Woodland Springs Nursing Center
1010 DALLAS ST, Waco, TX, 76704
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 Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Charleston Healthcare Group
- Certified beds
- 132 · avg 88 residents/day
- Total nursing staff turnover
- 49.3% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 62.5% — 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)
- 4 fines · $79,787 total
- Payment denials
- 1 denial
- Infection control citations
- 3
State licensing & capacity
- License number
- 144441
- Service type
- Medicare/medicaid
- Licensed capacity
- 132 beds
- Bed type breakdown
- 14 Medicare-only · 118 Medicaid/Medicare
- Current license effective
- January 23, 2025
- Current license expires
- January 23, 2028
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- South Limestone Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Charleston Waco Operations Llc
- Administrator
- Michael Okoronkwo
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Charleston Healthcare Group chain — 5 facilities across 2 states. Chain-wide average overall rating 2.4 / 5.
Disclosed owners (20 on record)
- Charleston Waco Operations, Llc
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- Christina Lockhart
Corporate Director · since 2024
+ 14 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
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 28)
- E0760·Dec 30, 2025Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- E0755·Dec 30, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0602·Aug 29, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
- E0680·Jul 15, 2025Complaint
Quality of Life and Care Deficiencies
Ensure the activities program is directed by a qualified professional.
- D0609·Jul 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.
- D0645·Jun 25, 2025Complaint
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
- J0689·Jun 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.
- E0684·Jun 11, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Federal penalties
By year
- 20252 fines · $42K · 1 payment denial
- 20242 fines · $38K
Most recent events
- May 17, 2025Payment denial · 14 days · starting Jul 10, 2025
- May 17, 2025Fine · $30K
- Jan 15, 2025Fine · $12K
- Aug 31, 2024Fine · $29K
- Jan 16, 2024Fine · $8,824
Largest single fine on record: $30K.
Fire-safety citations
9 Life-Safety-Code citations on file. Most recent: Aug 31, 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
Woodland Springs Nursing Center is a 132-bed nursing home in Waco, Texas, operated by Charleston Healthcare Group under a hospital district license. CMS rates it 1 star overall — the lowest possible — with a 1-star health inspection rating and substantiated findings of resident abuse or neglect within the past 36 months. Four CMS fines totaling $79,787 have been issued; the facility is currently running at about 66% of licensed beds.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates Woodland Springs 1 star on staffing — a level shared by roughly 38% of Texas nursing homes. Each resident receives about 190 minutes of nursing care per day, approximately 51 minutes less than at a 4-star-staffing facility in Texas. Residents here require more hands-on care than at a typical facility — sicker, or less mobile on average — so those 190 minutes stretch thinner than the raw number suggests. RN coverage runs about 19 minutes per resident per day, against 37 minutes at a 4-star-staffing facility in Texas.
CMS has substantiated findings of resident abuse or neglect at this facility within the past 36 months. This is a formal CMS designation based on inspection findings, not an allegation.
Four CMS fines totaling $79,787 have been issued — nearly four times the Texas median of $20,699 per fined facility. About 30% of Texas nursing homes have received no fines at all.
One administrator has turned over in the past year — an elevated rate relative to peers. Leadership continuity affects how care protocols and staff accountability are managed day to day.
The facility is operating at roughly 66% of its licensed 132 beds, with about 87 or 88 residents on a typical day. Paired with the staffing, fine, and safety data above, the low occupancy reflects a facility under measurable pressure.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Substantiated abuse findings
CMS has recorded substantiated abuse or neglect findings here in the past 36 months — ask which incidents triggered that designation and what corrective steps were taken.
Staffing levels on weekends
Reported weekend nursing hours run about 2.8 hours per resident per day — lower than the already-low weekday figure — so ask how many nurses and aides are on the floor on a Saturday or Sunday.
RN presence each shift
Reported RN hours average about 19 minutes per resident per day; ask whether a registered nurse is physically present on every shift or available only on call.
Administrator tenure and role
One administrator has left in the past year — ask how long the current administrator, Michael Okoronkwo, has been in the role and who owns daily operational decisions.
Four CMS fines since last cycle
Four fines totaling $79,787 have been issued — ask what deficiencies each fine cited and whether the cited practices have been re-inspected since.
Family council availability
State records show a Resident Council but no Family Council — ask whether families have a formal, structured channel to raise concerns with administration.
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.