Waco, TX · Mc Lennan County
★★★★★CMS 5/5165 bedsNon-profitMedicaid
- Nurse hours
- 3.94 /day
- Staff turnover
- 28%
- Serious cites
- 0
St. Catherine Center runs on a nonprofit model with 165 certified beds, and the staffing picture is genuinely strong: 3.94 nurse hours per resident day, just above the national average, with weekend coverage dipping about 8% below weekdays. Staff turnover sits at 28.2%, well under the 45.8% national figure, which matters more than any single inspection score for day-to-day consistency. The tradeoff shows up in quality measures, rated 2 out of 5, and in 12 deficiencies on the current record, one serious enough to reach harm or jeopardy level. A single $13,065 fine and a recent April 2026 inspection round out the picture. Good people, uneven clinical results.
Waco, TX · Mc Lennan County
★★★★☆CMS 4/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.50 /day
- Staff turnover
- 43%
- Serious cites
- 0
Avir At Waco runs 120 certified beds under for-profit LLC ownership, and its staffing is the weak spot: 3.50 nurse hours per resident day sits about 9% under the national average of 3.86, with weekends running roughly 10% thinner than weekdays. Turnover lands at 42.9%, a touch better than the 45.8% national figure, so the people who stay are reasonably stable even if the floor is lean. A recent February 2026 inspection and a four-star health inspection record support that, though 20 deficiencies sit on file, one tied to abuse and none flagged at harm or jeopardy level. Quality measures come in at three stars while staffing rates two.
West, TX · Mc Lennan County
★☆☆☆☆CMS 1/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.75 /day
- Staff turnover
- 45%
- Serious cites
- 0
West Rest Haven runs 120 certified beds under corporate ownership, and its staffing sits at 3.75 nurse hours per resident day, roughly 3% under the national average of 3.86. Weekends are the bigger problem: coverage drops about 15% below what the home staffs on weekdays, so a fall or an infection on a Saturday lands on a thinner floor. Turnover is 45.1%, essentially level with the national rate.
The inspection record is where this home separates from the pack. Thirty-two deficiencies stand on the current record, four of them serious enough to involve harm or jeopardy, and one tied to abuse. State inspectors were last in on June 27, 2025, and have fined the home once for $14,069.
Waco, TX · Mc Lennan County
★★★★☆CMS 4/5192 bedsFor-profitMedicaid
- Nurse hours
- 3.05 /day
- Staff turnover
- 43%
- Serious cites
- 0
Crestview Healthcare Residence runs 192 certified beds in Waco under for-profit LLC ownership, and its staffing is the number to sit with first: 3.05 nurse hours per resident day against a national average of 3.86, roughly a fifth below what residents elsewhere get. Weekends drop about 8% below the home's own weekday levels, so coverage thins exactly when families tend to visit. Turnover sits at 43.3%, a touch better than the 45.8% national figure, and the inspection record shows 17 deficiencies with none at harm level, though one is abuse-related, plus a single $56,550 fine. The most recent inspection was June 19, 2025, and the 4-star health inspection rating is the strongest part of the picture.
Waco, TX · Mc Lennan County
★★☆☆☆CMS 2/5144 bedsFor-profitMedicaid
- Nurse hours
- 3.71 /day
- Staff turnover
- 75%
- Serious cites
- 0
Woodway runs leaner than the typical nursing home on nurse staffing, 3.71 hours per resident day against a national average of 3.86, and weekends get thinner still, dropping roughly 14 percent below what the home staffs on weekdays. The bigger concern is who's left to do the work: annual turnover of 74.5 percent means most of the aides and nurses caring for residents today probably won't be there a year from now, and that churn sits well above the 45.8 percent national figure. Inspectors have cited 15 deficiencies, five involving harm or jeopardy and seven tied to abuse, with two fines totaling $14,846.
Waco, TX · Mc Lennan County
★★★☆☆CMS 3/595 bedsFor-profitMedicaid
- Nurse hours
- 3.31 /day
- Staff turnover
- 62%
- Serious cites
- 0
Avir At Jeffrey Place runs thinner on nursing hours than most homes, about 3.31 per resident day against a national average near 3.86, and weekends drop roughly 11% below what the home staffs on weekdays. Annual turnover sits at 62.1%, well above the 45.8% national figure, so the people caring for residents change often. The inspection record shows 33 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $22,301 in fines across two penalties; the last inspection was April 9, 2026. A for-profit LLC operates the 95-bed building. Quality measures score well, but staffing and the deficiency history are where the concerns sit.
