The Highlands Nursing and Rehabilitation
2501 MAPLE AVE, WACO, TX 76707 · CCN 455478
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 162
- Avg residents/day
- 63.0
- Phone
- 2547520311
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-07-23 | 5 | 9.1 | 9.5 | -4.1 better |
| 2 | 2024-06-13 | 5 | 9.4 | 9.8 | -4.4 better |
| 3 | 2023-05-10 | 9 | 8.1 | 9.3 | +0.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
| Environmental | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 2.74 | 63.5% |
| RN staffing (reported) | 0.38 | 60.0% |
| Total nurse staffing (adjusted) | 3.31 | — |
Fines & penalties
- Total fines
- $241,937
- Number of fines
- 3
- Number of penalties
- 4
- Payment denials
- 1
Chain
- Chain
- GULF COAST LTC PARTNERS
- Facilities in chain
- 20
- Chain avg overall
- 2.40 / 5
Inspection citations (19)5 immediate jeopardy
- DF0688Provide 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.2025-07-23 · Health · corrected 2025-08-15
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-07-23 · Health · corrected 2025-08-15
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-07-23 · Health · corrected 2025-08-15
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-07-23 · Health · corrected 2025-08-15
Potential for more than minimal harm
- DF0926Have policies on smoking.2025-07-23 · Health · corrected 2025-08-15
Potential for more than minimal harm
- EF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2024-06-13 · Health · corrected 2024-07-08
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-06-13 · Health · corrected 2024-07-03
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-06-13 · Health · corrected 2024-07-03
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-06-13 · Health · corrected 2024-07-03
Potential for more than minimal harm
- DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-06-13 · Health · corrected 2024-07-05
Potential for more than minimal harm
- JF0610Respond appropriately to all alleged violations.2023-12-29 · Health · corrected 2024-01-17
Immediate jeopardy
- JF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-12-29 · Health · corrected 2024-01-17
Immediate jeopardy
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-12-29 · Health · corrected 2024-01-17
Immediate jeopardy
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2023-05-10 · Health · corrected 2023-06-09
Potential for more than minimal harm
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-04-29 · Health · corrected 2023-06-01
Immediate jeopardy
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-04-29 · Health · corrected 2023-06-01
Immediate jeopardy
- 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.2023-03-10 · Health · corrected 2023-04-28
Potential for more than minimal harm
- DF0761Ensure 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.2023-03-10 · Health · corrected 2023-04-28
Potential for more than minimal harm
- DF0924Put firmly secured handrails on each side of hallways.2023-03-10 · Health · corrected 2023-03-11
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2024-01-02 |
| WACO OPCO LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-02 |
| BEASLEY, CAROLYN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-15 |
| JIAN, PETER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-02 |
| MISTRETTA, CASSANDRA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-02 |
| PFEIFER, MARY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-02 |
| BYROM, DAVID | Individual | CORPORATE DIRECTOR | — | 2014-09-01 |
Other facilities in WACO
| Name | Overall | Beds |
|---|---|---|
| ST. CATHERINE CENTER | ★★★★★ | 165 |
| Avir at Waco | ★★★★☆ | 120 |
| ST. ANTHONY'S CARE CENTER | ★★★★☆ | 120 |
| WOODWAY REHABILITATION AND HEALTHCARE CENTER | ★★☆☆☆ | 144 |
| LAKESHORE VILLAGE NURSING AND REHABILITATION | ★☆☆☆☆ | 151 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.