Nursing homes › Texas › Lakeshore Village Nursing and Rehabilitation
2320 Lake Shore Dr, Waco, TX 76708 · 2547521075 · 151 certified beds
Per CMS filings, this facility is affiliated with Eduro Healthcare, a group operating 35 facilities in 7 states. Group record: average rating 2.4/5, 5 abuse citation icons, 2 facilities on the Special Focus list, $2,770,280 in federal fines. This facility rates below its group average (2.4/5).
Total nurse staffing: 3.19 (Texas median: 3.27). RN hours: 0.36. Weekend total: 2.70. Nursing staff turnover: 52%.
All-time on record: 52 deficiency citations, including 6 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-22 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | Health | corrected 2026-05-04 |
| 2026-04-22 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2026-05-04 |
| 2026-04-22 | Provide and implement an infection prevention and control program. | E | Health | corrected 2026-05-04 |
| 2026-04-22 | Post nurse staffing information every day. | D | Health | corrected 2026-05-04 |
| 2026-03-03 | Provide immediate access to any resident. | F | complaint | corrected 2026-03-04 |
| 2025-12-11 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-12-12 |
| 2025-05-10 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | complaint | corrected 2025-05-11 |
| 2025-05-10 | Provide enough food/fluids to maintain a resident's health. | J | complaint | corrected 2025-05-11 |
| 2025-02-20 | Ensure 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 | Health | corrected 2025-03-14 |
| 2025-02-20 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | complaint | corrected 2025-03-14 |
| 2025-02-20 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | E | complaint | corrected 2025-03-14 |
| 2025-02-20 | Reasonably accommodate the needs and preferences of each resident. | E | Health | corrected 2025-03-14 |
| 2025-02-20 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Health | corrected 2025-03-14 |
| 2025-02-20 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Health | corrected 2025-03-14 |
| 2025-02-20 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2025-03-14 |
| 2024-09-10 | 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. | E | complaint | corrected 2024-09-11 |
| 2024-08-21 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | complaint | corrected 2024-09-05 |
| 2024-08-21 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-09-05 |
| 2024-06-29 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | complaint | corrected 2024-06-30 |
| 2024-05-16 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | complaint | corrected 2024-06-10 |
| 2023-12-16 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | L | complaint | corrected 2024-01-12 |
| 2023-12-16 | 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. | K | complaint | corrected 2024-01-12 |
| 2023-12-16 | Provide timely, quality laboratory services/tests to meet the needs of residents. | K | Health | corrected 2024-01-12 |
| 2023-12-16 | Provide and implement an infection prevention and control program. | K | Health | corrected 2024-01-12 |
| 2023-12-16 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | complaint | corrected 2024-01-12 |
| 2023-12-16 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | complaint | corrected 2024-01-12 |
| 2023-12-16 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Health | corrected 2024-01-12 |
| 2023-12-16 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Health | corrected 2024-01-12 |
| 2023-12-16 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2024-01-12 |
| 2023-12-16 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Health | corrected 2024-01-12 |
| 2023-12-16 | Provide activities to meet all resident's needs. | E | complaint | corrected 2024-01-12 |
| 2023-12-16 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | complaint | corrected 2024-01-12 |
| 2023-12-16 | Provide safe and appropriate respiratory care for a resident when needed. | E | complaint | corrected 2024-01-12 |
| 2023-12-16 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | complaint | corrected 2024-01-12 |
| 2023-12-16 | 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. | E | complaint | corrected 2024-01-12 |
| 2023-12-16 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2024-01-12 |
| 2023-12-16 | Have policies on smoking. | E | complaint | corrected 2024-01-12 |
| 2023-12-16 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2024-01-12 |
| 2023-12-16 | Reasonably accommodate the needs and preferences of each resident. | D | complaint | corrected 2024-01-12 |
| 2023-12-16 | 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. | D | complaint | corrected 2024-01-12 |
| Date | Type | Amount |
|---|---|---|
| 2025-05-10 | Fine | $23,593 |
| 2023-12-16 | Fine | $83,814 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| FANNIN COUNTY HOSPITAL AUTHORITY | 5% Or Greater Direct Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 04/01/2022 |
| SANDERSON, CLARK | 5% Or Greater Direct Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 04/01/2022 |
| SHEDDY, THERESA | Corporate Director | Individual | NOT APPLICABLE | since 09/01/2016 |
| SANDERSON, CLARK | Corporate Officer | Individual | NOT APPLICABLE | since 10/29/2012 |
| WACO NURSING AND REHAB CENTER LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 09/01/2022 |
| BEWSEY, MICHAEL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/01/2022 |
| SHEDDY, THERESA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/01/2016 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 675438. Corrections: data@carerecords.org.