Ridgecrest Retirement and Healthcare Community
1900 W State Hwy 6 · Waco, TX · 76712 · 2547769681
90 certified beds For profit - Limited Liability company
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Inspection results are getting worse cycle over cycle, not better.
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
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
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.
69% 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: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | 69% | median 45% |
| Fines (3-yr window) | 1 · $14,267 |
Inspection citations (27 in the current record)
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Immediate jeopardy · K June 15, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 16, 2025 · Quality of Life and Care
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Potential for harm · E June 15, 2025
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected June 20, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 15, 2025
Ensure each resident receives an accurate assessment.
Corrected July 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 15, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected July 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · E June 15, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 15, 2025
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected June 16, 2025 · Quality of Life and Care
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Potential for harm · E June 15, 2025
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
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Potential for harm · D June 15, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected June 20, 2025 · Pharmacy Service
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Potential for harm · D June 15, 2025
Provide or get specialized rehabilitative services as required for a resident.
Corrected June 16, 2025 · Quality of Life and Care
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Potential for harm · D June 15, 2025
Provide and implement an infection prevention and control program.
Corrected June 20, 2025 · Infection Control
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Potential for harm · D June 15, 2025
Have policies on smoking.
Corrected June 20, 2025 · Environmental
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Potential for harm · D June 15, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 23, 2025 · Freedom from Abuse, Neglect, and Exploitation
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No harm found · C June 15, 2025
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected June 16, 2025 · Resident Rights
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Potential for harm · E April 30, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 17, 2024 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected December 18, 2024 · Resident Rights
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Potential for harm · D December 17, 2024 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected December 18, 2024 · Resident Rights
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Potential for harm · D December 17, 2024 · 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 December 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 17, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 18, 2024 · Quality of Life and Care
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Potential for harm · E September 11, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 4, 2024 · Quality of Life and Care
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Potential for harm · D May 1, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 2, 2024 · Resident Rights
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Potential for harm · E May 1, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected May 2, 2024 · Resident Rights
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Potential for harm · E May 1, 2024
Ensure each resident receives an accurate assessment.
Corrected May 2, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 1, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 2, 2024 · Resident Assessment and Care Planning
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Potential for harm · F 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
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Potential for harm · E October 13, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 17, 2023 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 15, 2025 | Fine | $14,267 |
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 455670 · certified since August 26, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.