For profit - Corporation · 120 certified beds · CMS number 676211

Wesley Woods Health & Rehabilitation, Waco, TX

CMS records 29 health deficiencies at Wesley Woods Health & Rehabilitation in Waco, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Dec 31, 2025. The highest severity cited is K (immediate jeopardy to resident health or safety). 1 citation was at the immediate jeopardy level. CMS lists 1 fine totaling $55,900 and 1 payment denial in the last three years.

Inspections and deficiencies

CMS findings for Wesley Woods Health & Rehabilitation as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Wesley Woods Health & Rehabilitation may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (5 deficiencies)

Standard inspection Dec 31, 2025. CMS counts 5 health deficiencies and 0 fire safety deficiencies in this cycle.

Mar 19, 2026 · Complaint inspection

1 deficiency, highest F

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
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Apr 9, 2026

Dec 31, 2025 · Standard inspection

4 deficiencies, highest E

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 2, 2026

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 Feb 2, 2026

F804 · Palatable, attractive food at safe temperatures

Requirement cited (CMS): Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Feb 2, 2026

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 Feb 2, 2026
Previous cycle: 15 deficiencies (standard inspection Oct 2, 2024)

Standard inspection Oct 2, 2024. CMS counts 15 health deficiencies and 1 fire safety deficiency in this cycle.

Aug 15, 2025 · Complaint inspection

1 deficiency, highest D

F583 · Personal privacy and confidential records

Requirement cited (CMS): Keep residents' personal and medical records private and confidential.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 17, 2025

Jun 24, 2025 · Complaint inspection

2 deficiencies, highest E

F809 · Meal times and snacks

Requirement cited (CMS): Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jul 11, 2025

F550 · Dignity and the right to exercise rights

Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 11, 2025

May 6, 2025 · Complaint inspection

1 deficiency, highest E

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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date May 10, 2025

Apr 8, 2025 · Complaint inspection

1 deficiency, highest K

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
K Immediate jeopardy to resident health or safety, pattern
Status
Correction date May 16, 2025

Mar 28, 2025 · Complaint inspection

1 deficiency, highest D

F552 · Being informed about health and treatment

Requirement cited (CMS): Ensure that residents are fully informed and understand their health status, care and treatments.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 14, 2025

Mar 19, 2025 · Complaint inspection

3 deficiencies, highest D

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
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 12, 2025

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 Apr 12, 2025

F550 · Dignity and the right to exercise rights

Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 12, 2025

Oct 2, 2024 · Standard inspection

6 deficiencies, highest F

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 7, 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
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Oct 7, 2024

F806 · Allergies, preferences, and meal substitutes

Requirement cited (CMS): Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Severity
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Oct 7, 2024

F804 · Palatable, attractive food at safe temperatures

Requirement cited (CMS): Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Severity
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Oct 7, 2024

F803 · Menus that meet nutritional needs

Requirement cited (CMS): 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.

Severity
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Oct 7, 2024

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 Oct 7, 2024
Earlier cycle: 9 deficiencies (standard inspection Aug 2, 2023)

Standard inspection Aug 2, 2023. CMS counts 9 health deficiencies and 7 fire safety deficiencies in this cycle.

Jun 13, 2024 · Complaint inspection

2 deficiencies, highest G

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 Jun 14, 2024

F600 · Freedom from abuse and neglect

Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Severity
G Actual harm (not immediate jeopardy), isolated
Status
Correction date Jun 14, 2024

May 25, 2024 · Complaint inspection

2 deficiencies, highest F

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
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Jun 12, 2024

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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jun 12, 2024

Jan 22, 2024 · Complaint inspection

1 deficiency, highest E

F842 · Complete, confidential medical records

Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Feb 6, 2024

Aug 2, 2023 · Standard inspection

4 deficiencies, highest G

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Aug 11, 2023

F695 · Respiratory and oxygen care

Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Aug 3, 2023

F677 · Help with daily care

Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Aug 3, 2023

F583 · Personal privacy and confidential records

Requirement cited (CMS): Keep residents' personal and medical records private and confidential.

Severity
G Actual harm (not immediate jeopardy), isolated
Status
Correction date Aug 3, 2023

Tags cited in more than one inspection

6 tags cited on more than one inspection date at Wesley Woods Health & Rehabilitation; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F812 Food safety and sanitation5Mar 19, 2026; Dec 31, 2025; Mar 19, 2025; Oct 2, 2024; May 25, 2024
F755 Pharmacy services and a consultant pharmacist4Dec 31, 2025; May 6, 2025; Apr 8, 2025; May 25, 2024
F880 Infection prevention and control program3Dec 31, 2025; Oct 2, 2024; Aug 2, 2023
F550 Dignity and the right to exercise rights2Jun 24, 2025; Mar 19, 2025
F583 Personal privacy and confidential records2Aug 15, 2025; Aug 2, 2023
F804 Palatable, attractive food at safe temperatures2Dec 31, 2025; Oct 2, 2024

Fines and payment denials

DateTypeAmount / length
Mar 19, 2025Fine$55,900
Mar 19, 2025Payment Denial8 days from May 8, 2025

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.51 h (above the Texas median of 3.27 h)
RN hours per resident per day
0.25 h (below the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
3.25 h
Nursing staff turnover
56.3% (Texas median 52.1%)
Administrators who left
0
CMS overall rating
2 of 5
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measure rating
2 of 5

CMS figures for Wesley Woods Health & Rehabilitation, copied as published; Texas medians are ours.

Facility details

Address
1700 Woodgate Drive, Waco, TX 76712
Phone
(254) 666-5454
County
Mc Lennan
Accepts
Medicare and Medicaid
Ownership
For profit - Corporation
Chain (CMS)
Coryell County Memorial Hospital Authority
Certified beds
120
Average residents per day
110.2
In Medicare/Medicaid since
Feb 1, 2009
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.

  • When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 5 times)
  • How are new medication orders filled, and how quickly can urgent medications arrive? (F755, cited 4 times)
  • How do staff track and report infections among residents? (F880, cited 3 times)
  • How do staff learn about and respect each resident's personal routines and choices? (F550, cited 2 times)

Other nursing homes in Waco and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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