Waco, TX · Mc Lennan County
★★★★☆CMS 4/5120 bedsFor-profitMedicaid
- Nurse hours
- 4.31 /day
- Staff turnover
- 63%
- Serious cites
- 0
St. Anthony's runs about 4.31 nurse hours per resident per day, roughly 12% above the national average, so there's real coverage on weekdays. Weekends run about 13% thinner, and annual turnover sits at 62.8% against a national 45.8%, meaning that staffing edge is being delivered by a constantly changing crew, which is hard on residents who need consistency. The health inspection side looks solid at 4 of 5 stars with no abuse findings, but 16 deficiencies, 2 of them at harm level, plus a recent ownership change, suggest the operation is still settling in. Quality and staffing measures both land at 2 of 5, and that gap between inspection results and daily care measures is the real story here.
Mc Gregor, TX · Mc Lennan County
★★☆☆☆CMS 2/5186 bedsGovernmentMedicaid
- Nurse hours
- n/a /day
- Staff turnover
- 100%
- Serious cites
- 0
McGregor Wellness & Rehabilitation runs 186 certified beds under hospital district ownership, and its nurse staffing sits at 3.72 hours per resident day, about 4% under the national average of 3.86. Weekends drop roughly 9% below the home's own weekday coverage, and annual turnover hit 100% against a national rate of 45.8%, meaning the whole nursing staff effectively turned over within the year. The current inspection record carries 20 deficiencies, six of them serious enough to involve harm or jeopardy, with two fines totaling $49,443. Its last inspection was March 2026. Resident outcome measures look strong, but consistent staffing and a clean survey record are what keep people safe day to day.
Waco, TX · Mc Lennan County
★☆☆☆☆CMS 1/590 bedsFor-profitMedicaid
- Nurse hours
- 2.97 /day
- Staff turnover
- 82%
- Serious cites
- 0
Ridgecrest runs 90 certified beds in Waco under for-profit LLC ownership, and the numbers families tend to ask about first are staffing and turnover. Staff turnover here sits at 82.1 percent against a national average of 45.8, meaning most of the people caring for residents in a given year are new to the building. The staffing star rating of 1 out of 5 reflects that churn, and the health inspection record shows 27 deficiencies, including one at the harm or jeopardy level and two tied to abuse. Quality measures score 4 out of 5, so clinical metrics look better than the day-to-day picture. One fine totaling $14,267 is on record, and the last inspection was June 15, 2025.
Hewitt, TX · Mc Lennan County
★★★☆☆CMS 3/5140 bedsFor-profitMedicaid
- Nurse hours
- 3.20 /day
- Staff turnover
- 63%
- Serious cites
- 0
Hewitt Nursing and Rehabilitation runs 140 beds under for-profit LLC ownership, and the numbers families tend to care about most don't line up well. Nurse staffing sits at 3.20 hours per resident day, roughly 17% under the national average, and weekend coverage drops another 14% below the home's own weekday level, so the thinnest shifts land exactly when families often visit. Annual turnover of 62.5% means most of the people caring for your relative in any given year will be new, against a national rate of 45.8%. The inspection record shows 30 deficiencies, six serious enough to involve harm or jeopardy, one tied to abuse, and $33,539 in fines. Quality measures score well; staffing and inspections don't.
Waco, TX · Mc Lennan County
★★☆☆☆CMS 2/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.51 /day
- Staff turnover
- 56%
- Serious cites
- 0
Wesley Woods in Waco runs 120 certified beds under corporate ownership, and the staffing numbers tell a story worth paying attention to. Nurses provide 3.51 hours per resident per day, roughly 9% under the national average, and weekend coverage drops another 7% below the home's own weekday level, so care thins out exactly when families tend to visit. Staff turnover hits 56.3%, well above the 45.8% national figure, which means fewer familiar faces and more training burden. The current inspection record carries 26 deficiencies, including three at the harm or jeopardy level and one abuse-related finding. All three CMS star ratings, health inspections, quality measures, staffing, sit at 2 out of 5.
Waco, TX · Mc Lennan County
★☆☆☆☆CMS 1/5151 bedsGovernmentMedicaid
- Nurse hours
- 3.19 /day
- Staff turnover
- 52%
- Serious cites
- 0
Lakeshore Village runs on thinner staffing than most Texas nursing homes can claim as an excuse. At 3.19 nurse hours per resident day, it sits about 17% under the national average, and weekends drop roughly 15% below what the building itself manages Monday through Friday. That matters more than the quality measure score suggests, because 52 deficiencies sit on the current record, seven at harm or jeopardy level, two tied to abuse, with $107,407 in fines and a one-star inspection rating. Annual turnover of 52.1% means more than half the nursing staff leaves each year, against 45.8% nationally. Hospital district ownership hasn't translated into stability here, and the April 2026 inspection is the only recent look regulators have taken.
