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.

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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%.

Score breakdown

Inspection record 30% of score 45
Serious harm & abuse 20% 72
Staffing 20% 49
Federal penalties 15% 44
Trend 10% 90
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: 3 of 5 Staffing: 2 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.033.48 min · 4.1 strong
RN hours / resident-day0.380.55–0.75
Weekend hours / resident-day2.86≈ weekday level
Nursing turnover / year62%median 45%
Fines (3-yr window)2 · $149,039

Inspection citations (15 in the current record)

  • 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

  • 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

  • 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

  • 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

  • Potential for harm · E July 23, 2025

    Provide and implement an infection prevention and control program.

    Corrected August 15, 2025 · Infection Control

  • Potential for harm · D July 23, 2025

    Have policies on smoking.

    Corrected August 15, 2025 · Environmental

  • 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

  • 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

  • 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

  • Potential for harm · E June 13, 2024

    Provide and implement an infection prevention and control program.

    Corrected July 3, 2024 · Infection Control

  • 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

  • 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

  • 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

  • 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

  • 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

DateTypeAmount / length
April 16, 2025Fine$140,085
December 29, 2023Fine$8,954

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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.