The Brazos Of Waco
2430 MARKET PLACE DR., Waco, TX, 76711
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: The Ensign Group
- Certified beds
- 123 · avg 64 residents/day
- Total nursing staff turnover
- 72.4% — 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 · $64,603 total
- Infection control citations
- 2
State licensing & capacity
- License number
- 312563
- Service type
- Medicare/medicaid
- Licensed capacity
- 123 beds
- Bed type breakdown
- 46 Medicare-only · 77 Medicaid/Medicare
- Current license effective
- June 1, 2025
- Current license expires
- June 1, 2028
- Initial license date
- November 2, 2016
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- South Limestone Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Market Place Healthcare Llc
- Administrator
- Kelvin Hazel
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the The Ensign Group chain — 329 facilities across 17 states. Chain-wide average overall rating 3.2 / 5.
Disclosed owners (8 on record)
- Kendrick Healthcare Llc
Adp of The Snf · since 2026
- Ensign Services Inc
Adp of The Snf · since 2026
- Heather Hicks
Operational/managerial Control · since 2026
- Lake Waco Health Holdings Llc
Adp of The Snf · since 2026
- Larry n Price
Corporate Officer · since 2025
- South Limestone Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2025
+ 2 additional owners on the federal record.
Recent change of ownership
June 2025 (11 months ago) · acquired from The Brazos of Waco
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, 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 33)
- D0842·Jan 23, 2026Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- J0760·Sep 26, 2025Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- J0689·Aug 28, 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.
- D0580·Aug 28, 2025Complaint
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D0627·Jul 30, 2025Complaint
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- D0644·Jul 1, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- K0684·Mar 20, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- K0580·Mar 20, 2025Complaint
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Federal penalties
By year
- 20252 fines · $50K
- 20241 fine · $14K
Most recent events
- Sep 26, 2025Fine · $25K
- Feb 27, 2025Fine · $25K
- Nov 24, 2024Fine · $14K
Largest single fine on record: $25K.
Fire-safety citations
3 Life-Safety-Code citations on file. Most recent: Dec 18, 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
The Brazos of Waco is a 123-bed nursing home in Waco, TX, licensed for Medicare and Medicaid and managed by Market Place Healthcare LLC under the Ensign Group chain. CMS rates it 1 star overall, with 1-star ratings for both health inspections and staffing. Three fines totaling $64,603 have been issued. The facility is operating at roughly 52% of licensed beds, and quality-of-care outcome measures rate 4 stars.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 1 star — the bottom tier, shared by about 38% of Texas nursing homes. Each resident receives roughly 174 minutes of nursing care per day, about 67 minutes less than at a 4-star-staffing facility in Texas. Residents here also need more hands-on care than at a typical facility — they are sicker or less mobile on average — so those 174 minutes stretch thinner than the number alone suggests.
About 7 in 10 nursing staff left in the past year. Texas's 75th-percentile cutoff for turnover is 60% — this facility's 72% rate sits above even that marker. A long-stay resident will likely cycle through two or three primary caregivers over the course of a year.
CMS has issued 3 fines totaling $64,603 since the facility's record period. The state median for fines among Texas facilities that receive any is roughly $20,699; this facility's total runs about three times that figure. About 30% of Texas nursing homes have received no fines at all.
The facility is operating at roughly 52% of its 123 licensed beds — 63 or 64 residents on an average day. This low occupancy, paired with the 1-star inspection and staffing ratings and high turnover, is a combination that warrants direct questions about operational stability.
Despite the ratings above, CMS scores quality-of-care outcome measures at 4 stars — both long-stay and short-stay. That means the measurable health outcomes for current residents rate above average even as staffing levels and inspection results do not.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on weekends
Weekend nursing hours here average 2.5 per resident per day — ask how staffing is scheduled on Saturdays and Sundays compared to weekdays.
Nursing staff turnover this year
About 7 in 10 nursing staff left in the past year; ask who has been on the floor continuously and how long the current charge nurses have been here.
What the three fines were for
Three CMS fines totaling $64,603 have been issued; ask what deficiencies triggered each fine and what was changed afterward.
Current bed occupancy
The facility runs at roughly 52% of its 123 licensed beds; ask whether that reflects a recent decline in admissions and what the staffing model assumes about resident count.
How 4-star outcomes are achieved
Quality-of-care outcome measures rate 4 stars despite 1-star staffing and inspection ratings; ask how care plans are monitored and who reviews resident health changes.
Administrator continuity going forward
One administrator change has occurred in the past year; ask how long the current administrator Kelvin Hazel has been in the role and whether that position is expected to remain stable.
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.