Federal inspection record · CMS data as of October 1, 2026
Ivy Creek Wellness & Rehabilitation
2501 Maple Ave, Waco, TX · (254) 752-0311
- Certified beds
- 162
- Residents per day
- 65
- Ownership
- For-Profit
- Chain
- Opco Skilled Management
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 18, 1983
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.
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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.
-
Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Ivy Creek Wellness & Rehabilitation carries 97 inspection points. That is fewer than 37% 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
18 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.
Harm and immediate-jeopardy citations (3)
-
J
Respond appropriately to all alleged violations.
-
J
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care3D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Rights2E
- E
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
Ensure residents have reasonable access to and privacy in their use of communication methods.
Freedom from Abuse, Neglect, and Exploitation2E
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Protect each resident from the wrongful use of the resident's belongings or money.
Nutrition and Dietary2E
- 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.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Environmental2D
- D
Have policies on smoking.
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Pharmacy Service1D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Resident Assessment and Care Planning1D
- D
PASARR screening for Mental disorders or Intellectual Disabilities
Inspection history
2025-07-23
9 health deficiencies · 0 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2024-06-13
5 health deficiencies · 25 fire-safety deficiencies
Top issue: Environmental (1 deficiency)
2023-05-10
4 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 24 min of nursing staff time a day, 20 min of it from a registered nurse.
This home
3 h 24 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 65% of nursing staff and 90% of registered nurses left in the past year, along with 1 administrator.
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
$149,039 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-04-16 | Fine | $140,085 |
| 2023-12-29 | Fine | $8,954 |
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 days0.9 pts worse | 2.9 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days2.5 pts worse | 4.5 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.8 pts better | 97.2% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.6 pts worse | 94.4% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts better | 2.8% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.3 pts better | 0.0% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight6.9 pts worse | 9.8% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.8 pts better | 15.0% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.2 pts worse | 19.0% | 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 worsened3.5 pts better | 9.4% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.8 pts better | 13.0% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts better | 0.4% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.8 pts better | 10.7% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.7 pts worse | 6.4% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13 pts worse | 75.7% | 88.7% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
·
Who owns and runs it
20 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 |
| 2501 Maple Ave Tx LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Beasley, Carolyn | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Beasley, Carolyn | Adp Of The SNF · Individual | 0% | 1 facilities |
| Byrom, David | Corporate Director · Individual | 0% | 31 facilities |
| Davidovich, Niv | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 26 facilities |
| Esdov Investments LLC | Adp Of The SNF · Organization | 0% | 20 facilities |
| First Sweetzer Holdings LLC | Adp Of The SNF · Organization | 0% | 30 facilities |
| Garetz, David | Operational/Managerial Control · Individual | 0% | 72 facilities |
| Hagins, Elizabeth | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 57 facilities |
| Ivy Creek Wellness & Rehabilitation LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Jian, Peter | Operational/Managerial Control · Individual | 0% | 11 facilities |
| Jian, Peter | Adp Of The SNF · Individual | 0% | 11 facilities |
| Kaplan, Esther | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 59 facilities |
| Linz Trust | Adp Of The SNF · Organization | 0% | 11 facilities |
| Mindle, Adam | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 58 facilities |
| Pimento Property Holdings LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
| Red Stone Advisors LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
| Rojo Re Trust | Adp Of The SNF · Organization | 0% | 5 facilities |
| Sternshein, Jennifer | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 55 facilities |
·
Fire safety
27 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke8F
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Egress6E
- E
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- E
Install emergency lighting that can last at least 1 1/2 hours.
- D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D
Have properly located and lighted "Exit" signs.
- C
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- C
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Gas, Vacuum, and Electrical Systems4F
- 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.
Emergency Preparedness3F
- F
Establish policies and procedures including evacuation.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
Services3F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Have properly installed electrical wiring and gas equipment.
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous2F
- 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.
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Other homes nearby
-
Woodland Springs Nursing Center
Waco, TX · Charleston Healthcare Group
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 2 h 55 min
- Fines
- $92,215
-
The Atrium of Bellmead
Bellmead, TX · Creative Solutions In Healthcare
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 12 min
- Fines
- $27,853
-
Avir at Jeffrey Place
Waco, TX · Avir Health Group
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 26 min
- Fines
- $22,382