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 HHS 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 HHS licensing registry · as of April 16, 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 HHS 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.