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Data / Nursing homes / Texas / Lakeshore Village Nursing and Rehabilitation

Lakeshore Village Nursing and Rehabilitation, Waco, TX: 1 star rating, fined $107,407 across 2 fines

Lakeshore Village Nursing and Rehabilitation in Waco, TX is owned by Fannin County Hospital Authority, is rated 1 of 5 stars by Medicare, and was fined $107,407 across 2 fines in the three years to October 1, 2026. CMS lists 53 health citations from inspections in that time, the latest survey on August 21, 2026, and 7 of them found actual harm or immediate jeopardy.

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Address
2320 Lake Shore Dr, Waco, TX 76708
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measure rating
4 of 5
Certified beds
151
Residents per day
120 on average
Ownership type
Government, Hospital district
Legal business name
Fannin County Hospital Authority
Chain
Eduro Healthcare, 34 facilities
Fines
$107,407 across 2 fines, three years to October 1, 2026
Payment denials
0
Health citations
53, of which 7 with actual harm or immediate jeopardy
Latest survey
August 21, 2026
CMS Certification Number
675438
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
May 10, 2025Fine$23,593Not listeddata.cms.gov
December 16, 2023Fine$83,814Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
August 21, 2026F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 24, 2026data.cms.gov
April 22, 2026F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 4, 2026data.cms.gov
April 22, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 4, 2026data.cms.gov
April 22, 2026F732Post nurse staffing information every day.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 4, 2026data.cms.gov
April 22, 2026F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 4, 2026data.cms.gov
March 3, 2026F562Provide immediate access to any resident.F: widespread, no actual harm, potential for more than minimal harmCorrectedMarch 4, 2026data.cms.gov
December 11, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 12, 2025data.cms.gov
May 10, 2025F692Provide enough food/fluids to maintain a resident's health.J: isolated, immediate jeopardyCorrectedMay 11, 2025data.cms.gov
May 10, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.J: isolated, immediate jeopardyCorrectedMay 11, 2025data.cms.gov
February 20, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedMarch 14, 2025data.cms.gov
February 20, 2025F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 14, 2025data.cms.gov
February 20, 2025F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.F: widespread, no actual harm, potential for more than minimal harmCorrectedMarch 14, 2025data.cms.gov
February 20, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 14, 2025data.cms.gov
February 20, 2025F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 14, 2025data.cms.gov
February 20, 2025F558Reasonably accommodate the needs and preferences of each resident.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 14, 2025data.cms.gov
February 20, 2025F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 14, 2025data.cms.gov
September 10, 2024F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 11, 2024data.cms.gov
August 21, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 5, 2024data.cms.gov
August 21, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 5, 2024data.cms.gov
June 29, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 30, 2024data.cms.gov
May 16, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 10, 2024data.cms.gov
December 16, 2023F880Provide and implement an infection prevention and control program.K: pattern, immediate jeopardyCorrectedJanuary 12, 2024data.cms.gov
December 16, 2023F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.L: widespread, immediate jeopardyCorrectedJanuary 12, 2024data.cms.gov
December 16, 2023F770Provide timely, quality laboratory services/tests to meet the needs of residents.K: pattern, immediate jeopardyCorrectedJanuary 12, 2024data.cms.gov
December 16, 2023F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.K: pattern, immediate jeopardyCorrectedJanuary 12, 2024data.cms.gov
December 16, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmCorrectedJanuary 12, 2024data.cms.gov
December 16, 2023F926Have policies on smoking.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 12, 2024data.cms.gov
December 16, 2023F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyF: widespread, no actual harm, potential for more than minimal harmCorrectedJanuary 12, 2024data.cms.gov
December 16, 2023F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 12, 2024data.cms.gov
December 16, 2023F838Conduct 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 12, 2024data.cms.gov
December 16, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedJanuary 12, 2024data.cms.gov
December 16, 2023F810Provide special eating equipment and utensils for residents who need them and appropriate assistance.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 12, 2024data.cms.gov
December 16, 2023F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 12, 2024data.cms.gov
December 16, 2023F791Provide or obtain dental services for each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 12, 2024data.cms.gov
December 16, 2023F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 12, 2024data.cms.gov
December 16, 2023F759Ensure medication error rates are not 5 percent or greater.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 12, 2024data.cms.gov
December 16, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 12, 2024data.cms.gov
December 16, 2023F699Provide care or services that was trauma informed and/or culturally competent.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 12, 2024data.cms.gov
December 16, 2023F695Provide safe and appropriate respiratory care for a resident when needed.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 12, 2024data.cms.gov
December 16, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 12, 2024data.cms.gov
December 16, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 12, 2024data.cms.gov
December 16, 2023F679Provide activities to meet all resident's needs.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 12, 2024data.cms.gov
December 16, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 12, 2024data.cms.gov
December 16, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 12, 2024data.cms.gov
December 16, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 12, 2024data.cms.gov
December 16, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 12, 2024data.cms.gov
December 16, 2023F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedE: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 12, 2024data.cms.gov
December 16, 2023F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 12, 2024data.cms.gov
December 16, 2023F585Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 12, 2024data.cms.gov
December 16, 2023F584Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 12, 2024data.cms.gov
December 16, 2023F578Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 12, 2024data.cms.gov
December 16, 2023F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 12, 2024data.cms.gov
December 16, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 12, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 6 individual or personal trusts (1 owners, 2 managers, 1 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Fannin County Hospital AuthorityDirect ownerNot listedApril 1, 2022data.cms.gov
LSSH Waco II, LLCOperational or managerial controlNot listedAugust 1, 2026data.cms.gov
LSSH Waco II, LLCAdditional disclosable partyNot listedAugust 31, 2026data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.