Lakeshore Village Nursing And Rehabilitation has received an F grade based on CMS data, with a score of 9/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Waco facility should carefully review its inspection history and quality metrics.
With 3.39 total nurse hours per resident per day, Lakeshore Village Nursing And Rehabilitation falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 48 deficiencies at Lakeshore Village Nursing And Rehabilitation, including 7 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.39 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.33 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.00 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.06 | 2.4 | Below Average |
| Weekend Total Nursing | 2.87 | 3.8 | Below Average |
| Weekend RN Hours | 0.24 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0689 Severity DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Dec 10, 2025 · Quality of Life and Care Deficiencies
- Tag 0580 Severity JImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.May 9, 2025 · Resident Rights Deficiencies
- Tag 0692 Severity JProvide enough food/fluids to maintain a resident's health.May 9, 2025 · Quality of Life and Care Deficiencies
- Tag 0803 Severity FEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the neeFeb 19, 2025 · Nutrition and Dietary Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Feb 19, 2025 · Nutrition and Dietary Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 5.3% | 4.5% | Worse |
| Falls with major injury | 1.9% | 3.0% | Better |
| On antipsychotic medication | 6.2% | 14.5% | Better |
| Urinary tract infections | 1.7% | 2.5% | Better |
| ADL decline (daily activities) | 13.4% | 14.0% | Average |
| Excessive weight loss | 4.2% | 7.5% | Better |
| New/worsened incontinence | 14.6% | 45.0% | Better |
⚠️ Penalties & Fines
3 penalties recorded by CMS
Total fines: $135,984
How This Grade Was Calculated
This facility's grade of F is based on a score of 9 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
Other Facilities in Texas
- FAvir at BeaumontBEAUMONT
- FAvir at New BraunfelsNew Braunfels
- A
- BKNOPP HEALTHCARE AND REHAB CENTER INCFREDERICKSBURG
- B