Crestview Healthcare Residence

1400 Lake Shore Dr · Waco, TX · 76708 · 2547530291

192 certified beds For profit - Limited Liability company Chain: Coryell County Memorial Hospital Authority

  • Inspection results have improved across recent cycles.

The composite number cleared 71 points, but Recommended is gated: staffing below the Recommended bar. That rule is part of the published method.

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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

$56,550 in federal fines in the last 24 months

1 fine — CMS fines are reserved for verified, serious non-compliance.

RN staffing in the bottom 10% nationally

0.19 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Score breakdown

Inspection record 30% of score 66
Serious harm & abuse 20% 100
Staffing 20% 44
Federal penalties 15% 64
Trend 10% 80
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.043.48 min · 4.1 strong
RN hours / resident-day0.190.55–0.75
Weekend hours / resident-day2.78≈ weekday level
Nursing turnover / year47%median 45%
Fines (3-yr window)1 · $56,550

Inspection citations (17 in the current record)

  • Potential for harm · D August 14, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected August 15, 2025 · Quality of Life and Care

  • Potential for harm · D July 24, 2025 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected July 25, 2025 · Resident Rights

  • Potential for harm · E June 19, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected June 20, 2025 · Nutrition and Dietary

  • Potential for harm · D June 19, 2025

    Provide and implement an infection prevention and control program.

    Corrected June 20, 2025 · Infection Control

  • Potential for harm · D June 19, 2025 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected June 20, 2025 · Pharmacy Service

  • Potential for harm · D February 26, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected February 18, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 11, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected February 12, 2025 · Quality of Life and Care

  • Potential for harm · E May 1, 2024

    Reasonably accommodate the needs and preferences of each resident.

    Corrected May 2, 2024 · Resident Rights

  • Potential for harm · D May 1, 2024

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected May 2, 2024 · Resident Rights

  • Potential for harm · E May 1, 2024

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected May 2, 2024 · Resident Rights

  • Potential for harm · E May 1, 2024

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected May 2, 2024 · Pharmacy Service

  • Potential for harm · E May 1, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected May 2, 2024 · Nutrition and Dietary

  • Potential for harm · E May 1, 2024

    Provide and implement an infection prevention and control program.

    Corrected May 2, 2024 · Infection Control

  • Potential for harm · D March 2, 2023

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected April 13, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E March 2, 2023

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected April 13, 2023 · Pharmacy Service

  • Potential for harm · D March 2, 2023

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Corrected April 13, 2023 · Nutrition and Dietary

  • Potential for harm · F March 2, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected April 13, 2023 · Nutrition and Dietary

Federal penalties

DateTypeAmount / length
December 6, 2024Fine$56,550

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675141 · certified since May 1, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.