PlainNursing
CMS Nursing Home Compare · August 2026

Ivy Creek Wellness & Rehabilitation

2501 Maple Ave, Waco, TX 76707 · All homes in Waco

Ivy Creek Wellness & Rehabilitation, a 162-bed for profit - corporation nursing facility in Waco, TX, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #1,014 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 2547520311

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1 / 5
Much below average · CMS overall · nat'l 3.0
#1,014 of 1,165
In-state rank among rated TX homes
3.21
Well below average · nurse hrs/day · nat'l 3.86
18
Inspection findings · 3 serious

The verdict

Ivy Creek Wellness & Rehabilitation, a 162-bed for profit - corporation nursing facility in Waco, TX, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #1,014 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.

1 / 5
CMS overall · national 3.0
#1,014 of 1,165
In-state rank among rated TX homes
3.21
Nurse hrs/resident-day · national 3.86
18
Inspection findings · 3 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 1,177 TX nursing homes split by ownership sector

This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

2/5

Staffing

1/5

Quality Measures

3/5

Long-Stay Quality

3/5

Facility Information

Provider Number
455478
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
162
Residents
65
In Hospital
No
County
Mc Lennan
Last Inspection
Jul 23, 2025

Staffing Data

How the 3.21 total nursing hours per resident-day are staffed:

RN Hours
0.37 (nat'l avg: 0.69)
LPN Hours
0.85
CNA Hours
1.99
Total Nursing Hours
3.21 (nat'l avg: 3.86)
PT Hours
0.00
Nursing Turnover
64.7%
RN Turnover
85.7%

What the CMS Record Reveals About Ivy Creek Wellness & Rehabilitation

According to CMS Nursing Home Compare, Ivy Creek Wellness & Rehabilitation ranks #1,014 of 1,165 rated nursing homes in TX on overall stars (tie-broken by health+staffing+quality, then fewer fines). Ivy Creek Wellness & Rehabilitation operates 162 certified beds in Waco, TX with approximately 65 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 2★ · staffing 1★ · quality 3★).

The inspection file contains 18 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $149K against this provider. Staffing is reported at 3.21 total nursing hours per resident day (national average 3.86), with RN coverage at 0.37 per resident day.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Ivy Creek Wellness & Rehabilitation falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 64.7% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (18 most recent)

D - Isolated - Minimal harm Jul 1, 2026 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

D - Isolated - Minimal harm Jul 1, 2026 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

E - Pattern - Minimal harm Jul 1, 2026 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

E - Pattern - Minimal harm Feb 6, 2026 Tag: 0602

Protect each resident from the wrongful use of the resident's belongings or money.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Feb 9, 2026

D - Isolated - Minimal harm Jul 23, 2025 Tag: 0926

Have policies on smoking.

Category: Environmental Deficiencies

Corrected: Aug 15, 2025

D - Isolated - Minimal harm Jul 23, 2025 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Aug 15, 2025

D - Isolated - Minimal harm Jul 23, 2025 Tag: 0688

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.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 15, 2025

E - Pattern - Minimal harm Jul 23, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 15, 2025

E - Pattern - Minimal harm Jul 23, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 15, 2025

D - Isolated - Minimal harm Jun 13, 2024 Tag: 0919

Make sure that a working call system is available in each resident's bathroom and bathing area.

Category: Environmental Deficiencies

Corrected: Jul 5, 2024

D - Isolated - Minimal harm Jun 13, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 3, 2024

E - Pattern - Minimal harm Jun 13, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jul 3, 2024

E - Pattern - Minimal harm Jun 13, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 3, 2024

E - Pattern - Minimal harm Jun 13, 2024 Tag: 0576

Ensure residents have reasonable access to and privacy in their use of communication methods.

Category: Resident Rights Deficiencies

Corrected: Jul 8, 2024

J - Isolated - Jeopardy Dec 29, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 17, 2024

J - Isolated - Jeopardy Dec 29, 2023 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 17, 2024

J - Isolated - Jeopardy Dec 29, 2023 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jan 17, 2024

D - Isolated - Minimal harm May 10, 2023 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 9, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 15.4% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.4% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.5% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 12.3% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 6.7% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 17.0% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 8.6% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 98.3% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 12.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 11.6% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 82.1% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 88.9% No

Penalty History 2 penalties totaling $149K

Date Type Amount
Apr 16, 2025 Fine $140K
Dec 29, 2023 Fine $9K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Ivy Creek Wellness & Rehabilitation, both outside TX so the neighborhoods are not the same-state geography list below.

What the CMS records show for Ivy Creek Wellness & Rehabilitation

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The TX registry aggregates state averages and the highest-rated homes in this cohort. View TX registry
  • Peer homes near 162 beds show how CMS stars vary at a similar scale in TX. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Ivy Creek Wellness & Rehabilitation?
Ivy Creek Wellness & Rehabilitation has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (2★), staffing levels (1★), and quality measures (3★).
Where does Ivy Creek Wellness & Rehabilitation rank among nursing homes in TX?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Ivy Creek Wellness & Rehabilitation ranks 1,014th among 1,165 rated nursing homes in TX (#1,014 of 1,165). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Ivy Creek Wellness & Rehabilitation?
Ivy Creek Wellness & Rehabilitation reports 3.21 total nursing hours per resident day (national average: 3.86). RN hours are 0.37 per resident day (national average: 0.69). Nursing staff turnover is 64.7%.
How many beds does Ivy Creek Wellness & Rehabilitation have?
Ivy Creek Wellness & Rehabilitation has 162 certified beds with approximately 65 residents. The facility is located at 2501 Maple Ave, Waco, TX 76707.
Does Ivy Creek Wellness & Rehabilitation have any deficiencies on record?
Yes, Ivy Creek Wellness & Rehabilitation has 18 deficiencies on record from recent inspections. Of these, 3 are classified as causing actual harm or jeopardy.
Has Ivy Creek Wellness & Rehabilitation received any fines or penalties?
Yes, Ivy Creek Wellness & Rehabilitation has received 2 penalties totaling $149K.
Who owns Ivy Creek Wellness & Rehabilitation?
Ivy Creek Wellness & Rehabilitation is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Ivy Creek Wellness & Rehabilitation last inspected?
The most recent health inspection for Ivy Creek Wellness & Rehabilitation was on Jul 23, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Ivy Creek Wellness & Rehabilitation?
Ivy Creek Wellness & Rehabilitation is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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