Starfile / Texas

LAKESHORE VILLAGE NURSING AND REHABILITATION

2320 LAKE SHORE DR, WACO, TX 76708 · CCN 675438

Inspection history vs Texas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$135,984

Number of fines

3

Number of penalties

3

Payment denials

0

Chain

Chain

EDURO HEALTHCARE

Facilities in chain

36

Chain avg overall

2.40 / 5

Inspection citations (48)7 immediate jeopardy1 actual harm

1. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-12-11 · Health · corrected 2025-12-12

   Potential for more than minimal harm

2. JF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-05-10 · Health · corrected 2025-05-11

   Immediate jeopardy

3. JF0692Provide enough food/fluids to maintain a resident's health.2025-05-10 · Health · corrected 2025-05-11

   Immediate jeopardy

4. EF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2025-02-20 · Health · corrected 2025-03-14

   Potential for more than minimal harm

5. EF0558Reasonably accommodate the needs and preferences of each resident.2025-02-20 · Health · corrected 2025-03-14

   Potential for more than minimal harm

6. EF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2025-02-20 · Health · corrected 2025-03-14

   Potential for more than minimal harm

7. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-02-20 · Health · corrected 2025-03-14

   Potential for more than minimal harm

8. FF0803Ensure 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.2025-02-20 · Health · corrected 2025-03-14

   Potential for more than minimal harm

9. EF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2025-02-20 · Health · corrected 2025-03-14

   Potential for more than minimal harm

10. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-02-20 · Health · corrected 2025-03-14

    Potential for more than minimal harm

11. EF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2024-09-10 · Health · corrected 2024-09-11

    Potential for more than minimal harm

12. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-08-21 · Health · corrected 2024-09-05

    Potential for more than minimal harm

13. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-08-21 · Health · corrected 2024-09-05

    Potential for more than minimal harm

14. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-06-29 · Health · corrected 2024-06-30

    Potential for more than minimal harm

15. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-05-16 · Health · corrected 2024-06-10

    Potential for more than minimal harm

16. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-12-16 · Health · corrected 2024-01-12

    Potential for more than minimal harm

17. DF0558Reasonably accommodate the needs and preferences of each resident.2023-12-16 · Health · corrected 2024-01-12

    Potential for more than minimal harm

18. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2023-12-16 · Health · corrected 2024-01-12

    Potential for more than minimal harm

19. DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2023-12-16 · Health · corrected 2024-01-12

    Potential for more than minimal harm

20. DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2023-12-16 · Health · corrected 2024-01-12

    Potential for more than minimal harm

21. DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2023-12-16 · Health · corrected 2024-01-12

    Potential for more than minimal harm

22. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-12-16 · Health · corrected 2024-01-12

    Potential for more than minimal harm

23. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-12-16 · Health · corrected 2024-01-12

    Potential for more than minimal harm

24. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-12-16 · Health · corrected 2024-01-12

    Potential for more than minimal harm

25. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-12-16 · Health · corrected 2024-01-12

    Potential for more than minimal harm

26. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-12-16 · Health · corrected 2024-01-12

    Potential for more than minimal harm

27. EF0679Provide activities to meet all resident's needs.2023-12-16 · Health · corrected 2024-01-12

    Potential for more than minimal harm

28. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-12-16 · Health · corrected 2024-01-12

    Actual harm

29. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-12-16 · Health · corrected 2024-01-12

    Potential for more than minimal harm

30. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-12-16 · Health · corrected 2024-01-12

    Potential for more than minimal harm

31. EF0695Provide safe and appropriate respiratory care for a resident when needed.2023-12-16 · Health · corrected 2024-01-12

    Potential for more than minimal harm

32. DF0699Provide care or services that was trauma informed and/or culturally competent.2023-12-16 · Health · corrected 2024-01-12

    Potential for more than minimal harm

33. KF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-12-16 · Health · corrected 2024-01-12

    Immediate jeopardy

34. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-12-16 · Health · corrected 2024-01-12

    Potential for more than minimal harm

35. DF0759Ensure medication error rates are not 5 percent or greater.2023-12-16 · Health · corrected 2024-01-12

    Potential for more than minimal harm

36. EF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2023-12-16 · Health · corrected 2024-01-12

    Potential for more than minimal harm

37. KF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2023-12-16 · Health · corrected 2024-01-12

    Immediate jeopardy

38. DF0791Provide or obtain dental services for each resident.2023-12-16 · Health · corrected 2024-01-12

    Potential for more than minimal harm

39. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-12-16 · Health · corrected 2024-01-12

    Potential for more than minimal harm

40. DF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2023-12-16 · Health · corrected 2024-01-12

    Potential for more than minimal harm

41. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-12-16 · Health · corrected 2024-01-12

    Potential for more than minimal harm

42. LF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2023-12-16 · Health · corrected 2024-01-12

    Immediate jeopardy

43. DF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2023-12-16 · Health · corrected 2024-01-12

    Potential for more than minimal harm

44. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2023-12-16 · Health · corrected 2024-01-12

    Potential for more than minimal harm

45. FF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2023-12-16 · Health · corrected 2024-01-12

    Potential for more than minimal harm

46. KF0880Provide and implement an infection prevention and control program.2023-12-16 · Health · corrected 2024-01-12

    Immediate jeopardy

47. EF0926Have policies on smoking.2023-12-16 · Health · corrected 2024-01-12

    Potential for more than minimal harm

48. KF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-26 · Health · corrected 2023-06-27

    Immediate jeopardy

Ownership

Other facilities in WACO

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.