL activities. The facility failed on 6/11/2025 to provide therapy services to maintain or improve Resident #19's communication ability by not evaluating her communication deficit for intervention or improvements. This failure could place residents at risk of ADL decline, frustration, and decreased socialization.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that the medication error rate was not five percent or greater. The facility had a medication error rate of 6.45%, based on 2 errors out of 31 opportunities, which involved 2 of 2 residents (Residents #60 and Resident #168) observed during medication administration for medication errors. The facility failed to ensure Resident #60's physician's ordered medication Hydralazine was available for administration on 06/11/2025 at 10:00 am during medication pass. The MA failed to check Resident #168's blood pressure prior to the administration of his Metoprolol (a medication used to lower blood pressure) on 06/11/2025 at 9:45am during medication pass observation. This failure could place residents at risk of low blood pressure, dizziness, risk of falling and hospitalizations.
Inspectors wroteBased on observation, interview, and record review the facility failed to provide specialized rehabilitative services such as but not limited to physical therapy, speech-language pathology, occupational therapy, respiratory therapy, and rehabilitative services for mental illness and intellectual disability of services of a lesser intensity, for one of six residents (Resident #19) reviewed for specialized rehabilitative services, in that: The facility failed on 6/11/2025 to ensure Resident #19 received a PT/OT/ST evaluation and treat as indicated upon admission as ordered in her admission clinical records dated 4/30/2025. This failure could place residents at risk of decline or decrease in their physical capabilities and emotional distress.
Inspectors wroteBased on observation, interview and record review, the facility failed to maintain an infection and prevention control program that included, at a minimum, a system for preventing and controlling infections for 1 of 5 residents reviewed for wound care (Resident #119). LVN B failed to wash or sanitize her hands while going from a dirty to clean surface while performing wound care on 06/11/25 at 9:46 AM for Resident #119. This deficient practice placed residents at risk for cross contamination and the spread of infection.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to follow their own established smoking policy for 1 (Residents #63) of 2 residents reviewed for smoking. The facility failed on 6/11/2025 to ensure that Residents #63 did not keep their personal cigarette lighters in their room per facility policy. This failure could place residents at risk of an unsafe smoking environment and injury.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents were aware of where to locate the State Agency (SA) survey inspection results such as (surveys, certifications, and complaint/incident investigations) and post in a place readily accessible to residents, family members, and legal representatives of residents for 1 of 1 facility in that: The facility failed on 06/11/2025 to make a survey binder that was readily available and easily identified to all residents or the public that included survey results for viewing. This failure placed residents at risk of not being able to fully exercise their rights and at risk of not being aware of the facility's past deficiencies.
Inspectors wroteBased on observation, interview and record review, the facility failed to review and revise the person-centered, comprehensive care plan for 3 of 12 residents (Residents #10, #11 and #12) reviewed for comprehensive care plans. 1. The facility failed to ensure a care plan was developed to address Resident #10's falls on 4/19/2025 and 4/25/2025. 2. The facility failed to ensure a care plan was developed to address fall interventions for Resident #11 after falls on 3/18/2025, 3/24/2025, and 3/28/2025. 3. The facility failed to ensure a care plan was developed to address fall interventions for Resident #12 after falls on 3/13/2025 and two falls on 3/30/2025 . This deficient practice could place residents at risk for not receiving proper care and services due to inaccurate care plans.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure residents received services in the facility with reasonable accommodations of each resident's needs for 1 of 5 residents (Residents #1) reviewed for resident rights in that: The facility failed to ensure Residents #1's call light was within reach on 12/13/24. This failure could affect residents who needed assistance with activities of daily living and could result in needs not being met.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the residents' right to privacy during personal care for 1 of 3 residents (Resident #3) reviewed for privacy in that: The facility failed to ensure CNA C provided respect and dignity by drawing the privacy curtain during peri care for Resident #3.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure residents received services in the facility with reasonable accommodations of each resident's needs for 1 of 5 residents (Residents #1) reviewed for resident rights in that: The facility failed to ensure Residents #1's care plan reflected his current food diet. This failure could affect residents who needed assistance with activities of daily living and could result in needs not being met.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that residents who needed respiratory care were provided such care, consistent with professional standards of practice, for 1 of 4 residents (Residents #2) reviewed for quality of care in that: The facility failed to ensure Resident #2's oxygen mask and tubing, that were observed on 12/13/24 at 3:30pm, were not bagged for sanitation when not in use. This failure could affect residents who received oxygen therapy, by place them at risk for respiratory infections.