Waco, TX · Mc Lennan County
★☆☆☆☆CMS 1/5123 bedsGovernmentMedicaid
- Nurse hours
- 3.48 /day
- Staff turnover
- 74%
- Serious cites
- 0
The Chateau Waco, a 123-bed hospital-district home, has a staffing problem that runs deeper than its 3.48 nurse hours per resident day, roughly 10% under the national average. Weekend coverage drops about 15% below the home's own weekday level, and 73.6% of staff left over the past year, well above the 45.8% national rate. On inspections, the record shows 33 deficiencies, six at harm or jeopardy level and one abuse-related, with four fines totaling $72,056 and a one-star health inspection rating. The quality measure score of four stars stands out against a one-star staffing rating, which tells you the clinical numbers look better on paper than the floor coverage suggests.
Waco, TX · Mc Lennan County
★☆☆☆☆CMS 1/5162 bedsFor-profitMedicaid
- Nurse hours
- 3.21 /day
- Staff turnover
- 65%
- Serious cites
- 0
Ivy Creek runs 162 certified beds in Waco under corporate for-profit ownership, and the staffing numbers are where the trouble starts. At 3.21 nurse hours per resident day, it sits about 17% under the national average, weekend coverage drops another 11% below its own weekday level, and 64.7% annual turnover means the aides and nurses in the building keep changing, a rate well above the 45.8% norm. The inspection record shows 15 deficiencies, including three at the harm or jeopardy level and two tied to abuse, with $149,039 in fines and a survey as recent as July 2025. Quality and health inspection scores land mid-range, so the real story is thin, unstable staffing layered over a record that has already flagged harm.
Waco, TX · Mc Lennan County
★☆☆☆☆CMS 1/5132 bedsFor-profitMedicaid
- Nurse hours
- 3.06 /day
- Staff turnover
- 55%
- Serious cites
- 0
Woodland Springs runs on 3.06 nurse hours per resident per day, roughly a fifth below the national average, and staffing thins out further on weekends. That shortfall shows up in the numbers families can't see at the door: 29 deficiencies on the current record, nine of them serious enough to put residents in harm's way and seven tied to abuse. Inspectors last visited in August 2024 and left five fines totaling $92,215. With 54.7% of staff leaving each year, the aides who know your mother's routines are probably gone within twelve months. The corporate owner has kept the building open at this level for a while.
Bellmead, TX · Mc Lennan County
★☆☆☆☆CMS 1/5126 bedsGovernmentMedicaid
- Nurse hours
- 3.25 /day
- Staff turnover
- 95%
- Serious cites
- 0
The Atrium of Bellmead runs on 3.25 nursing hours per resident day, roughly 16% under the national average, and weekends drop about 14% below its own weekday numbers. Staff turnover is the number that should stop you: 95.3% a year against a national average of 45.8%, meaning the aides and nurses at the bedside are largely new faces. Inspections look strong on paper, a recent February 2026 survey and no deficiencies at the harm level, but six deficiencies are on record, two of them abuse-related, and the government's own staffing rating lands at the bottom. Government hospital district ownership doesn't change any of that arithmetic.
Waco, TX · Mc Lennan County
★☆☆☆☆CMS 1/5128 bedsFor-profitMedicaid
- Nurse hours
- 2.86 /day
- Staff turnover
- 70%
- Serious cites
- 0
Greenview runs on 2.86 nurse hours per resident day, well under the 3.86 national average, and weekends drop about 9% below what the home already provides on weekdays. Nearly 70% of nursing staff turned over in a year, against a 45.8% national figure, with a for-profit LLC operating the 128 beds. The current inspection record carries 45 deficiencies, nine of them at harm or jeopardy level and six tied to abuse, and the home has been fined five times for $73,108 total. Its last inspection was March 19, 2025.
Mcgregor, TX · Mc Lennan County
100 bedsFor-profitMedicaid
- Nurse hours
- n/a /day
- Staff turnover
- n/a
- Serious cites
- 0
St. Joseph's Care Center runs 100 certified beds in McGregor under for-profit partnership ownership. Its record shows two deficiencies, one serious enough to reach the harm or jeopardy level, meaning inspectors found a problem that had already hurt or endangered a resident, not just a paperwork gap. One CMS fine totals $12,735. No abuse-related citations are on file, and the most recent inspection, dated June 12, 2025, is recent enough that the findings still describe the home as it operates now. A single harm-level deficiency in a 100-bed building is not a pattern, but it is not nothing either. Ask what happened and what changed afterward.