Wesley Woods Health & Rehabilitation has received an F grade based on CMS data, with a score of 33/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Waco facility should carefully review its inspection history and quality metrics.
Staffing at Wesley Woods Health & Rehabilitation is near the national average, with 3.58 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 28 deficiencies at Wesley Woods Health & Rehabilitation, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: keep residents' personal and medical records private and confidential..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.58 | 3.8 | Average |
| Registered Nurses (RN) | 0.33 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.92 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.33 | 2.4 | Average |
| Weekend Total Nursing | 3.23 | 3.8 | Below Average |
| Weekend RN Hours | 0.42 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0583 Severity DKeep residents' personal and medical records private and confidential.Aug 14, 2025 · Resident Rights Deficiencies
- Tag 0809 Severity EEnsure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative mealsJun 23, 2025 · Nutrition and Dietary Deficiencies
- Tag 0550 Severity DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Jun 23, 2025 · Resident Rights Deficiencies
- Tag 0755 Severity EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.May 5, 2025 · Pharmacy Service Deficiencies
- Tag 0755 Severity KProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Apr 7, 2025 · Pharmacy Service 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 | 4.1% | 4.5% | Average |
| Falls with major injury | 2.4% | 3.0% | Better |
| On antipsychotic medication | 24.5% | 14.5% | Worse |
| Urinary tract infections | 0.2% | 2.5% | Better |
| ADL decline (daily activities) | 16.9% | 14.0% | Worse |
| Excessive weight loss | 8.7% | 7.5% | Worse |
| New/worsened incontinence | 21.1% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $17,550
How This Grade Was Calculated
This facility's grade of F is based on a score of 33 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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