Inspectors wroteBased on interview and record review, the facility failed to ensure residents with pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote wound healing, prevent infection and prevent new pressure ulcers from developing for one (Resident #1) of four residents reviewed for pressure injuries. The facility failed to ensure all wound care treatments were completed and documented during the month of August 2024 for Resident #1. This deficient practice could place residents at risk of improper wound management and deterioration in existing pressure injuries.
Inspectors wroteBased on observation, interview and record review the facility failed to store, prepare, distribute food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for kitchen and food sanitation. 1. The facility failed to label and date all food items located in the reach in refrigerator and reach in freezer. 2. The facility failed to ensure all items stored in the reach in refrigerator and reach in freezers were sealed ensuring food contents were not exposed to air. 3. The facility failed to ensure dietary staff practiced proper hand hygiene and glove use. 4. The facility failed to ensure the blender and utensils were sanitized during food preparation. 5. The facility failed to dispose of expired items in dry storage. These failures could place residents at risk for food contamination and foodborne illness. Findings Included: [...]
Inspectors wroteBased on observations, interviews, and record reviews the facility failed to ensure residents received services in the facility with reasonable accommodations of resident's needs and preferences except when to do so would endanger the health and safety of the resident or other residents for 2 of 20 residents (Resident #26 and Resident #49) reviewed for resident rights; in that: The facility failed to ensure Resident #26 and Resident #49's call lights were within reach. This failure could place residents at risk of needs not being met.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure assessments accurately reflected the resident's status for 3 of 8 residents (Residents #17, #28 & # 44) reviewed for resident assessments. The facility failed to ensure Resident #17's two most recent MDS's reflected that Resident #17 received dialysis services. Resident #44's quarterly MDS incorrectly documented the resident as having an indwelling catheter. Resident #28's admission and Significant Change MDS's incorrectly documented the resident received dialysis services. This deficient practice could place residents at-risk for inadequate care due to inaccurate assessments.
Inspectors wroteBased on observation, interview and record review the facility failed to treat each resident with respect and dignity and care in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life for 1 of 60 (Resident #1) residents reviewed for dignity The facility failed to allow Resident #1 to assist with her daily showers. The facility failed to put undergarments on Resident #1 after changing. The facility failed to place clean linens on Resident #1's bed. This failure could place Resident#1 at risk for decreased quality of life, loss of dignity, self-worth and disrespected.
Inspectors wroteBased on observation, interview and record review the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights, that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that were identified in the comprehensive assessment for 2 of 6 residents (Residents #44 & #163) reviewed for comprehensive care plans. Resident #44's care plan incorrectly documented the resident as having an indwelling catheter. The facility failed to ensure Resident #163's comprehensive care plan addressed Resident #163's full code advance directive. This deficient practice could place residents at risk for not receiving proper care and services due to inaccurate care plans.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure the resident had the right to be free from abuse, neglect, misappropriation of resident property, and exploitation, which included but was not limited to freedom from corporal punishment, involuntary seclusion and any physical or chemical restraint not required to treat the resident's medical symptoms for one of one (Resident #1) resident reviewed for abuse and neglect. 1. The facility failed to ensure Resident #1 was properly assessed by a nurse when she was found sitting in the floor of her room and when she fell backwards. 2. The facility failed to ensure Resident #1 was not verbally or physically abused by CNAs . 3. The facility failed to ensure Resident #1's requests for assistance were not ignored. 4. The facility failed to ensure Resident #1 was safely transferred to her bed. 5. [...]
