Federal inspection record · CMS data as of October 1, 2026

Greenview Nursing and Rehabilitation

401 Owen Lane, Waco, TX · (254) 772-8900

CMS overall rating

1 of 5

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Certified beds
128
Residents per day
102
Ownership
For-Profit
Chain
Eduro Healthcare
Medicare / Medicaid
Medicare + Medicaid
Certified since
December 6, 1985

1

How this home got 1 star

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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.

  2. Staffing

    no change (already 1)

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Texas homes

Greenview Nursing and Rehabilitation carries 231.75 inspection points. That is fewer than 7% of Texas's 1,166 rated homes.

5★4★3★2★1★+35 homes above 292.505102550100200inspection points → fewer is better on the leftThis home · 231.75 pts · 1★

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

53 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 2 50 pts
K 1 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 6 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 25 4 pts
E 16 8 pts
F 3 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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.

Harm and immediate-jeopardy citations (9)

  1. G

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

    April 23, 2026 · Complaint inspection · Quality of Life and Care · F689 · Corrected April 27, 2026

  2. K

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

    July 3, 2025 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected July 2, 2025

  3. J

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

    June 12, 2025 · Complaint inspection · Quality of Life and Care · F689 · Corrected June 13, 2025

  4. G

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    June 12, 2025 · Complaint inspection · Quality of Life and Care · F686 · Corrected July 11, 2025

  5. G

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

    October 30, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected December 10, 2024

  6. G

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    October 30, 2024 · Complaint inspection · Resident Assessment and Care Planning · F656 · Corrected December 10, 2024

  7. G

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    May 15, 2024 · Complaint inspection · Resident Rights · F580 · Corrected June 15, 2024

  8. G

    Provide enough food/fluids to maintain a resident's health.

    May 15, 2024 · Complaint inspection · Quality of Life and Care · F692 · Corrected June 15, 2024

  9. J

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

    January 12, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected January 13, 2024

Everything else, by area of care

Resident Rights14F
  1. E

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    May 29, 2026 · Standard · F557 · Corrected June 19, 2026

  2. E

    Reasonably accommodate the needs and preferences of each resident.

    May 29, 2026 · Standard · F558 · Corrected June 5, 2026

  3. D

    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.

    May 29, 2026 · Standard · F584 · Corrected June 12, 2026

  4. F

    Provide immediate access to any resident.

    March 5, 2026 · Complaint · F562 · Corrected March 9, 2026

  5. E

    Reasonably accommodate the needs and preferences of each resident.

    January 29, 2026 · Complaint · F558 · Corrected February 3, 2026

  6. D

    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.

    August 29, 2025 · Complaint · F584 · Corrected September 1, 2025

  7. D

    Reasonably accommodate the needs and preferences of each resident.

    May 17, 2025 · Complaint · F558 · Corrected May 21, 2025

  8. E

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    March 19, 2025 · Standard · F565 · Corrected March 20, 2025

  9. 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.

    March 19, 2025 · Standard · F584 · Corrected March 20, 2025

  10. D

    Reasonably accommodate the needs and preferences of each resident.

    March 19, 2025 · Standard · F558 · Corrected March 20, 2025

  11. D

    Keep residents' personal and medical records private and confidential.

    March 19, 2025 · Standard · F583 · Corrected March 20, 2025

  12. E

    Reasonably accommodate the needs and preferences of each resident.

    October 14, 2024 · Complaint · F558 · Corrected November 12, 2024

  13. D

    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

    December 5, 2023 · Complaint · F626 · Corrected January 13, 2024

  14. D

    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.

    November 9, 2023 · Complaint · F584 · Corrected December 14, 2023

Nutrition and Dietary8F
  1. E

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

    May 29, 2026 · Standard · F812 · Corrected June 12, 2026

  2. 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.

    May 29, 2026 · Standard · F803 · Corrected June 19, 2026

  3. E

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

    March 5, 2026 · Complaint · F812 · Corrected March 9, 2026

  4. E

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

    December 9, 2025 · Complaint · F812 · Corrected December 10, 2025

  5. D

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    September 12, 2025 · Complaint · F813 · Corrected September 15, 2025

  6. E

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

    June 12, 2025 · Complaint · F812 · Corrected July 11, 2025

  7. F

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

    March 19, 2025 · Standard · F812 · Corrected March 20, 2025

  8. F

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

    February 14, 2024 · Standard · F812 · Corrected March 8, 2024

Pharmacy Service5E
  1. D

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

    May 29, 2026 · Standard · F755 · Corrected June 19, 2026

  2. D

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

    July 3, 2025 · Complaint · F755 · Corrected July 8, 2025

  3. D

    Ensure that residents are free from significant medication errors.

    July 3, 2025 · Complaint · F760 · Corrected July 8, 2025

  4. E

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

    June 12, 2025 · Complaint · F755 · Corrected July 11, 2025

  5. D

    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.

