Waco, TX

Crestview Healthcare Residence

3-star overall rating with 3-star inspections with $265,796 in total fines with 5 recent health deficiencies

1400 Lake Shore Dr, Waco, TX

(254) 753-0291

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

192

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Coryell County Memorial Hospital Authority

Operator or chain grouping

Approved since

1993-05-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

8 facilities

Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.22

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.74

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

2.23

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.19

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

0.96

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.88

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.19

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.25

CMS adjusted RN staffing hours

Adjusted total hours

3.72

CMS adjusted total nurse staffing hours

Case-mix index

1.17

Higher values indicate more complex resident acuity

RN turnover

20%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

50%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,058

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

8.67

Composite VBP score used to determine payment impact.

Payment multiplier

0.9808

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0.53

Baseline 20.03% · Performance 21.18% · Measure score 0.53 · Achievement 0.53 · Improvement 0

Healthcare-associated infections

Baseline 7.63% · Performance 8.49% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

0.90

Baseline 70.83% · Performance 64.41% · Measure score 0.90 · Achievement 0 · Improvement 0.90

Adjusted total nurse staffing

2.04

Baseline 3.68 hours · Performance 3.66 hours · Measure score 2.04 · Achievement 2.04 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.32%	10.72% 0.4 pts better	No Different than the National Rate · Eligible stays 46 · Observed rate 6.52% · Lower 95% interval 6.76%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 23 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	1	1.02 About the same
Drug regimen review with follow-up	89.58%	95.27% 5.7 pts worse	Numerator 43 · Denominator 48
Falls with major injury	2.08%	0.77% 1.3 pts worse	Numerator 1 · Denominator 48
Discharge self-care score	48.65%	53.69% 5 pts worse	Numerator 18 · Denominator 37
Discharge mobility score	35.14%	50.94% 15.8 pts worse	Numerator 13 · Denominator 37
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 48 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	8.49%	7.12% 1.4 pts worse	No Different than the National Rate · Eligible stays 36 · Observed rate 11.11% · Lower 95% interval 4.4%
Staff COVID-19 vaccination coverage	7.83%	8.2% 0.4 pts worse	Numerator 9 · Denominator 115
Staff flu vaccination coverage	16.06%	42% 25.9 pts worse	Numerator 35 · Denominator 218
Discharge function score	54.05%	56.45% 2.4 pts worse	Numerator 20 · Denominator 37
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	50%	25.2% 24.8 pts better	Numerator 10 · Denominator 20

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.7	2.1 0.4 pts better	1.9 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.8 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.7	2.1 0.6 pts worse	1.8 0.9 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.9 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	97.1% 2.9 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	97.9% 2.1 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	1.9%	3.3% 1.4 pts better	3.3% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 4.2% · Q3 1.1% · Q4 0.0% · 4Q avg 1.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	5.4%	2.7% 2.7 pts worse	11.4% 6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 7.9% · Q3 6.1% · Q4 5.3% · 4Q avg 5.4%
Percentage of long-stay residents who lose too much weight	3.1%	3.3% 0.2 pts better	5.4% 2.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 3.7% · Q3 6.0% · Q4 1.3% · 4Q avg 3.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	27.5%	18.9% 8.6 pts worse	19.6% 7.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 33.7% · Q2 22.7% · Q3 20.2% · Q4 33.8% · 4Q avg 27.5%
Percentage of long-stay residents who received an antipsychotic medication	33.8%	10.8% 23 pts worse	16.7% 17.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 35.6% · Q2 32.7% · Q3 31.1% · Q4 36.1% · 4Q avg 33.8% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	3.4%	15.4% 12 pts better	16.3% 12.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.2% · Q3 7.5% · Q4 4.2% · 4Q avg 3.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	4.1%	16.1% 12 pts better	14.9% 10.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 2.4% · Q3 6.4% · Q4 2.7% · 4Q avg 4.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.5% 0.5 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.6%	0.8% 0.2 pts better	1.7% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.0% · Q3 1.1% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	14.2%	15.0% 0.8 pts better	19.8% 5.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.5% · Q2 13.7% · Q3 11.9% · Q4 17.1% · 4Q avg 14.2%
Percentage of long-stay residents with pressure ulcers	2.7%	4.2% 1.5 pts better	5.1% 2.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 1.9% · Q3 1.4% · Q4 4.5% · 4Q avg 2.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	89.7% 10.3 pts better	81.7% 18.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of short-stay residents who had an outpatient emergency department visit	16.0%	12.0% 4 pts worse	12.0% 4 pts worse	Short Stay · 20240701-20250630 · Adjusted 16.0% · Observed 18.4% · Expected 12.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.8%	1.5% 0.3 pts worse	1.6% 0.2 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 1.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	100.0%	88.0% 12 pts better	79.7% 20.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	51.0%	25.9% 25.1 pts worse	23.9% 27.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 51.0% · Observed 44.9% · Expected 21.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-19 · Fire 2025-06-19

