The Brazos of Waco
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (13 vs median 8.0)
- High staff turnover (72%)
- High RN turnover (60%)
Bottom 25% in Texas · Critically understaffed (RN) · Very high staff turnover · Worst in THE ENSIGN GROUP chain · $64,603 in fines
What this means for your family
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are only 57% of the national benchmark, which can affect medication management and response times. The facility has 11 deficiencies, which is above the state average. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
15
measures
2
measures
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
The Brazos of Waco shows concerning patterns with 22 complaint-triggered deficiencies where families reported issues. Problems repeatedly occur in care planning, medication management, and safety hazards, with some issues recurring multiple times across surveys. While the facility corrects deficiencies when cited, the high volume of family complaints and recurring problems in core care areas suggest ongoing quality concerns that warrant careful consideration.
Jan 23, 2026Complaint1
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Sep 26, 2025Complaint1
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Aug 28, 2025Complaint2
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Jul 30, 2025Complaint1
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Jul 1, 2025Complaint1
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Mar 20, 2025Complaint2
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Federal Penalties
Fine
Sep 26, 2025
$16,149
Fine
Aug 28, 2025
$16,149
Fine
Feb 27, 2025
$25,325
Fine
Nov 24, 2024
$14,433
Ownership & Operations
Who Operates This Facility
South Limestone Hospital District
for profit
MARKET PLACE HEALTHCARE LLC
KELVIN HAZEL
Chain Affiliation
The Ensign Group
338 facilities nationwide
Chain avg rating: 2.9/5 · Rank 81 of 84 (Worst)
Ownership & Management
Owners
South Limestone Hospital District
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
Read reviews from families & visitors
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
Arbor House of Waco
< 1 miAssisted Living · Waco, TX
The Blake at Waco
< 1 miAssisted Living · Waco, TX
St Elizabeth Place
2.3 miAssisted Living · Waco, TX
Residency at Ridgewood
3.3 miAssisted Living · Waco, TX
Avir at Waco
3.4 miNursing Home · Waco, TX
Stoney Brook of Hewitt
3.4 miAssisted Living · Hewitt, TX