Wesley Woods Health & Rehabilitation
1700 Woodgate Drive, Waco, TX 76712 · Mc Lennan County · 120 certified beds · avg 110 residents/day · certified since Feb 1, 2009
Part of chain: CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY (9 facilities, chain avg rating 2.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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 · Apr 8, 2025 · F-0755 · triggered by a complaint
The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Why it matters: Weak pharmacy services lead to medication mistakes, delays, and missed drug interactions that can seriously harm residents.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: May 16, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jun 13, 2024 · F-0600 · triggered by a complaint
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.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jun 14, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Aug 2, 2023 · F-0583
The facility did not keep residents' personal and medical information private and confidential.
Why it matters: Privacy breaches expose residents' sensitive health and personal details and erode their dignity and trust.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Aug 3, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (26)
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 |
|---|---|---|
| Mar 19, 2026 | 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. · from a complaint |
| Dec 31, 2025 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Dec 31, 2025 | 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. |
| Dec 31, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Dec 31, 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. |
| Aug 15, 2025 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. · from a complaint |
| Jun 24, 2025 | E · Potential for harm, repeated | The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times. · from a complaint |
| Jun 24, 2025 | 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. · from a complaint |
| May 6, 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. · from a complaint |
| Apr 8, 2025 | ▲ K · Immediate jeopardy, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Mar 28, 2025 | D · Potential for harm, one-off | 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 |
| Mar 19, 2025 | 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. · from a complaint |
| Mar 19, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Mar 19, 2025 | D · Potential for harm, one-off | 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. · from a complaint |
| Jun 13, 2024 | ▲ G · Actual harm, one-off | 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 |
| Jun 13, 2024 | D · Potential for harm, one-off | 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 |
| May 25, 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. · from a complaint |
| May 25, 2024 | 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. · from a complaint |
| Jan 22, 2024 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Aug 2, 2023 | ▲ G · Actual harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Aug 2, 2023 | F · Potential for harm, facility-wide | 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. |
| Aug 2, 2023 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Aug 2, 2023 | E · Potential for harm, repeated | 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. |
| Jun 23, 2022 | F · Potential for harm, facility-wide | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Jun 23, 2022 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Jun 23, 2022 | 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 3 | 0 | F |
| 2023 | 4 | 1 | G ▲ |
| 2024 | 5 | 1 | G ▲ |
| 2025 | 13 | 1 | K ▲ |
| 2026 | 1 | 0 | F |
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 $55,900, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Mar 19, 2025 | Fine | $55,900 |
| Mar 19, 2025 | Payment Denial | 8 days from May 8, 2025 |
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) | 3.90 | 3.46 | 3.95 | top 17% in Texas; top 44% in the U.S. |
| Registered Nurse hours | 0.27 | 0.44 | 0.69 | bottom 22% in Texas; bottom 7% in the U.S. |
| Weekend total nurse staffing | 3.62 | 3.04 | 3.50 | top 13% in Texas; top 37% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.48 | 0.34 | 0.48 | top 15% in Texas; top 35% in the U.S. |
| Total nursing staff turnover (%) | 56.3 | 55.3 | 45.8 | bottom 41% in Texas; bottom 22% in the U.S. |
| RN turnover (%) | 45.5 | 54.6 | 42.9 | top 39% in Texas; bottom 43% 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 3.51, RN 0.25, weekend 3.25. Staffing rating: 2/5.
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: 2/5 · long-stay residents: 2/5 · short-stay residents: 1/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Byrom, David | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/01/2018 |
| Byrom, David | Individual | Corporate Director | NOT APPLICABLE | 04/01/2017 |
| Cook, Catherine | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2018 |
| Cook, Jack | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2018 |
| Cook, Jack | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/2018 |
| Coryell County Memorial Hospital Authority | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/01/2018 |
| Coryell County Memorial Hospital Authority | Organization | ADP of the SNF | NOT APPLICABLE | 12/01/2018 |
| Flowers, Adam | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2023 |
| Flowers, Adam | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2023 |
| Thomasson, Debra | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2023 |
| Thomasson, Debra | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2023 |
| Woodgate Senior Care LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/01/2018 |
| Woodgate Senior Care LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/07/2025 |
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 does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What happens if a resident is hungry between meals or misses a mealtime — what food options are available?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "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 | Flags |
|---|---|---|---|---|---|
| Avir at Waco | 0.8 mi | Waco, TX | ★★★★☆ | 4/5 | |
| Woodway Rehabilitation and Healthcare Center | 1.6 mi | Waco, TX | ★★☆☆☆ | 2/5 | |
| Hewitt Nursing and Rehabilitation | 1.9 mi | Hewitt, TX | ★★★☆☆ | 2/5 | |
| St. Anthony's Care Center | 2.3 mi | Waco, TX | ★★★★☆ | 4/5 | |
| Greenview Nursing and Rehabilitation | 2.8 mi | Waco, TX | ★☆☆☆☆ | 1/5 | |
| Ridgecrest Retirement and Healthcare Community | 3.2 mi | Waco, TX | ★☆☆☆☆ | 2/5 | |
| The Chateau Waco | 3.6 mi | Waco, TX | ★☆☆☆☆ | 1/5 | |
| Avir at Jeffrey Place | 3.6 mi | Waco, TX | ★★★☆☆ | 3/5 | |
| St. Catherine Center | 3.9 mi | Waco, TX | ★★★★★ | 4/5 | |
| Ivy Creek Wellness & Rehabilitation | 6.0 mi | Waco, TX | ★☆☆☆☆ | 2/5 | |
| Lakeshore Village Nursing and Rehabilitation | 7.8 mi | Waco, TX | ★☆☆☆☆ | 1/5 | |
| Woodland Springs Nursing Center | 7.9 mi | Waco, TX | ★☆☆☆☆ | 1/5 | abuse |
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Facility data as of CMS processing date 2026-08-01. CCN 676211.