LAKESHORE VILLAGE NURSING AND REHABILITATION

2320 LAKE SHORE DR, WACO, TX 76708 · CCN 675438 · 151 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing2 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 2 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

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Serious inspection findings

2025-05-10 — IMMEDIATE JEOPARDY (tag F0692, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide enough food/fluids to maintain a resident's health.

2025-05-10 — IMMEDIATE JEOPARDY (tag F0580, severity J)

Resident Rights Deficiencies · correction not recorded in CMS data

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2023-12-16 — ACTUAL HARM (tag F0686, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2023-12-16 — IMMEDIATE JEOPARDY (tag F0726, severity K)

Nursing and Physician Services Deficiencies · correction not recorded in CMS data

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

2023-12-16 — IMMEDIATE JEOPARDY (tag F0880, severity K)

Infection Control Deficiencies · correction not recorded in CMS data

Provide and implement an infection prevention and control program.

2023-12-16 — IMMEDIATE JEOPARDY (tag F0770, severity K)

Administration Deficiencies · correction not recorded in CMS data

Provide timely, quality laboratory services/tests to meet the needs of residents.

2023-12-16 — IMMEDIATE JEOPARDY (tag F0835, severity L)

Administration Deficiencies · correction not recorded in CMS data

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Staffing, from payroll records

Nursing hours / resident / day

2.74

state median 2.67

Weekend staffing gap

−13%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.27

registered nurses only

Contract (agency) staff

share of all nursing hours

Days with zero RN hours reported

with residents present

Nursing staff turnover

52%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

2 enforcement action(s), totaling $107,407 in fines.

Date	Type	Amount
2025-05-10	Fine	$23,593
2023-12-16	Fine	$83,814

Ownership

Ownership type: Government - Hospital district. Part of the EDURO HEALTHCARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

KEYSTONE POST-ACUTE (FRESNO, CA) — CMS overall2 of 5
SKYLINE HEIGHTS NURSING AND REHABILITATION (BILLINGS, MT) — CMS overall1 of 5
YELLOWSTONE RIVER NURSING AND REHABILITATION (BILLINGS, MT) — CMS overall1 of 5
ELKHORN HEALTHCARE AND REHABILITATION (CLANCY, MT) — CMS overall2 of 5
COPPER RIDGE HEALTH AND REHABILITATION CENTER (BUTTE, MT) — CMS overall4 of 5
COONEY HEALTHCARE AND REHABILITATION (HELENA, MT) — CMS overall1 of 5
EASTERN MONTANA VETERANS HOME (GLENDIVE, MT) — CMS overall3 of 5
SOUTHWEST MONTANA VETERANS HOME (BUTTE, MT) — CMS overall5 of 5

Full citation history

By severity: Actual harm: 1 · Potential for more than minimal harm: 45 · Immediate jeopardy: 6

Survey date	Tag	Category	Severity	Corrected
2026-04-22	F0644	Resident Assessment and Care Planning Deficiencies	E	not recorded
2026-04-22	F0732	Nursing and Physician Services Deficiencies	D	not recorded
2026-04-22	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2026-04-22	F0880	Infection Control Deficiencies	E	not recorded
2026-03-03	F0562	Resident Rights Deficiencies	F	not recorded
2025-12-11	F0689	Quality of Life and Care Deficiencies	D	not recorded
2025-05-10	F0580	Resident Rights Deficiencies	J	not recorded
2025-05-10	F0692	Quality of Life and Care Deficiencies	J	not recorded
2025-02-20	F0557	Resident Rights Deficiencies	E	not recorded
2025-02-20	F0558	Resident Rights Deficiencies	E	not recorded
2025-02-20	F0561	Resident Rights Deficiencies	E	not recorded
2025-02-20	F0677	Quality of Life and Care Deficiencies	D	not recorded
2025-02-20	F0803	Nutrition and Dietary Deficiencies	F	not recorded
2025-02-20	F0806	Nutrition and Dietary Deficiencies	E	not recorded
2025-02-20	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2024-09-10	F0761	Pharmacy Service Deficiencies	E	not recorded
2024-08-21	F0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-08-21	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-06-29	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2024-05-16	F0755	Pharmacy Service Deficiencies	E	not recorded
2023-12-16	F0550	Resident Rights Deficiencies	D	not recorded
2023-12-16	F0558	Resident Rights Deficiencies	D	not recorded
2023-12-16	F0578	Resident Rights Deficiencies	D	not recorded
2023-12-16	F0584	Resident Rights Deficiencies	D	not recorded
2023-12-16	F0585	Resident Rights Deficiencies	D	not recorded
2023-12-16	F0640	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-12-16	F0655	Resident Assessment and Care Planning Deficiencies	E	not recorded
2023-12-16	F0656	Resident Assessment and Care Planning Deficiencies	E	not recorded
2023-12-16	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-12-16	F0658	Resident Assessment and Care Planning Deficiencies	E	not recorded
2023-12-16	F0677	Quality of Life and Care Deficiencies	D	not recorded
2023-12-16	F0679	Quality of Life and Care Deficiencies	E	not recorded
2023-12-16	F0686	Quality of Life and Care Deficiencies	G	not recorded
2023-12-16	F0689	Quality of Life and Care Deficiencies	E	not recorded
2023-12-16	F0690	Quality of Life and Care Deficiencies	D	not recorded
2023-12-16	F0695	Quality of Life and Care Deficiencies	E	not recorded
2023-12-16	F0699	Quality of Life and Care Deficiencies	D	not recorded
2023-12-16	F0726	Nursing and Physician Services Deficiencies	K	not recorded
2023-12-16	F0755	Pharmacy Service Deficiencies	E	not recorded
2023-12-16	F0759	Pharmacy Service Deficiencies	D	not recorded
2023-12-16	F0761	Pharmacy Service Deficiencies	E	not recorded
2023-12-16	F0770	Administration Deficiencies	K	not recorded
2023-12-16	F0791	Quality of Life and Care Deficiencies	D	not recorded
2023-12-16	F0804	Nutrition and Dietary Deficiencies	E	not recorded
2023-12-16	F0810	Nutrition and Dietary Deficiencies	D	not recorded
2023-12-16	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2023-12-16	F0835	Administration Deficiencies	L	not recorded
2023-12-16	F0838	Administration Deficiencies	D	not recorded
2023-12-16	F0849	Administration Deficiencies	D	not recorded
2023-12-16	F0868	Administration Deficiencies	F	not recorded
2023-12-16	F0880	Infection Control Deficiencies	K	not recorded
2023-12-16	F0926	Environmental Deficiencies	E	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “LAKESHORE VILLAGE NURSING AND REHABILITATION, WACO” at medicare.gov/care-compare.