Woodland Springs Nursing Center in Waco has a 1-star overall rating, with 1-star health inspection and staffing scores and 2-star quality measures. It reports nurse staffing below the federal benchmark (3.20 vs 4.1 hours per resident per day), $90,083 in fines over the last 24 months, and a recent abuse citation.
Last inspection: March 2, 2026Penalties, last 24 months: $90,083recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1994.
Staffing detail
Registered nurses
0.29
Licensed practical nurses
0.71
Nurse aides
2.20
Weekend nursing
2.91
Hours per resident per day.
Total staff turnover: 57%
Registered nurse turnover: 75%
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
Residents with a fall causing major injury
2.3%3.4%Worsening
Residents with pressure ulcers (bedsores)
3.3%3.9%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
3.6%2.7%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
13.9%8.1%Improving
Residents whose ability to walk got worse
16.2%11.6%Improving
Long-stay residents on antianxiety or sleep medication
21.7%14.1%Improving
Short-stay residents newly given an antipsychotic
—3.1%—
Residents with a long-term catheter
1.1%2.7%Worsening
Residents with new or worsening incontinence
26.8%21.5%Improving
Residents with depressive symptoms
1.2%0%Improving
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.
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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
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 · $98,907 in total fines · 1 payment denial.
Federal fine
Mar 2, 2026
$19,120
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
89.1 residents on an average day (68% of 132 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.