Crestview Healthcare Residence
1400 LAKE SHORE DR, Waco, TX, 76708
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Coryell County Memorial Hospital Authority
- Certified beds
- 192 · avg 90 residents/day
- Total nursing staff turnover
- 50% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 20% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $265,796 total
State licensing & capacity
- License number
- 148274
- Service type
- Medicare/medicaid
- Licensed capacity
- 194 beds
- Bed type breakdown
- 2 licensed-only · 66 Medicare-only · 126 Medicaid/Medicare
- Current license effective
- December 31, 2023
- Current license expires
- December 31, 2026
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Coryell County Memorial Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Waco Healthcare Llc
- Administrator
- Seth Robins
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Coryell County Memorial Hospital Authority chain — 8 facilities. Chain-wide average overall rating 2.5 / 5.
Disclosed owners (2 on record)
- Coryell County Memorial Hospital Authority
Operational/managerial Control · since 2014
- David Byrom
Corporate Director · since 2014
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 25)
- D0684·Aug 14, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0550·Jul 24, 2025Complaint
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D0755·Jun 19, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0880·Jun 19, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Jun 19, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0600·Feb 26, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D0689·Feb 11, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E0880·May 1, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal penalties
By year
- 20241 fine · $57K
- 20231 fine · $209K
Most recent events
- Dec 6, 2024Fine · $57K
- May 24, 2023Fine · $209K
Largest single fine on record: $209K.
Fire-safety citations
31 Life-Safety-Code citations on file, including 1 at severity J–L. Most recent: May 1, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Crestview Healthcare Residence is a 194-bed nursing home in Waco, Texas, licensed since 1971 and currently managed by Waco Healthcare LLC under a hospital district authority. CMS rates it 3 stars overall. Two CMS fines totaling $265,796 stand out — more than 12 times the Texas median fine of $20,699. The facility is running at roughly 47% of its licensed beds. Short-stay care quality rates 1 star; long-stay quality rates 5 stars.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 3 stars. Each resident receives about 191 minutes of nursing care per day — roughly 50 minutes less than at a 4-star-staffing facility in Texas. RN coverage is particularly thin at 13 minutes per resident per day, compared to 37 minutes at the 4-star threshold in Texas.
RN turnover is exceptionally low: roughly 2 in 10 registered nurses left in the past year, below the state's 25th-percentile cutoff — better than about three-quarters of nursing homes in Texas. That stability is concentrated among RNs specifically.
Two CMS fines totaling $265,796 have been levied against this facility. The Texas median fine across penalized facilities is $20,699, and about 30% of Texas nursing homes have received no fines at all. These two fines average more than six times that state median each.
The facility is operating at roughly 47% of its 192 certified beds, with an average of about 90 residents on any given day against a licensed capacity of 194. Short-stay quality rates 1 star on CMS measures, while long-stay quality rates 5 stars — a wide divergence between those two resident populations.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
What drove the two fines
Two CMS fines totaling $265,796 were issued — ask what deficiencies triggered each fine and what changes were made in response.
Short-stay care outcomes
CMS rates short-stay quality measures at 1 star; ask which specific measures are lowest and how the facility is addressing them.
Why occupancy is near half
The facility holds roughly 90 residents in a 194-bed building; ask whether the low census reflects a recent change in operations, referral patterns, or something else.
Daily RN coverage on the floor
Reported RN hours work out to about 13 minutes per resident per day; ask how many RNs are on each shift and when a registered nurse is available overnight.
Management company's role
The license is held by a hospital district authority but day-to-day management runs through Waco Healthcare LLC; ask which entity makes staffing and care decisions.
Resident Council reach and frequency
A Resident Council exists but no Family Council; ask how often the council meets and how family members can raise concerns without one.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.