Woodland Springs Nursing Center in Waco, TX has a 1-star overall rating, with 1-star health inspection and staffing ratings and a 3-star quality measures rating. It reports 3.06 nurse hours per resident per day versus the 4.1 federal benchmark, has $83,391 in fines in the last 24 months, and has a recent abuse citation.
Last inspection: March 2, 2026Penalties, last 24 months: $83,391recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0644.
Staffing detail
Registered nurses
0.28
Licensed practical nurses
0.65
Nurse aides
2.13
Weekend nursing
2.85
Hours per resident per day.
Total staff turnover: 55%
Registered nurse turnover: 71%
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
10%16%Worsening
Residents with a fall causing major injury
2.2%1.1%Improving
Residents with pressure ulcers (bedsores)
4.1%4.5%No change
Residents with a urinary tract infection
1.1%0%Improving
Residents who lost too much weight
2.6%5.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
32.9%23.4%Improving
Residents whose ability to walk got worse
17.1%18.6%Worsening
Long-stay residents on antianxiety or sleep medication
19.2%17.5%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
15.4%27.8%Worsening
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%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
—100%—
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited August 2024 — limited pattern, actual harm.
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F-Tag 600 — 42 CFR §483.12 — S/S: H
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited August 2024 — limited pattern, actual harm.
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F-Tag 607 — 42 CFR §483.12 — S/S: H
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 August 2024 — limited pattern, actual harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: H
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited January 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Recent history
PENALTY
A federal fine of $12,428 was recorded.
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
PENALTY
A federal fine of $19,120 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $29,858 was recorded.
PENALTY
A federal fine of $12,428 was recorded.
PENALTY
A federal fine of $28,677 was recorded.
Penalties & enforcement
On record with Medicare: 5 fines · $92,215 in total fines · 1 payment denial.
Federal fine
Mar 2, 2026
$12,428
Medicare/Medicaid payment denial
May 17, 2025
14 days
Federal fine
May 17, 2025
$29,858
Federal fine
Jan 15, 2025
$12,428
Federal fine
Aug 31, 2024
$28,677
Federal fine
Jan 16, 2024
$8,824
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of CHARLESTON HEALTHCARE GROUP · 5 homes · 2.2 stars avg
Occupancy
88.2 residents on an average day (67% of 132 beds)
Resident voice
Resident council
Medicare history
Certified for 32 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.