• CMS rates this facility 1/5 stars (below average)
• Has 151 certified beds with an average of 120.6 residents per day (80% occupancy)
• Last health inspection found 10 deficiencies (inspected Feb 20, 2025)
• Has been fined a total of $135,984 across 3 fine(s)
• Total nursing staff: 3.39 hours per resident per day
• Staff turnover rate: 52.7% (high)
• Part of the Eduro Healthcare chain (37 facilities)
Lakeshore Village Nursing and Rehabilitation is a 1-star Medicare and Medicaid certified nursing home in Waco, Texas with 151 certified beds. It has been operating since 1994. The facility scored below average compared to Texas facilities.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Provide enough food/fluids to maintain a resident's health.
Reasonably accommodate the needs and preferences of each resident.
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure 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.
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Ensure 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.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure services provided by the nursing facility meet professional standards of quality.
Provide timely, quality laboratory services/tests to meet the needs of residents.
Provide or obtain dental services for each resident.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Provide and implement an infection prevention and control program.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Reasonably accommodate the needs and preferences of each resident.
Honor 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.
Honor 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.
+ 19 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| FANNIN COUNTY HOSPITAL AUTHORITY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | N/A | Apr 1, 2022 |
| SANDERSON, CLARK | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | N/A | Apr 1, 2022 |
| WACO NURSING AND REHAB CENTER LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Sep 1, 2022 |
| BEWSEY, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Sep 1, 2022 |
| SHEDDY, THERESA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Sep 1, 2016 |
| SHEDDY, THERESA | CORPORATE DIRECTOR | Individual | N/A | Sep 1, 2016 |
| SANDERSON, CLARK | CORPORATE OFFICER | Individual | N/A | Oct 29, 2012 |
This chain operates 37 facilities. View all →