Ridgecrest Retirement And Healthcare Community
1900 W. STATE HWY 6, Waco, TX, 76712
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: Dynasty Healthcare Group
- Certified beds
- 90 · avg 66 residents/day
- Total nursing staff turnover
- 70.3% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 85.7% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $21,565 total
State licensing & capacity
- License number
- 308204
- Service type
- Medicare/medicaid
- Licensed capacity
- 90 beds
- Bed type breakdown
- 34 Medicare-only · 56 Medicaid/Medicare
- Current license effective
- May 1, 2024
- Current license expires
- May 1, 2027
- Initial license date
- August 26, 1991
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Eastland Memorial Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Pmg Opco Waco, Llc
- Administrator
- Daniel Broadway
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Dynasty Healthcare Group chain — 5 facilities. Chain-wide average overall rating 2.4 / 5.
Disclosed owners (5 on record)
- Bradford l Cohen
Operational/managerial Control · since 2021
- David Davidson
W-2 Managing Employee · since 2021
- Dhc Opco-waco, Llc
Operational/managerial Control · since 2021
- Eastland Memorial Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2021
- Ted d Matthews
Corporate Officer · since 2021
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 27)
- K0684·Jun 15, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0609·Jun 15, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D0926·Jun 15, 2025
Environmental Deficiencies
Have policies on smoking.
- D0880·Jun 15, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0825·Jun 15, 2025
Quality of Life and Care Deficiencies
Provide or get specialized rehabilitative services as required for a resident.
- D0759·Jun 15, 2025
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
- E0755·Jun 15, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0676·Jun 15, 2025
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Federal penalties
By year
- 20251 fine · $22K
Most recent events
- Jun 15, 2025Fine · $22K
Fire-safety citations
7 Life-Safety-Code citations on file. 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
Ridgecrest Retirement And Healthcare Community is a 90-bed nursing home in Waco (McLennan County), licensed to Eastland Memorial Hospital District and managed by Pmg Opco Waco, LLC. CMS rates it 2 stars overall, driven by a 2-star health inspection score despite 4-star staffing and strong long-stay care outcomes. Nursing staff turnover reached 70% last year, and two administrators left in the past year. About 66 of 90 beds are occupied.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
Staffing rates 4 stars — roughly the top 9% of Texas nursing homes on staffing. Each resident receives about 235 minutes of nursing care per day, including 61 minutes with a registered nurse. The raw hours actually exceed what the resident mix typically requires, meaning staff hours per resident run above what a standard resident load would call for.
Despite the staffing numbers, nursing staff turnover ran 70% over the past year — roughly 7 in 10 nursing staff left. RN turnover was even higher, at roughly 9 in 10. The 75th-percentile cutoff for Texas nursing homes is 60%; this facility sits above that. A long-stay resident will likely cycle through multiple primary caregivers over the course of a year.
Two administrators left in the past 12 months. Leadership transitions at that pace affect how consistently care policies are applied and how staff concerns get addressed.
CMS recorded 1 fine totaling $21,565 — just above the Texas median of $20,699 for facilities that do receive fines. About 30% of Texas nursing homes had no fines in the same period.
The facility is operating at roughly 73% of its 90 licensed beds, with about 66 residents on a given day. This is lower than typical occupancy for nursing homes in this region.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Why the 2-star health inspection
CMS rates health inspections 2 stars here — ask what deficiencies drove that score and what changes were made in response.
Nursing staff turnover this year
70% of nursing staff left in the past year; ask which units were most affected and how long it currently takes to fill open positions.
Two administrators in one year
Two administrators left in the past 12 months — ask who the current administrator is, how long they have been in the role, and what prompted the prior departures.
Short-stay outcomes vs. long-stay
Long-stay quality rates 5 stars but short-stay rates 2 stars — ask what the facility specializes in and whether your family member's expected length of stay aligns with its stronger track record.
Current occupancy and waitlist status
The facility is running at about 73% capacity — ask whether that reflects voluntary limits, staffing constraints, or other factors.
Management company's day-to-day role
The license is held by a hospital district but day-to-day operations run through Pmg Opco Waco, LLC — ask which entity handles staffing decisions and responds to care complaints.
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.