Inspectors wroteBased on observation, interview, and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in the facility's only kitchen. 1. The facility failed to ensure food items in refrigerators, freezer and dry storage room were labeled and stored in accordance with the professional standards for food service. 2. The facility failed to discard items stored in refrigerator, freezers or dry storage that were not properly labeled or past the 'best by', consume by or expiration dates. 3. The facility failed to ensure the ice machine vent/grate and outer surface was free from dust. 4. The facility failed to have Dietary staff wash hands or change gloves when they touched other surfaces while handling food or upon re-entering the kitchen. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to maintain an infection prevention and control program designated to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable disease and infection for five (Residents #1, #12, #16, #36 and #70) of six residents reviewed for infection control. MA A failed to disinfect the blood pressure cuff in between blood pressure checks for Residents #1, #12, and #70. MA B failed to disinfect the blood pressure cuff in between blood pressure checks for Residents #16 and #36. This failure could place residents at-risk of cross contamination which could result in infections or illness.
7 fire safety citations on file: 2 on May 1, 2024, 5 on March 8, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| June 15, 2025 | Fine | $14,267 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 2.97 | 3.39 | 3.86 |
| Registered nurses | 0.20 | 0.43 | 0.69 |
| All nursing staff on weekends | 2.58 | 2.98 | 3.42 |
| Nurse aides | 1.86 | ||
| Licensed practical nurses | 0.91 | ||
| Nursing staff turnover (share who left in a year) | 82.1% | 55.3% | 45.8% |
| Registered nurse turnover | 89.5% | 54.6% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.47 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.12 on weekdays and 2.58 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 9.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.80 in April to June 2025 to 2.97 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 2.97 | 0.20 | 3.12 | 2.58 | 9.0% | 3 of 90 | 74 |
| Oct to Dec 2025 | 3.35 | 0.36 | 3.52 | 2.93 | 0.4% | 1 of 92 | 66 |
| Jul to Sep 2025 | 3.92 | 1.02 | 4.09 | 3.48 | 0.0% | 0 of 92 | 66 |
| Apr to Jun 2025 | 2.80 | 0.92 | 3.01 | 2.27 | 0.0% | 0 of 91 | 66 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Texas, Jan to Mar 2026 | 3.33 | 0.40 | 3.50 | 2.93 | 2.2% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Texas, all employers | |||
| CNAs (nursing assistants) | $18.03 | $16.97 to $20.71 | 88,680 |
| LPNs and LVNs | $29.92 | $27.46 to $32.89 | 57,560 |
| Registered nurses | $46.14 | $38.06 to $50.53 | 271,380 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 21.2 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.4 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.7 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 19.7 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.6 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 6.1 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 34.3 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.3 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Ridgecrest Retirement and Healthcare Community's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (55.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
55.3% this home
No different from the national rate
US median of homes 51.5% · Texas: 116 better, 50 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 69 eligible stays.
9.8% this home
No different from the national rate
US median of homes 10.7% · Texas: 0 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 85 eligible stays.
6.3% this home
No different from the national rate
US median of homes 7.1% · Texas: 4 better, 11 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 38 eligible stays.
35.7% this home
Median of homes: Texas57.3% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 28 residents counted.
0.0% this home
Median of homes: Texas0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 51 residents counted.
5.6% this home
Median of homes: Texas1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 51 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Texas98.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 19 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: EASTLAND MEMORIAL HOSPITAL DISTRICT.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Eastland Memorial Hospital District | 5% or greater direct ownership interest | Organization | 100% | 05/01/2021 |
| Davidson, David | W-2 managing employee | Individual | 05/01/2021 | |
| Matthews, Ted | Corporate officer | Individual | 05/01/2021 | |
| Dhc Opco-Waco, LLC | Operational/managerial control | Organization | 05/01/2021 | |
| Cohen, Bradford | Operational/managerial control | Individual | 05/01/2021 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
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