300 West Highway 6, Waco, TX 76712 (opens Google Maps) · Mc Lennan County · (254) 761-8500· 165 certified beds · avg 144 residents/day · certified since Jan 3, 1992 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: ASCENSION LIVING (12 facilities, chain avg rating 2.8★)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5 · how star ratings work →
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 quality measures from resident assessments and claims.
▲ Actual harm, isolated · Apr 30, 2026 · F-0580
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Why it matters: A family could learn about a serious injury or decline days later, after the chance to act has passed.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: May 25, 2026 (Deficient, Provider has date of correction)
Showing the latest 3 of 12 inspection findings. Open the full record below to read every finding.
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. F-0580
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. F-0550
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. F-0812
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 30, 2026 | ▲ G · Actual harm, isolated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · F-0580 |
| Apr 30, 2026 | E · Potential for more than minimal harm, pattern | 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. · F-0550 |
| Apr 30, 2026 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Apr 30, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Dec 9, 2025 | E · Potential for more than minimal harm, pattern | 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 · F-0695 |
| Feb 26, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Feb 26, 2025 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Sep 10, 2024 | D · Potential for more than minimal harm, isolated | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · from a complaint · F-0552 |
| Jan 25, 2024 | E · Potential for more than minimal harm, pattern | 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. · from a complaint · F-0880 |
| Jan 25, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' personal and medical information private and confidential. · F-0583 |
| Jan 25, 2024 | D · Potential for more than minimal harm, isolated | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · F-0644 |
| Nov 16, 2023 | D · Potential for more than minimal harm, isolated | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · from a complaint · F-0644 |
Citations from standard inspections increased between the last two inspection cycles (2 → 4).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | D |
| 2024 | 4 | 0 | E |
| 2025 | 3 | 0 | E |
| 2026 | 4 | 1 | G ▲ |
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.
How to file a complaint about care →
1 fine totaling $13,065.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Apr 30, 2026 | Fine | $13,065 |
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.60 | 3.46 | 3.95 | top 6% in Texas; top 21% in the U.S. |
| Registered Nurse hours | 0.73 | 0.44 | 0.69 | top 8% in Texas; top 33% in the U.S. |
| Weekend total nurse staffing | 4.22 | 3.04 | 3.50 | top 6% in Texas; top 17% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.42 | 0.34 | 0.48 | top 22% in Texas; top 44% in the U.S. |
| Total nursing staff turnover (%) | 28.2 | 55.3 | 45.8 | top 4% in Texas; top 11% in the U.S. |
| RN turnover (%) | 33.3 | 54.6 | 42.9 | top 20% in Texas; top 33% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 3.94, RN 0.63, weekend 3.62.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.94 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 2/5 · long-stay residents: 3/5 · short-stay residents: 2/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for St. Catherine Center. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ascension Health Senior Care | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/01/2014 |
| Ascension Health Senior Care | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2015 |
| Breedlove, Ryan | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Breedlove, Ryan | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Health Dimensions Consulting INC | Organization | ADP of the SNF | NOT APPLICABLE | 08/02/2019 |
| Lefco, Amy | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/17/2025 |
| Lefco, Amy | Individual | ADP of the SNF | NOT APPLICABLE | 02/17/2025 |
| Medical Solutions LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/14/2017 |
| Musgrave, Lisa | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Musgrave, Lisa | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Pietsch, Darrell | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2017 |
| Pietsch, Darrell | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2017 |
| Shadbolt, Erin | Individual | Corporate Officer | NOT APPLICABLE | 02/28/2023 |
| Shadbolt, Erin | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Smoot, Kenneth | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Smoot, Kenneth | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
All 16 owning or managing parties CMS has on file are shown — none excluded.
CMS lists this facility under the chain Ascension Living — 12 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking. Showing 8 of the 11 others, continuing from this facility's own place in that list.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Ridgecrest Retirement and Healthcare Community | 1.0 mi | Waco, TX | ★☆☆☆☆ | 2/5 | |
| Woodway Rehabilitation and Healthcare Center | 3.0 mi | Waco, TX | ★★☆☆☆ | 2/5 | |
| Greenview Nursing and Rehabilitation | 3.2 mi | Waco, TX | ★☆☆☆☆ | 1/5 | |
| Avir at Jeffrey Place | 3.5 mi | Waco, TX | ★★★☆☆ | 3/5 | |
| Wesley Woods Health & Rehabilitation | 3.9 mi | Waco, TX | ★★☆☆☆ | 2/5 | |
| Avir at Waco | 4.6 mi | Waco, TX | ★★★★☆ | 4/5 | |
| Ivy Creek Wellness & Rehabilitation | 4.8 mi | Waco, TX | ★☆☆☆☆ | 2/5 | |
| Lakeshore Village Nursing and Rehabilitation | 5.3 mi | Waco, TX | ★☆☆☆☆ | 1/5 | |
| The Chateau Waco | 5.4 mi | Waco, TX | ★☆☆☆☆ | 1/5 | |
| St. Anthony's Care Center | 5.7 mi | Waco, TX | ★★★★☆ | 4/5 | |
| Hewitt Nursing and Rehabilitation | 5.8 mi | Hewitt, TX | ★★★☆☆ | 2/5 | |
| Crestview Healthcare Residence | 5.8 mi | Waco, TX | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
CMS records place this facility in Mc Lennan, TX — 18 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 455983.
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