St Catherine Center
300 WEST HIGHWAY 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
- Non profit - Other · Chain: Ascension Living
- Certified beds
- 165 · avg 144 residents/day
- Total nursing staff turnover
- 27.1% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 35.3% — lower 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
State licensing & capacity
- License number
- 145900
- Service type
- Medicare/medicaid
- Licensed capacity
- 165 beds
- Bed type breakdown
- 22 Medicare-only · 143 Medicaid/Medicare
- Current license effective
- July 8, 2025
- Current license expires
- July 8, 2028
- Initial license date
- January 3, 1992
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Providence Park Inc (Nonprofit Organization)
- Administrator
- Amy Lefco Heaney
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Ascension Living chain — 19 facilities across 9 states. Chain-wide average overall rating 2.6 / 5.
Disclosed owners (9 on record)
- Amy k Lefco
Operational/managerial Control · since 2025
- Erin Shadbolt
Adp of The Snf · since 2024
- Kenneth Smoot
Corporate Director · since 2024
- Lisa Musgrave
Corporate Director · since 2024
- Ryan Breedlove
Corporate Director · since 2024
- Health Dimensions Consulting Inc
Adp of The Snf · since 2019
+ 3 additional owners on the federal record.
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 10)
- E0695·Dec 9, 2025Complaint
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- E0812·Feb 26, 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.
- D0641·Feb 26, 2025
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- D0552·Sep 10, 2024Complaint
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
- E0880·Jan 25, 2024Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0644·Jan 25, 2024
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D0583·Jan 25, 2024
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
- D0644·Nov 16, 2023Complaint
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Fire-safety citations
12 Life-Safety-Code citations on file. Most recent: Feb 26, 2025. 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
St. Catherine Center is a 165-bed nonprofit nursing home in Waco, Texas, licensed to Medicare and Medicaid and operated by Providence Park Inc under the Ascension Living chain. CMS rates it 5 stars overall and 5 stars on health inspections — the top tier on both measures. Staffing rates 4 stars; the quality-of-care measures for short-stay residents rate 2 stars. Occupancy runs at about 87% of licensed beds.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 4 stars — roughly the top 9% of Texas nursing homes on staffing. Each resident receives about 234 minutes of nursing care per day. The facility's resident mix includes people who need more hands-on care than a typical nursing home, yet staffing hours per resident still exceed what that mix would normally require — the hours aren't stretched thin.
About 3 in 10 nursing staff left in the past year. That sits below the Texas 25th-percentile cutoff, meaning turnover is lower than roughly three-quarters of nursing homes in the state.
One administrator has turned over in the past year. That is one departure, not a revolving door, but it is a change in day-to-day leadership.
The 2-star short-stay quality-of-care rating sits alongside a 4-star long-stay rating. Short-stay residents are typically people recovering from a hospital procedure; the gap between those two scores means outcomes for that population rate below peers, even as long-stay resident outcomes rate above the midpoint.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Short-stay outcomes below peers
CMS rates short-stay quality measures at 2 stars while long-stay measures rate 4 stars — ask which specific measures drive that gap and what the facility is doing about them.
Recent administrator change
One administrator left in the past year — ask who the current administrator is, how long they have been in the role, and whether the leadership team is otherwise stable.
Ascension Living chain oversight
St. Catherine Center is part of the Ascension Living chain — ask how corporate oversight works day-to-day and who families contact when the on-site administrator can't resolve a concern.
Family Council availability
The facility has a Resident Council but not a Family Council — ask how family members formally raise concerns or flag patterns they observe during visits.
Weekend staffing levels
Reported weekend nursing hours run about 19 minutes per resident below the weekday average — ask how staffing assignments and supervisor coverage differ on Saturdays and Sundays.
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.