    March 19, 2025 · Standard · F758 · Corrected March 20, 2025

Resident Assessment and Care Planning4D
  1. D

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    July 22, 2026 · Complaint · F644 · Corrected July 27, 2026

  2. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    July 12, 2026 · Complaint · F656 · Corrected July 17, 2026

  3. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    January 29, 2026 · Complaint · F656 · Corrected February 3, 2026

  4. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    June 4, 2024 · Complaint · F656 · Corrected June 10, 2024

Freedom from Abuse, Neglect, and Exploitation4E
  1. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    April 21, 2025 · Complaint · F609 · Corrected May 13, 2025

  2. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    October 30, 2024 · Complaint · F609 · Corrected December 10, 2024

  3. E

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    April 30, 2024 · Complaint · F609 · Corrected June 7, 2024

  4. D

    Respond appropriately to all alleged violations.

    April 30, 2024 · Complaint · F610 · Corrected June 7, 2024

Quality of Life and Care3E
  1. D

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    May 29, 2026 · Standard · F694 · Corrected June 19, 2026

  2. D

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

    January 29, 2026 · Complaint · F689 · Corrected February 3, 2026

  3. E

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

    October 14, 2024 · Complaint · F677 · Corrected November 12, 2024

Infection Control3E
  1. D

    Provide and implement an infection prevention and control program.

    May 29, 2026 · Standard · F880 · Corrected June 19, 2026

  2. D

    Provide and implement an infection prevention and control program.

    June 12, 2025 · Complaint · F880 · Corrected July 11, 2025

  3. E

    Provide and implement an infection prevention and control program.

    July 16, 2024 · Complaint · F880 · Corrected July 23, 2024

Environmental2E
  1. E

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

    May 29, 2026 · Standard · F925 · Corrected June 12, 2026

  2. E

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    January 29, 2026 · Complaint · F919 · Corrected February 3, 2026

Administration1D
  1. D

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    March 19, 2025 · Standard · F849 · Corrected March 20, 2025

Inspection history

  1. 2026-05-29

    19 health deficiencies · 3 fire-safety deficiencies

    Top issue: Resident Rights (5 deficiencies)

  2. 2025-03-19

    24 health deficiencies · 1 fire-safety deficiencies

    Top issue: Resident Rights (7 deficiencies)

  3. 2024-02-14

    10 health deficiencies · 1 fire-safety deficiencies

    Top issue: Resident Rights (3 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 2 h 46 min of nursing staff time a day, 16 min of it from a registered nurse.

This home

2 h 46 min

Texas average

3 h 25 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 64% of nursing staff and 55% 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

$65,095 in federal fines on record over the past three years.

DatePenaltyAmount
2026-04-23Fine$14,882
2025-04-21Fine$8,281
2025-04-21Fine$9,068
2024-10-14Payment Denial · 11 day denial$0
2024-04-30Fine$25,876
2024-04-30Payment Denial · 2 day denial$0
2023-11-09Fine$6,988

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.1 pts better1.92.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days3.1 pts worse5.12.01.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.2 pts worse96.2%96.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.9 pts better98.9%97.0%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.3 pts worse3.5%3.2%3.2%
Percentage of long-stay residents who have depressive symptoms11.1 pts worse13.4%2.3%13.5%
Percentage of long-stay residents who lose too much weight4.6 pts worse7.5%2.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication15.6 pts worse33.4%17.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication19.1 pts worse28.9%9.8%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened0.4 pts better12.5%12.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased3.7 pts better12.1%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts better0.2%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection1 pts worse1.8%0.8%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.3 pts worse16.8%12.5%18.3%
Percentage of long-stay residents with pressure ulcers0.6 pts worse4.3%3.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine3.3 pts worse85.4%88.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit20.6 pts worse32.8%12.2%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1 pts worse2.4%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine38.6 pts worse46.8%85.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission24.7 pts worse50.2%25.5%23.4%

·

Who owns and runs it

9 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Fannin County Hospital Authority5% Or Greater Direct Ownership Interest · Organization0%54 facilities
Flowers, AdamOperational/Managerial Control · Individual0%4 facilities
Flowers, AdamAdp Of The SNF · Individual0%4 facilities
Hendrix, GregOperational/Managerial Control · Individual0%1 facilities
Hendrix, GregAdp Of The SNF · Individual0%1 facilities
Lssh Waco I, LLCOperational/Managerial Control · Organization0%1 facilities
Lssh Waco I, LLCAdp Of The SNF · Organization0%1 facilities
Sanderson, Clark5% Or Greater Direct Ownership Interest · Individual0%58 facilities
Sanderson, ClarkCorporate Officer · Individual0%58 facilities

·

Fire safety

5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke3F
  1. F

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

    May 29, 2026 · K345 · Corrected July 6, 2026

  2. E

    Inspect, test, and maintain automatic sprinkler systems.

    May 29, 2026 · K353 · Corrected July 5, 2026

  3. F

    Inspect, test, and maintain automatic sprinkler systems.

    February 14, 2024 · K353 · Corrected December 14, 2024

Services1D
  1. D

    Have properly installed electrical wiring and gas equipment.

    May 29, 2026 · K511 · Corrected June 15, 2026

Gas, Vacuum, and Electrical Systems1D
  1. D

    Have proper medical gas storage and administration areas.

    March 19, 2025 · K923 · Corrected March 20, 2025

·

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