Federal inspection record · CMS data as of October 1, 2026
St. Catherine Center
300 West Highway 6, Waco, TX · (254) 761-8500
- Certified beds
- 165
- Residents per day
- 150
- Ownership
- Non-Profit
- Chain
- Ascension Living
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 3, 1992
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
St. Catherine Center carries 43 inspection points. That is fewer than 74% 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
12 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 (1)
-
G
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Everything else, by area of care
Resident Rights4E
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 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.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Keep residents' personal and medical records private and confidential.
Resident Assessment and Care Planning3D
- D
Ensure each resident receives an accurate assessment.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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.
Quality of Life and Care1E
- E
Provide safe and appropriate respiratory care for a resident when needed.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Inspection history
2026-04-30
5 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
2025-02-26
2 health deficiencies · 3 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2024-01-25
5 health deficiencies · 8 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 56 min of nursing staff time a day, 33 min of it from a registered nurse.
This home
3 h 56 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 28% of nursing staff and 38% 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
$8,492 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-04-30 | Fine | $8,492 |
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 days0.2 pts better | 1.8 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident daysAbout the same | 2.0 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.9 pts better | 99.3% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better | 100.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.1 pts worse | 5.3% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.6 pts better | 0.7% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.4 pts worse | 5.3% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.5 pts worse | 21.3% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.9 pts worse | 13.7% | 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 worsened2 pts better | 10.9% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.3 pts better | 15.5% | 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 infection1.6 pts worse | 2.4% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8 pts worse | 20.5% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.4 pts better | 2.3% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine8 pts better | 96.7% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.9 pts worse | 18.1% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.7 pts better | 0.7% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine5.5 pts better | 90.9% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1 pts better | 24.5% | 25.5% | 23.4% |
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Who owns and runs it
16 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 |
|---|---|---|---|
| Ascension Health Senior Care | 5% Or Greater Direct Ownership Interest · Organization | 100% | 11 facilities |
| Ascension Health Senior Care | Adp Of The SNF · Organization | 0% | 11 facilities |
| Breedlove, Ryan | Corporate Director · Individual | 0% | 1 facilities |
| Breedlove, Ryan | Adp Of The SNF · Individual | 0% | 1 facilities |
| Health Dimensions Consulting Inc | Adp Of The SNF · Organization | 0% | 20 facilities |
| Lefco, Amy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Lefco, Amy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Medical Solutions LLC | Adp Of The SNF · Organization | 0% | 16 facilities |
| Musgrave, Lisa | Corporate Director · Individual | 0% | 11 facilities |
| Musgrave, Lisa | Adp Of The SNF · Individual | 0% | 11 facilities |
| Pietsch, Darrell | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Pietsch, Darrell | Adp Of The SNF · Individual | 0% | 1 facilities |
| Shadbolt, Erin | Corporate Officer · Individual | 0% | 11 facilities |
| Shadbolt, Erin | Adp Of The SNF · Individual | 0% | 11 facilities |
| Smoot, Kenneth | Corporate Director · Individual | 0% | 10 facilities |
| Smoot, Kenneth | Adp Of The SNF · Individual | 0% | 10 facilities |
·
Fire safety
12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Egress2F
- F
Install proper backup exit lighting.
- F
Have properly located and lighted "Exit" signs.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
Emergency Preparedness1F
- F
Develop and maintain an Emergency Preparedness Program (EP).
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
Construction1D
- D
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
Miscellaneous1C
- C
Provide a written emergency evacuation plan.
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Other homes nearby
-
★★★★★
- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 2 min
- Fines
- $14,267
-
Woodway Rehabilitation and Healthcare Center
Waco, TX · Momentum Skilled Services
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 42 min
- Fines
- $31,196
-
Greenview Nursing and Rehabilitation
Waco, TX · Eduro Healthcare
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 2 h 46 min
- Fines
- $65,095