Federal inspection record · CMS data as of October 1, 2026
Crestview Healthcare Residence
1400 Lake Shore Dr, Waco, TX · (254) 753-0291
- Certified beds
- 192
- Residents per day
- 90
- Ownership
- For-Profit
- Chain
- Coryell County Memorial Hospital Authority
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 1, 1993
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Crestview Healthcare Residence carries 27 inspection points. That is fewer than 88% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
17 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Rights4E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Reasonably accommodate the needs and preferences of each resident.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Nutrition and Dietary4F
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Pharmacy Service3E
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Quality of Life and Care2D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Infection Control2E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Resident Assessment and Care Planning1D
- D
PASARR screening for Mental disorders or Intellectual Disabilities
Inspection history
2025-06-19
3 health deficiencies · 0 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-05-01
10 health deficiencies · 13 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
2023-03-02
4 health deficiencies · 18 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 5 min of nursing staff time a day, 14 min of it from a registered nurse.
This home
3 h 5 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 45% of nursing staff and 60% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$56,550 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-12-06 | Fine | $56,550 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.6 pts worse | 2.6 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts worse | 2.8 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better | 100.0% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.9 pts better | 98.9% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.6 pts better | 2.6% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.8 pts worse | 4.1% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight1 pts better | 1.9% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication11.4 pts worse | 29.2% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication17.7 pts worse | 27.5% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8 pts better | 4.9% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased10.2 pts better | 5.6% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse | 0.4% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.0% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.1 pts better | 11.4% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.5 pts worse | 4.2% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.3 pts better | 100.0% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6.3 pts worse | 18.5% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts worse | 2.6% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.6 pts better | 100.0% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission9.4 pts worse | 34.9% | 25.5% | 23.4% |
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Who owns and runs it
10 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Coryell County Memorial Hospital Authority | 5% Or Greater Direct Ownership Interest · Organization | 100% | 31 facilities |
| Byrom, David | Corporate Director · Individual | 0% | 31 facilities |
| Flowers, Adam | Adp Of The SNF · Individual | 0% | 4 facilities |
| Moskowitz, Yisroel | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 7 facilities |
| Robins, Seth | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Robins, Seth | Adp Of The SNF · Individual | 0% | 1 facilities |
| Sonenblick, Isaac | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 1 facilities |
| Vu, Khanh | Adp Of The SNF · Individual | 0% | 1 facilities |
| Waco Healthcare LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Waco Healthcare LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
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Fire safety
31 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke13F
- F
Provide properly protected cooking facilities.
- F
Install a fire alarm system that can be heard throughout the facility.
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Provide properly protected cooking facilities.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Construct fire resistant interior walls.
- D
Install an approved automatic sprinkler system.
Gas, Vacuum, and Electrical Systems6F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have proper medical gas storage and administration areas.
- F
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have proper medical gas storage and administration areas.
- D
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Egress5F
- E
Install proper backup exit lighting.
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E
Install emergency lighting that can last at least 1 1/2 hours.
- D
Have properly located and lighted "Exit" signs.
Miscellaneous4F
- F
Have simulated fire drills held at unexpected times.
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
Meet Health Care Facilities Code mechanical requirements.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Services2E
- E
Have properly installed electrical wiring and gas equipment.
- E
Have properly installed electrical wiring and gas equipment.
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Other homes nearby
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-
The Atrium of Bellmead
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-
Ivy Creek Wellness & Rehabilitation
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