Nursing HomeInspections

Lakeshore Village Nursing and Rehabilitation

Nursing home in Waco, TX

Medicare & Medicaid certified1★ overall (CMS)

Call (254) 752-1075Send a messageMap ↗

Public-record details

Address
2320 Lake Shore Dr, Waco, TX 76708
Phone
(254) 752-1075
Listed under
Government-owned
Medicare CCN
675438
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measures rating
4 of 5
Certified beds
151
Average residents per day
119
Ownership
Government, hospital district
Legal business name
Fannin County Hospital Authority
Chain
Eduro Healthcare (34 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Dec 22, 1994
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 675438. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 22, 2026. CMS lists 52 health citations for this facility across its last three standard inspection cycles and complaint inspections (Dec 16, 2023 to Apr 22, 2026): 32 from complaint inspections, 7 at the “actual harm” level or higher, including 6 at “immediate jeopardy”.

InspectionCitationSeverity
Apr 22, 2026Post nurse staffing information every day.
Nursing and Physician Services
D
Potential for more than minimal harm, isolated
Apr 22, 2026Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning
E
Potential for more than minimal harm, pattern
Apr 22, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary
E
Potential for more than minimal harm, pattern
Apr 22, 2026Provide and implement an infection prevention and control program.
Infection Control
E
Potential for more than minimal harm, pattern
Mar 3, 2026Provide immediate access to any resident.
Resident Rights · complaint inspection
F
Potential for more than minimal harm, widespread
Dec 11, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
May 10, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection
J
Immediate jeopardy, isolated
May 10, 2025Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · complaint inspection
J
Immediate jeopardy, isolated
Feb 20, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Feb 20, 2025Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights · complaint inspection
E
Potential for more than minimal harm, pattern
Feb 20, 2025Reasonably accommodate the needs and preferences of each resident.
Resident Rights
E
Potential for more than minimal harm, pattern
Feb 20, 2025Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights
E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 52. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $107,407 in the last three years.

May 10, 2025Fine: $23,593
Dec 16, 2023Fine: $83,814

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.19 hours
Registered nurse (RN) time per resident per day
0.36 hours
Nurse aide time per resident per day
1.85 hours
Total nurse staffing on weekends
2.70 hours
Nursing staff turnover (yearly)
52%
RN turnover (yearly)
38%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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