Ridgecrest Retirement and Healthcare Community

Name: Ridgecrest Retirement and Healthcare Community
Address: 1900 W State Hwy 6, Waco, TX, 76712, US
Telephone: 2547769681

1900 W State Hwy 6, Waco, TX 76712 · Mc Lennan County · 90 certified beds · avg 74 residents/day · certified since Aug 26, 1986

2/5

Health inspection rating (on-site)

Serious findings on record

$14,267

Fines, last 3 years

0.00

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, repeated · Jun 15, 2025 · F-0684 · triggered by a complaint

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.

Corrected: Jun 16, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (27)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jun 15, 2025	▲ K · Immediate jeopardy, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Jun 15, 2025	E · Potential for harm, repeated	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Jun 15, 2025	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jun 15, 2025	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jun 15, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Jun 15, 2025	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jun 15, 2025	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Jun 15, 2025	D · Potential for harm, one-off	The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have.
Jun 15, 2025	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Jun 15, 2025	D · Potential for harm, one-off	The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them.
Jun 15, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jun 15, 2025	D · Potential for harm, one-off	The facility did not have policies on smoking.
Jun 15, 2025	C · Minimal risk, facility-wide	The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman.
Apr 30, 2025	E · Potential for harm, repeated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint
Dec 17, 2024	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint
Dec 17, 2024	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential. · from a complaint
Dec 17, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Dec 17, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint
Sep 11, 2024	E · Potential for harm, repeated	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
May 1, 2024	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
May 1, 2024	E · Potential for harm, repeated	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
May 1, 2024	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
May 1, 2024	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
May 1, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Oct 13, 2023	E · Potential for harm, repeated	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Mar 8, 2023	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 8, 2023	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (5 → 13).

Year	Citations	Serious (G–L)	Worst severity that year
2023	3	0	E
2024	10	0	F
2025	14	1	K ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $14,267.

Date	Type	Amount / length
Jun 15, 2025	Fine	$14,267

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	0.00	3.46	3.95	—
Registered Nurse hours	0.00	0.44	0.69	—
Weekend total nurse staffing	0.00	3.04	3.50	—
Weekend RN hours (not acuity-adjusted)	0.00	0.34	0.48	—
Total nursing staff turnover (%)	82.1	55.3	45.8	bottom 13% in Texas; bottom 2% in the U.S.
RN turnover (%)	89.5	54.6	42.9	bottom 10% in Texas; bottom 2% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 0.00, RN 0.00, weekend 0.00. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 2/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Eastland Memorial Hospital District	Organization	5% or Greater Direct Ownership Interest	100%	05/01/2021
Cohen, Bradford	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2021
Davidson, David	Individual	W-2 Managing Employee	NOT APPLICABLE	05/01/2021
DHC Opco-Waco, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	05/01/2021
Matthews, Ted	Individual	Corporate Officer	NOT APPLICABLE	05/01/2021

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How soon after admission is a full assessment completed, and how are the findings shared with the family?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
"How do you help residents maintain their daily living skills, and how do you measure whether it's working?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
St. Catherine Center	1.0 mi	Waco, TX	★★★★★	4/5
Woodway Rehabilitation and Healthcare Center	2.1 mi	Waco, TX	★★☆☆☆	2/5
Greenview Nursing and Rehabilitation	2.2 mi	Waco, TX	★☆☆☆☆	1/5
Avir at Jeffrey Place	2.5 mi	Waco, TX	★★★☆☆	3/5
Wesley Woods Health & Rehabilitation	3.2 mi	Waco, TX	★★☆☆☆	2/5
Avir at Waco	3.8 mi	Waco, TX	★★★★☆	4/5
Ivy Creek Wellness & Rehabilitation	4.2 mi	Waco, TX	★☆☆☆☆	2/5
The Chateau Waco	4.4 mi	Waco, TX	★☆☆☆☆	1/5
St. Anthony's Care Center	4.8 mi	Waco, TX	★★★★☆	4/5
Hewitt Nursing and Rehabilitation	5.0 mi	Hewitt, TX	★★★☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Waco →

Facility data as of CMS processing date 2026-08-01. CCN 455670.

The Care File

Visit checklist — Ridgecrest Retirement and Healthcare Community

1900 W State Hwy 6, Waco, TX 76712 · 2547769681

Health inspection rating 2/5 · CMS overall 1/5· Fines (3y): $14,267

Most serious findings on record:

▲ Jun 15, 2025 (F-0684, Immediate jeopardy, repeated): The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Questions for the administrator:

☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How soon after admission is a full assessment completed, and how are the findings shared with the family?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
☐ "How do you help residents maintain their daily living skills, and how do you measure whether it's working?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 455670 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)