For profit - Corporation · 162 certified beds · CMS number 455478
Ivy Creek Wellness & Rehabilitation, Waco, TX
CMS records 18 health deficiencies at Ivy Creek Wellness & Rehabilitation in Waco, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jul 23, 2025. The highest severity cited is J (immediate jeopardy to resident health or safety). 3 citations were at the immediate jeopardy level. CMS lists 2 fines totaling $149,039 in the last three years.
- 18deficiencies, 3 cycles (TX median 25)
- 9in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $149,039fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Ivy Creek Wellness & Rehabilitation as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Ivy Creek Wellness & Rehabilitation may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (9 deficiencies)
Standard inspection Jul 23, 2025. CMS counts 9 health deficiencies and 0 fire safety deficiencies in this cycle.
Jul 1, 2026 · Complaint inspection
3 deficiencies, highest E
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 2, 2026
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 2, 2026
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 2, 2026
Feb 6, 2026 · Complaint inspection
1 deficiency, highest E
F602 · Protecting residents' money and belongings
Requirement cited (CMS): Protect each resident from the wrongful use of the resident's belongings or money.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 9, 2026
Jul 23, 2025 · Standard inspection
5 deficiencies, highest E
F926 · Smoking policies
Requirement cited (CMS): Have policies on smoking.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 15, 2025
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 15, 2025
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 15, 2025
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 15, 2025
F688 · Range of motion and mobility
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 15, 2025
Previous cycle: 5 deficiencies (standard inspection Jun 13, 2024)
Standard inspection Jun 13, 2024. CMS counts 5 health deficiencies and 25 fire safety deficiencies in this cycle.
Jun 13, 2024 · Standard inspection
5 deficiencies, highest E
F919 · Working call system
Requirement cited (CMS): Make sure that a working call system is available in each resident's bathroom and bathing area.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 5, 2024
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 3, 2024
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 3, 2024
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 3, 2024
F576 · Phone, mail, and internet access
Requirement cited (CMS): Ensure residents have reasonable access to and privacy in their use of communication methods.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 8, 2024
Earlier cycle: 4 deficiencies (standard inspection May 10, 2023)
Standard inspection May 10, 2023. CMS counts 4 health deficiencies and 2 fire safety deficiencies in this cycle.
Dec 29, 2023 · Complaint inspection
3 deficiencies, highest J
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Jan 17, 2024
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Jan 17, 2024
F610 · Investigating and responding to allegations
Requirement cited (CMS): Respond appropriately to all alleged violations.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Jan 17, 2024
May 10, 2023 · Standard inspection
1 deficiency, highest D
F645 · Pre-admission screening for mental disorder or intellectual disability
Requirement cited (CMS): PASARR screening for Mental disorders or Intellectual Disabilities
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 9, 2023
Tags cited in more than one inspection
3 tags cited on more than one inspection date at Ivy Creek Wellness & Rehabilitation; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F689 Accident prevention and supervision | 2 | Jul 1, 2026; Dec 29, 2023 |
| F812 Food safety and sanitation | 2 | Jul 23, 2025; Jun 13, 2024 |
| F880 Infection prevention and control program | 2 | Jul 23, 2025; Jun 13, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Apr 16, 2025 | Fine | $140,085 |
| Dec 29, 2023 | Fine | $8,954 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.21 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.37 h (about the same as the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.86 h
- Nursing staff turnover
- 64.7% (Texas median 52.1%)
- Administrators who left
- 2
- CMS overall rating
- 1 of 5
- Health inspection rating
- 2 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 3 of 5
CMS figures for Ivy Creek Wellness & Rehabilitation, copied as published; Texas medians are ours.
Facility details
- Address
- 2501 Maple Ave, Waco, TX 76707
- Phone
- (254) 752-0311
- County
- Mc Lennan
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Opco Skilled Management
- Certified beds
- 162
- Average residents per day
- 64.7
- In Medicare/Medicaid since
- May 18, 1983
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 2 times)
- When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 2 times)
- How do staff track and report infections among residents? (F880, cited 2 times)
- Where can residents make private phone calls, and is Wi-Fi available to them? (F576, cited 1 time)
Other nursing homes in Waco and the same chain
- Greenview Nursing and Rehabilitation
Waco · 53 deficiencies - Lakeshore Village Nursing and Rehabilitation
Waco · 52 deficiencies - Avir at Jeffrey Place
Waco · 33 deficiencies - The Chateau Waco
Waco · 31 deficiencies - Wesley Woods Health & Rehabilitation
Waco · 29 deficiencies - Woodland Springs Nursing Center
Waco · 29 deficiencies - Sunny Springs Nursing & Rehab
Sulphur Springs · 57 deficiencies - Forest Park Nursing & Rehabilitation
Dallas · 51 deficiencies - Broadway Nursing & Rehabilitation
San Antonio · 50 deficiencies - San Antonio Wellness & Rehabilitation
San Antonio · 49 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.