• CMS rates this facility 2/5 stars (below average)
• Has 162 certified beds with an average of 63 residents per day (39% occupancy)
• Last health inspection found 5 deficiencies (inspected Jul 23, 2025)
• Has been fined a total of $238,999 across 3 fine(s)
• Total nursing staff: 2.74 hours per resident per day
• Staff turnover rate: 63.5% (high)
• Part of the Gulf Coast Ltc Partners chain (19 facilities)
The Highlands Nursing and Rehabilitation is a 2-star Medicare and Medicaid certified nursing home in Waco, Texas with 162 certified beds. It has been operating since 1983. The facility scored below average compared to Texas facilities.
Provide 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.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
Have policies on smoking.
Ensure residents have reasonable access to and privacy in their use of communication methods.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
Make sure that a working call system is available in each resident's bathroom and bathing area.
Respond appropriately to all alleged violations.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
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.
Put firmly secured handrails on each side of hallways.
PASARR screening for Mental disorders or Intellectual Disabilities
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 |
|---|---|---|---|---|
| CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Jan 2, 2024 |
| WACO OPCO LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Jan 2, 2024 |
| BEASLEY, CAROLYN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 15, 2024 |
| JIAN, PETER | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 2, 2024 |
| MISTRETTA, CASSANDRA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 2, 2024 |
| PFEIFER, MARY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 2, 2024 |
| BYROM, DAVID | CORPORATE DIRECTOR | Individual | N/A | Sep 1, 2014 |
This chain operates 19 facilities. View all →