Ivy Creek Wellness & Rehabilitation in Waco has an overall rating of 1 out of 5 stars, with especially weak staffing (1 star and 3.21 nurse hours per resident per day vs. the 4.1 federal benchmark) and a recent federal penalty. It also had 2-star health inspections, 3-star quality measures, and $140,085 in fines over the last 24 months.
Last inspection: July 1, 2026Penalties, last 24 months: $140,085recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2092.
Staffing detail
Registered nurses
0.37
Licensed practical nurses
0.85
Nurse aides
1.99
Weekend nursing
2.86
Hours per resident per day.
Total staff turnover: 65%
Registered nurse turnover: 86%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
14.3%20%Worsening
Residents with a fall causing major injury
0%3%Worsening
Residents with pressure ulcers (bedsores)
6.9%7.3%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
4.2%21.4%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
9.5%16%Worsening
Residents whose ability to walk got worse
13.3%19.4%Worsening
Long-stay residents on antianxiety or sleep medication
7.8%16.9%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
16.9%14.4%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%97%Worsening
Short-stay residents given the seasonal flu vaccine
—88.9%—
Short-stay residents given the pneumonia vaccine
—92.3%—
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to respond appropriately to all reported abuse or neglect concerns. Cited December 2023 — isolated incident, immediate jeopardy to residents.
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F-Tag 610 — 42 CFR §483.12 — S/S: J
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited December 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: J
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited July 2026 — limited pattern, potential for harm.
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F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: E
The home failed to protect residents from the wrongful use of their belongings or money. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 602 — 42 CFR §483.12 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 5 health deficiencies.
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PENALTY
A federal fine of $140,085 was recorded.
PENALTY
A federal fine of $138,753 was recorded.
INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $149,039 in total fines.
Federal fine
Apr 16, 2025
$140,085
Federal fine
Dec 29, 2023
$8,954
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of OPCO SKILLED MANAGEMENT · 68 homes · 2.3 stars avg
Occupancy
64.7 residents on an average day (40% of 162 beds)
Resident voice
Resident council
Medicare history
Certified for 43 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.