The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited December 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
ST. ANTHONY'S CARE CENTER
WACO, TX · Medicare-certified · 120 beds
Needs attention
New ownership (past 12 mo)For-profit
Data as of July 1, 2026
4 of 5 overall
ST. ANTHONY'S CARE CENTER has an overall 4 out of 5 stars, with stronger health inspection results (4 stars) but weaker staffing and quality measures (both 2 stars). It reports 4.31 nurse staffing hours per resident day versus the 4.1 federal benchmark, and it had $3,276 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
4.3143 hrs/resident/day
Quality measures
Last inspection: March 26, 2026Penalties, last 24 months: $3,276recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.3143.
Staffing detail
- Registered nurses
- 0.29
- Licensed practical nurses
- 0.98
- Nurse aides
- 3.04
- Weekend nursing
- 3.75
Hours per resident per day.
Total staff turnover: 63%
Registered nurse turnover: 60%
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
19.6%22.8%Worsening
Residents with a fall causing major injury
2.5%0%Improving
Residents with pressure ulcers (bedsores)
6%4.6%Improving
Residents with a urinary tract infection
1.3%1.4%No change
Residents who lost too much weight
4.5%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
12.9%31.7%Worsening
Residents whose ability to walk got worse
—27.6%—
Long-stay residents on antianxiety or sleep medication
28.6%23.9%Improving
Short-stay residents newly given an antipsychotic
3.3%0%Improving
Residents with a long-term catheter
2.2%2.1%No change
Residents with new or worsening incontinence
16.3%28%Worsening
Residents with depressive symptoms
1.3%1.4%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
98.8%100%Improving
Short-stay residents given the seasonal flu vaccine
—81.5%—
Short-stay residents given the pneumonia vaccine
90.4%96%Improving
What the inspectors found
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited December 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited December 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: E
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 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
- OWNERSHIP
The facility reported a change in ownership in the past 12 months.
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 4 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 6 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $3,276 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $3,276 in total fines.
- $3,276
Federal fine
Dec 12, 2024
Operator & ownership
Recent ownership change · Oct 1, 2025
Now operated by South Limestone Hospital District, previously City of West.
- Ownership
- For profit - Individual
- Occupancy
- 99.1 residents on an average day (83% of 120 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 7 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.