Lakeshore Village Nursing and Rehabilitation
2320 Lake Shore Dr, Waco, TX 76708 · (254) 752-1075
Government - Hospital district · 151 certified beds
Lakeshore Village Nursing and Rehabilitation has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in April 2026, found 4 citations (the Texas average is 9.4). It was fined 2 times in the last three years, $107,407 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 4 out of 5 stars · Above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 2 out of 5 stars · Below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on April 22, 2026 found 4 citations. What an inspection citation means
- Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.April 22, 2026 · F0644 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.April 22, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.April 22, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Post nurse staffing information every day.April 22, 2026 · F0732 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 32 citations.
- Provide immediate access to any resident.March 3, 2026 · F0562 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.December 11, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.May 10, 2025 · F0580 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.May 10, 2025 · F0692 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.February 20, 2025 · F0557 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.February 20, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.September 10, 2024 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop and implement policies and procedures to prevent abuse, neglect, and theft.August 21, 2024 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.August 21, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.June 29, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.May 16, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.December 16, 2023 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Reasonably accommodate the needs and preferences of each resident.December 16, 2023 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.December 16, 2023 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.December 16, 2023 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.December 16, 2023 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.December 16, 2023 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide activities to meet all resident's needs.December 16, 2023 · F0679 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.December 16, 2023 · F0686 · Level of harm: Actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.December 16, 2023 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.December 16, 2023 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe and appropriate respiratory care for a resident when needed.December 16, 2023 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide care or services that was trauma informed and/or culturally competent.December 16, 2023 · F0699 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.December 16, 2023 · F0726 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.December 16, 2023 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure medication error rates are not 5 percent or greater.December 16, 2023 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.December 16, 2023 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.December 16, 2023 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Administer the facility in a manner that enables it to use its resources effectively and efficiently.December 16, 2023 · F0835 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Many
- Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.December 16, 2023 · F0838 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.December 16, 2023 · F0849 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Have policies on smoking.December 16, 2023 · F0926 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Fines and payment denials
- Fine of $23,593May 10, 2025
- Fine of $83,814December 16, 2023
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Texas average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.19 | 3.39 | 3.86 |
| Registered nurses (RN) | 0.36 | 0.43 | 0.69 |
| Licensed practical nurses (LPN) | 0.98 | 0.95 | 0.86 |
| Nurse aides | 1.85 | 2.01 | 2.32 |
| Total nursing staff turnover | 52.1% | 55.3% | 45.8% |
About this home
| Ownership | Government - Hospital district |
| Certified beds | 151 |
| Average residents per day | 118.8 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- St. Catherine Center Waco · ★★★★★ 5 out of 5 stars
- Avir at Waco Waco · ★★★★★ 4 out of 5 stars
- Crestview Healthcare Residence Waco · ★★★★★ 4 out of 5 stars
- St. Anthony's Care Center Waco · ★★★★★ 4 out of 5 stars
- Avir at Jeffrey Place Waco · ★★★★★ 3 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Lakeshore Village Nursing and Rehabilitation on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.