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
3 of 5 overall
Ivy Creek Wellness & Rehabilitation in Waco, TX has an overall 3-star rating. Key concerns are a 2-star staffing rating, reported nurse staffing below the federal benchmark (3.03 vs 4.1 hours per resident per day), and $138,753 in fines over the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.0335 hrs/resident/day
Quality measures
Last inspection: February 6, 2026Penalties, last 24 months: $138,753recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0335.
Staffing detail
- Registered nurses
- 0.38
- Licensed practical nurses
- 0.63
- Nurse aides
- 2.02
- Weekend nursing
- 2.86
Hours per resident per day.
Total staff turnover: 62%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
17.8%Worsening
Residents with a fall causing major injury
1.8%Worsening
Residents with pressure ulcers (bedsores)
7.1%Steady
Residents with a urinary tract infection
0.5%Worsening
Residents who lost too much weight
4.5%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
14.3%Worsening
Residents whose ability to walk got worse
9.8%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
10.4%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
10.6%Improving
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
99.1%Worsening
Short-stay residents given the seasonal flu vaccine
88.9%Steady
Short-stay residents given the pneumonia vaccine
88.2%Worsening
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 $138,753 was recorded.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $147,707 in total fines.
- $138,753
Federal fine
Apr 16, 2025
- $8,954
Federal fine
Dec 29, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of OPCO SKILLED MANAGEMENT · 64 homes · 2.4 stars avg
- Occupancy
- 66.5 residents on an average day (41% 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.