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LAKESHORE VILLAGE NURSING AND REHABILITATION

2320 LAKE SHORE DR
WACO, TX 76708 · 2547521075 · Mc Lennan County

CMS Star Ratings

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Facility Facts

Certified beds151
OwnershipGovernment - Hospital district
State rank#896

By the numbers

52
Health citations (3 cycles)
6
Immediate-jeopardy (J/K/L)
1
Actual-harm (G/H/I)
$107,407
Federal fines (CMPs)
The trend: Citations are trending down — 6 in the most recent cycle versus 34 two cycles ago.

Recent Health Citations

Apr 22, 2026 · Health survey · F-tag 0732
D — No actual harm
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Apr 22, 2026 · Health survey · F-tag 0880
E — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Apr 22, 2026 · Health survey · F-tag 0812
E — No actual harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Apr 22, 2026 · Health survey · F-tag 0644
E — No actual harm
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Mar 3, 2026 · Health survey · F-tag 0562
F — No actual harm
Resident Rights Deficiencies
Provide immediate access to any resident.
Dec 11, 2025 · Health survey · F-tag 0689
D — No actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 10, 2025 · Health survey · F-tag 0692
J — Immediate jeopardy
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Details
Correction status: Corrected May 11, 2025 — Deficient, Provider has date of correction
Inspection cycle: 2
Survey origin: Complaint investigation
May 10, 2025 · Health survey · F-tag 0580
J — Immediate jeopardy
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Details
Correction status: Corrected May 11, 2025 — Deficient, Provider has date of correction
Inspection cycle: 2
Survey origin: Complaint investigation
Feb 20, 2025 · Health survey · F-tag 0677
D — No actual harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Feb 20, 2025 · Health survey · F-tag 0806
E — No actual harm
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Feb 20, 2025 · Health survey · F-tag 0561
E — No actual harm
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Feb 20, 2025 · Health survey · F-tag 0558
E — No actual harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Feb 20, 2025 · Health survey · F-tag 0557
E — No actual harm
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Feb 20, 2025 · Health survey · F-tag 0812
F — No actual harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Feb 20, 2025 · Health survey · F-tag 0803
F — No actual harm
Nutrition and Dietary Deficiencies
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.
Sep 10, 2024 · Health survey · F-tag 0761
E — No actual harm
Pharmacy Service Deficiencies
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.
Aug 21, 2024 · Health survey · F-tag 0609
D — No actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Aug 21, 2024 · Health survey · F-tag 0607
D — No actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Jun 29, 2024 · Health survey · F-tag 0812
E — No actual harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
May 16, 2024 · Health survey · F-tag 0755
E — No actual harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Showing the 20 most recent citations. View the full inspection record on CMS Care Compare →

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How to read this page. Star ratings and citation counts come from the Centers for Medicare & Medicaid Services (CMS) Care Compare August 2026 dataset, covering the three most recent inspection cycles. Scope/severity letters: D–F no actual harm, G–I actual harm, J–L immediate jeopardy to resident health or safety.

Source: CMS Care Compare, August 2026 dataset. Updated quarterly. Figures come from public CMS records; contact info@theskilledreport.com for corrections.