5 health deficiencies

Top issue: Infection Control (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-05-01 · Fire 2024-05-01

8 health deficiencies

Top issue: Resident Rights (3 deficiencies)

13 fire-safety deficiencies

Top issue: Smoke (6 deficiencies)

Cycle 3 Health 2023-03-02 · Fire 2023-03-02

12 health deficiencies

Top issue: Pharmacy Service (4 deficiencies)

18 fire-safety deficiencies

Top issue: Smoke (7 deficiencies)

Fire safety

Fire-safety citations

K · Immediate jeopardy 2024-05-01

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-12-07

F · Potential for more than minimal harm 2024-05-01

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-12-07

F · Potential for more than minimal harm 2024-05-01

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2024-12-07

F · Potential for more than minimal harm 2024-05-01

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-12-07

F · Potential for more than minimal harm 2024-05-01

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-12-07

F · Potential for more than minimal harm 2024-05-01

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-12-07

E · Potential for more than minimal harm 2024-05-01

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2024-12-07

E · Potential for more than minimal harm 2024-05-01

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-12-07

E · Potential for more than minimal harm 2024-05-01

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-12-07

E · Potential for more than minimal harm 2024-05-01

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-12-07

D · Potential for more than minimal harm 2024-05-01

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-12-07

D · Potential for more than minimal harm 2024-05-01

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-12-07

D · Potential for more than minimal harm 2024-05-01

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-12-07

F · Potential for more than minimal harm 2023-03-02

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-06-30

F · Potential for more than minimal harm 2023-03-02

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2023-06-30

F · Potential for more than minimal harm 2023-03-02

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-06-30

F · Potential for more than minimal harm 2023-03-02

K900 · Miscellaneous Deficiencies

Fire Safety

Meet Health Care Facilities Code mechanical requirements.

Corrected 2023-06-30

F · Potential for more than minimal harm 2023-03-02

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2023-06-30

F · Potential for more than minimal harm 2023-03-02

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-06-30

F · Potential for more than minimal harm 2023-03-02

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-06-30

E · Potential for more than minimal harm 2023-03-02

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-06-30

E · Potential for more than minimal harm 2023-03-02

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-06-30

E · Potential for more than minimal harm 2023-03-02

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-06-30

E · Potential for more than minimal harm 2023-03-02

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-06-30

E · Potential for more than minimal harm 2023-03-02

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-06-30

E · Potential for more than minimal harm 2023-03-02

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-06-30

E · Potential for more than minimal harm 2023-03-02

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-03-02

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-03-02

K331 · Smoke Deficiencies

Fire Safety

Construct fire resistant interior walls.

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-03-02

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-03-02

K929 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Corrected 2023-06-30

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-08-14

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-08-15

D · Potential for more than minimal harm 2025-07-24

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-07-25

E · Potential for more than minimal harm 2025-06-19

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-06-20

D · Potential for more than minimal harm 2025-06-19

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-06-20

D · Potential for more than minimal harm 2025-06-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-06-20

D · Potential for more than minimal harm 2025-02-26

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-02-18

D · Potential for more than minimal harm 2025-02-11

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-02-12

E · Potential for more than minimal harm 2024-05-01

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-05-02

E · Potential for more than minimal harm 2024-05-01

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2024-05-02

E · Potential for more than minimal harm 2024-05-01

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-05-02

E · Potential for more than minimal harm 2024-05-01

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-05-02

E · Potential for more than minimal harm 2024-05-01

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-05-02

D · Potential for more than minimal harm 2024-05-01

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2024-05-02

H · Actual harm 2023-05-24

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2023-06-11

E · Potential for more than minimal harm 2023-05-24

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-06-11

E · Potential for more than minimal harm 2023-05-24

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2023-06-11

E · Potential for more than minimal harm 2023-05-24

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-06-11

E · Potential for more than minimal harm 2023-05-24

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-06-11

E · Potential for more than minimal harm 2023-05-24

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2023-06-11

E · Potential for more than minimal harm 2023-05-24

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-06-11

E · Potential for more than minimal harm 2023-05-24

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2023-06-11

F · Potential for more than minimal harm 2023-03-02

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-04-13

E · Potential for more than minimal harm 2023-03-02

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-04-13

D · Potential for more than minimal harm 2023-03-02

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2023-04-13

D · Potential for more than minimal harm 2023-03-02

F803 · Nutrition and Dietary Deficiencies

Health

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.

Corrected 2023-04-13

Penalties and ownership