Ivy Creek Wellness & Rehabilitation
2501 Maple Ave · Waco, TX · 76707 · 2547520311
162 certified beds For profit - Corporation Chain: Opco Skilled Management
Why this verdict
- Federal penalties on record: $140,085 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
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.
Red flags
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$140,085 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
62% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.03 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.38 | 0.55–0.75 |
| Weekend hours / resident-day | 2.86 | ≈ weekday level |
| Nursing turnover / year | 62% | median 45% |
| Fines (3-yr window) | 2 · $149,039 |
Inspection citations (15 in the current record)
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Potential for harm · E February 6, 2026 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected February 9, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 23, 2025
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected August 15, 2025 · Quality of Life and Care
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Potential for harm · D July 23, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 15, 2025 · Pharmacy Service
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Potential for harm · E July 23, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 15, 2025 · Nutrition and Dietary
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Potential for harm · E July 23, 2025
Provide and implement an infection prevention and control program.
Corrected August 15, 2025 · Infection Control
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Potential for harm · D July 23, 2025
Have policies on smoking.
Corrected August 15, 2025 · Environmental
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Potential for harm · E June 13, 2024
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected July 8, 2024 · Resident Rights
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Potential for harm · D June 13, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 3, 2024 · Quality of Life and Care
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Potential for harm · E June 13, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 3, 2024 · Nutrition and Dietary
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Potential for harm · E June 13, 2024
Provide and implement an infection prevention and control program.
Corrected July 3, 2024 · Infection Control
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Potential for harm · D June 13, 2024
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected July 5, 2024 · Environmental
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Immediate jeopardy · J December 29, 2023 · found via complaint
Respond appropriately to all alleged violations.
Corrected January 17, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J December 29, 2023 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 17, 2024 · Resident Assessment and Care Planning
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Immediate jeopardy · J December 29, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 17, 2024 · Quality of Life and Care
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Potential for harm · D May 10, 2023
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected June 9, 2023 · Resident Assessment and Care Planning
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 16, 2025 | Fine | $140,085 |
| December 29, 2023 | Fine | $8,954 |
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 455478 · certified since May 18, 1983. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.