The home failed to run its operations effectively and efficiently using its available resources. Cited December 2023 — widespread issue, immediate jeopardy to residents.
View the original federal record
F-Tag 835 — 42 CFR §483.70 — S/S: L
Nursing home report
LAKESHORE VILLAGE NURSING AND REHABILITATION
WACO, TX · Medicare-certified · 151 beds
Needs attention
Government-runChain member
1 of 5 overall
1 out of 5 stars overall. Lakeshore Village Nursing and Rehabilitation has a 1-star health inspection rating, a 2-star staffing rating, and reported nurse staffing of 3.36 hours per resident per day versus the 4.1 federal benchmark; it also had $23,593 in fines in the last 24 months and a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.3614 hrs/resident/day
Quality measures
Last inspection: March 3, 2026Penalties, last 24 months: $23,593recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3614.
Staffing detail
- Registered nurses
- 0.39
- Licensed practical nurses
- 0.97
- Nurse aides
- 2.00
- Weekend nursing
- 2.87
Hours per resident per day.
Total staff turnover: 47%
Registered nurse turnover: 29%
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
7.4%4.9%Improving
Residents with a fall causing major injury
2.8%3.1%No change
Residents with pressure ulcers (bedsores)
3.5%4.9%Worsening
Residents with a urinary tract infection
3.9%2%Improving
Residents who lost too much weight
3.2%4.4%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
9.6%13.1%Worsening
Residents whose ability to walk got worse
12%5.6%Improving
Long-stay residents on antianxiety or sleep medication
19.2%20%Worsening
Short-stay residents newly given an antipsychotic
1.8%1.4%No change
Residents with a long-term catheter
1.8%0%Improving
Residents with new or worsening incontinence
15%13.1%Improving
Residents with depressive symptoms
9.2%6.8%Improving
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%100%No change
Short-stay residents given the seasonal flu vaccine
—89%—
Short-stay residents given the pneumonia vaccine
93%97.2%Improving
What the inspectors found
The home failed to provide timely, quality lab services and tests needed by residents. Cited December 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 770 — 42 CFR §483.50 — S/S: K
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited December 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: K
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited December 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — S/S: K
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
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 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $23,593 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 3 fines · $135,984 in total fines.
- $23,593
Federal fine
May 10, 2025
- $83,814
Federal fine
Dec 16, 2023
- $28,577
Federal fine
Jun 26, 2023
Operator & ownership
- Ownership
- Government - Hospital district
- Chain
- Part of EDURO HEALTHCARE · 35 homes · 2.3 stars avg
- Occupancy
- 117.6 residents on an average day (78% of 151 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 31 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.