Ivy Creek Wellness & Rehabilitation
2501 MAPLE AVE, Waco, TX, 76707
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 - Corporation · Chain: Gulf Coast Ltc Partners
- Certified beds
- 162 · avg 63 residents/day
- Total nursing staff turnover
- 63.5% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 60% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $241,937 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 147924
- Service type
- Medicare/medicaid
- Licensed capacity
- 162 beds
- Bed type breakdown
- 63 Medicare-only · 99 Medicaid/Medicare
- Current license effective
- January 29, 2026
- Current license expires
- September 1, 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
- 2501 Maple Ave Management Llc
- Administrator
- Benjamin Johnson
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Gulf Coast Ltc Partners chain — 20 facilities. Chain-wide average overall rating 2.4 / 5.
Disclosed owners (7 on record)
- Waco Opco Llc
Adp of The Snf · since 2025
- Carolyn Beasley
Operational/managerial Control · since 2024
- Cassandra l Mistretta
Operational/managerial Control · since 2024
- Coryell County Memorial Hospital Authority
5% or Greater Direct Ownership Interest · 100% · since 2024
- Mary f Pfeifer
Operational/managerial Control · since 2024
- Peter Jian
Operational/managerial Control · since 2024
+ 1 additional owner on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 19)
- D0926·Jul 23, 2025
Environmental Deficiencies
Have policies on smoking.
- E0880·Jul 23, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Jul 23, 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.
- D0755·Jul 23, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0688·Jul 23, 2025
Quality of Life and Care Deficiencies
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.
- D0919·Jun 13, 2024
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
- E0880·Jun 13, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Jun 13, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Federal penalties
By year
- 20251 fine · $139K
- 20232 fines · $103K · 1 payment denial
Most recent events
- Apr 16, 2025Fine · $139K
- Dec 29, 2023Fine · $8,954
- Apr 29, 2023Payment denial · 6 days · starting Jun 3, 2023
- Apr 29, 2023Fine · $94K
Largest single fine on record: $139K.
Fire-safety citations
27 Life-Safety-Code citations on file, including 1 at severity J–L. Most recent: Jun 13, 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
Ivy Creek Wellness & Rehabilitation is a 162-bed nursing home in Waco, Texas, currently operating at roughly 39% of licensed capacity. CMS rates it 2 stars overall, with matching 2-star ratings for both health inspections and staffing. Three federal fines totaling $241,937 have been issued — nearly 12 times the Texas median fine amount. Quality-of-care outcome measures rate 4 stars, a contrast worth examining alongside the other ratings. The license is active through September 2026.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars. Each resident receives about 164 minutes of nursing care per day — roughly 77 minutes less than at a 4-star-staffing facility in Texas, which puts this facility among the bottom 32% of Texas nursing homes on staffing. Beyond the raw minutes, residents here require more hands-on care than at a typical facility — more dependent or medically complex on average — so the same hours stretch thinner than the number alone suggests.
About 6 in 10 nursing staff left in the past year. Texas's 75th-percentile turnover cutoff is 60% — this facility sits right at that boundary, meaning a long-stay resident will likely cycle through two or three primary caregivers over the course of a year. RN turnover runs at 60%, a figure that tracks the same pattern.
Three federal fines have been issued totaling $241,937. The Texas median fine total across fined facilities is $20,699 — this facility's total is nearly 12 times that figure. Roughly 30% of Texas nursing homes have received no fines at all.
The facility is operating at approximately 39% of its 162 licensed beds, with an average of 63 residents per day. That level of vacancy, alongside severe fines and high turnover, is a combination that warrants direct questions about current staffing coverage and any plans for census growth.
Quality-of-care outcome measures — tracking things like pressure wounds, falls, and pain management — rate 4 stars for long-stay residents. That sits alongside a 2-star health inspection rating and 2-star staffing rating, a pairing that is uncommon and worth exploring directly with staff.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Explaining the $241,937 in fines
Ask what the three federal fines were issued for, whether the cited deficiencies have been corrected, and what documentation exists showing the corrections.
Staffing coverage on nights and weekends
Reported weekend nursing hours run below the already low weekday figure — ask how many nurses and aides are on the floor during overnight and weekend shifts specifically.
Why so many beds are empty
With only 63 of 162 beds occupied, ask whether low census has affected staffing levels, and what the facility's plan is if occupancy changes significantly.
Staff continuity for a specific resident
Given that roughly 6 in 10 nursing staff left last year, ask how the facility assigns consistent caregivers to residents and how handoffs are managed when staff turn over.
How 4-star outcomes are achieved here
Quality-of-care outcomes rate 4 stars while inspections and staffing rate 2 — ask which specific measures drive that outcome score and how care plans are reviewed.
Current administrator tenure
One administrator departure was recorded in the past year — ask how long the current administrator has been in place and who oversees operations day to day.
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.