CareRecords.org

Nursing homesTexas › Lakeshore Village Nursing and Rehabilitation

Lakeshore Village Nursing and Rehabilitation

2320 Lake Shore Dr, Waco, TX 76708 · 2547521075 · 151 certified beds

Overall★☆☆☆☆ 1/5
Health inspections★☆☆☆☆ 1/5
Staffing★★☆☆☆ 2/5
Quality measures★★★★☆ 4/5

Ownership group

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).

See all 35 facilities in this group →

Staffing (hours per resident per day)

Total nurse staffing: 3.19 (Texas median: 3.27). RN hours: 0.36. Weekend total: 2.70. Nursing staff turnover: 52%.

Inspection deficiencies

All-time on record: 52 deficiency citations, including 6 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-04-22Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. EHealthcorrected 2026-05-04
2026-04-22Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. EHealthcorrected 2026-05-04
2026-04-22Provide and implement an infection prevention and control program. EHealthcorrected 2026-05-04
2026-04-22Post nurse staffing information every day. DHealthcorrected 2026-05-04
2026-03-03Provide immediate access to any resident. Fcomplaintcorrected 2026-03-04
2025-12-11Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Dcomplaintcorrected 2025-12-12
2025-05-10Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Jcomplaintcorrected 2025-05-11
2025-05-10Provide enough food/fluids to maintain a resident's health. Jcomplaintcorrected 2025-05-11
2025-02-20Ensure 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. FHealthcorrected 2025-03-14
2025-02-20Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Fcomplaintcorrected 2025-03-14
2025-02-20Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Ecomplaintcorrected 2025-03-14
2025-02-20Reasonably accommodate the needs and preferences of each resident. EHealthcorrected 2025-03-14
2025-02-20Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. EHealthcorrected 2025-03-14
2025-02-20Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. EHealthcorrected 2025-03-14
2025-02-20Provide care and assistance to perform activities of daily living for any resident who is unable. DHealthcorrected 2025-03-14
2024-09-10Ensure 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. Ecomplaintcorrected 2024-09-11
2024-08-21Develop and implement policies and procedures to prevent abuse, neglect, and theft. Dcomplaintcorrected 2024-09-05
2024-08-21Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Dcomplaintcorrected 2024-09-05
2024-06-29Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Ecomplaintcorrected 2024-06-30
2024-05-16Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Ecomplaintcorrected 2024-06-10
2023-12-16Administer the facility in a manner that enables it to use its resources effectively and efficiently. Lcomplaintcorrected 2024-01-12
2023-12-16Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Kcomplaintcorrected 2024-01-12
2023-12-16Provide timely, quality laboratory services/tests to meet the needs of residents. KHealthcorrected 2024-01-12
2023-12-16Provide and implement an infection prevention and control program. KHealthcorrected 2024-01-12
2023-12-16Provide appropriate pressure ulcer care and prevent new ulcers from developing. Gcomplaintcorrected 2024-01-12
2023-12-16Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Fcomplaintcorrected 2024-01-12
2023-12-16Have the Quality Assessment and Assurance group have the required members and meet at least quarterly FHealthcorrected 2024-01-12
2023-12-16Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted EHealthcorrected 2024-01-12
2023-12-16Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. EHealthcorrected 2024-01-12
2023-12-16Ensure services provided by the nursing facility meet professional standards of quality. EHealthcorrected 2024-01-12
2023-12-16Provide activities to meet all resident's needs. Ecomplaintcorrected 2024-01-12
2023-12-16Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Ecomplaintcorrected 2024-01-12
2023-12-16Provide safe and appropriate respiratory care for a resident when needed. Ecomplaintcorrected 2024-01-12
2023-12-16Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Ecomplaintcorrected 2024-01-12
2023-12-16Ensure 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. Ecomplaintcorrected 2024-01-12
2023-12-16Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. EHealthcorrected 2024-01-12
2023-12-16Have policies on smoking. Ecomplaintcorrected 2024-01-12
2023-12-16Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Dcomplaintcorrected 2024-01-12
2023-12-16Reasonably accommodate the needs and preferences of each resident. Dcomplaintcorrected 2024-01-12
2023-12-16Honor 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. Dcomplaintcorrected 2024-01-12

Federal penalties

DateTypeAmount
2025-05-10Fine$23,593
2023-12-16Fine$83,814

Ownership & control records (CMS filings)

NameRoleType%Since
FANNIN COUNTY HOSPITAL AUTHORITY5% Or Greater Direct Ownership InterestOrganizationNO PERCENTAGE PROVIDEDsince 04/01/2022
SANDERSON, CLARK5% Or Greater Direct Ownership InterestIndividualNO PERCENTAGE PROVIDEDsince 04/01/2022
SHEDDY, THERESACorporate DirectorIndividualNOT APPLICABLEsince 09/01/2016
SANDERSON, CLARKCorporate OfficerIndividualNOT APPLICABLEsince 10/29/2012
WACO NURSING AND REHAB CENTER LLCOperational/Managerial ControlOrganizationNOT APPLICABLEsince 09/01/2022
BEWSEY, MICHAELOperational/Managerial ControlIndividualNOT APPLICABLEsince 09/01/2022
SHEDDY, THERESAOperational/Managerial ControlIndividualNOT APPLICABLEsince 09/01/2016

Compare nearby (Mc Lennan County)

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 675438. Corrections: data@carerecords.org.