The home failed to respond appropriately to all reported abuse or neglect concerns. Cited December 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 610 — 42 CFR §483.12 — S/S: J
Nursing home report
Ivy Creek Wellness & Rehabilitation
WACO, TX · Medicare-certified · 162 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
2 of 5 overall
Ivy Creek Wellness & Rehabilitation in Waco, TX has a 2-star overall rating, with a 1-star staffing rating and reported nurse staffing of 3.21 hours per resident per day versus the federal benchmark of 4.1. It also had $140,085 in fines over the last 24 months, a recent federal penalty, and recent inspection citations involving response to alleged violations, care planning, and accident hazards/supervision.
Facility ratings
Health inspections
Staffing
3.2092 hrs/resident/day
Quality measures
Last inspection: February 6, 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).
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).
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 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 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 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
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — 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 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- 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.
- $140,085
Federal fine
Apr 16, 2025
- $8,954
Federal fine
Dec 29, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of OPCO SKILLED MANAGEMENT · 68 homes · 2.2 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.