Lakeshore Village Nursing and Rehabilitation
2320 Lake Shore Dr · Waco, TX · 76708 · 2547521075
151 certified beds Government - Hospital district Chain: Eduro Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $23,593 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
7 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.36 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.39 | 0.55–0.75 |
| Weekend hours / resident-day | 2.87 | ≈ weekday level |
| Nursing turnover / year | 47% | median 45% |
| Fines (3-yr window) | 3 · $135,984 |
Inspection citations (53 in the current record)
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Potential for harm · E April 22, 2026
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected May 4, 2026 · Resident Assessment and Care Planning
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Potential for harm · D April 22, 2026
Post nurse staffing information every day.
Corrected May 4, 2026 · Nursing and Physician Services
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Potential for harm · E April 22, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 4, 2026 · Nutrition and Dietary
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Potential for harm · E April 22, 2026
Provide and implement an infection prevention and control program.
Corrected May 4, 2026 · Infection Control
-
Potential for harm · F March 3, 2026 · found via complaint
Provide immediate access to any resident.
Corrected March 4, 2026 · Resident Rights
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Potential for harm · D December 11, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 12, 2025 · Quality of Life and Care
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Immediate jeopardy · J May 10, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected May 11, 2025 · Resident Rights
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Immediate jeopardy · J May 10, 2025 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected May 11, 2025 · Quality of Life and Care
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Potential for harm · E February 20, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected March 14, 2025 · Resident Rights
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Potential for harm · E February 20, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected March 14, 2025 · Resident Rights
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Potential for harm · D February 20, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 14, 2025 · Quality of Life and Care
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Potential for harm · F February 20, 2025
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.
Corrected March 14, 2025 · Nutrition and Dietary
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Potential for harm · E February 20, 2025
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected March 14, 2025 · Nutrition and Dietary
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Potential for harm · E February 20, 2025 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected March 14, 2025 · Resident Rights
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Potential for harm · F February 20, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 14, 2025 · Nutrition and Dietary
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Potential for harm · E September 10, 2024 · found via complaint
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.
Corrected September 11, 2024 · Pharmacy Service
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Potential for harm · D August 21, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected September 5, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 21, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 5, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E June 29, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 30, 2024 · Nutrition and Dietary
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Potential for harm · E May 16, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 10, 2024 · Pharmacy Service
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Immediate jeopardy · K December 16, 2023
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected January 12, 2024 · Administration
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Immediate jeopardy · K December 16, 2023
Provide and implement an infection prevention and control program.
Corrected January 12, 2024 · Infection Control
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Immediate jeopardy · K December 16, 2023 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected January 12, 2024 · Nursing and Physician Services
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Immediate jeopardy · L December 16, 2023 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected January 12, 2024 · Administration
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Actual harm · G December 16, 2023 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 12, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 10, 2025 | Fine | $23,593 |
| December 16, 2023 | Fine | $83,814 |
| June 26, 2023 | Fine | $28,577 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675438 · certified since December 22, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.