The Highlands Nursing and Rehabilitation

2501 MAPLE AVE
WACO, TX, 76707
2547520311
CCN: 455478
2
Overall
2
Health
2
Staffing
4
Quality
ChainGULF COAST LTC PARTNERS
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY5% OR GREATER DIRECT OWNERSHIP INTEREST100%
BYROM, DAVIDCORPORATE DIRECTORNOT APPLICABLE
BEASLEY, CAROLYNOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MISTRETTA, CASSANDRAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
PFEIFER, MARYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
JIAN, PETEROPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
WACO OPCO LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Penalties (4)
DateTypeAmount
2025-04-16Fine$139K
2023-12-29Fine$9K
2023-04-29Fine$94K
2023-04-29Payment Denial6 days
Health Deficiencies (19)
2025-07-23 · Health
D
F926 · Environmental Deficiencies
Have policies on smoking.
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
F688 · Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
2024-06-13 · Health
D
F919 · Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
F576 · Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
2023-12-29 · Health
J
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
J
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
2023-05-10 · Health
D
F645 · Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
2023-04-29 · Health
J
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2023-03-10 · Health
D
F924 · Environmental Deficiencies
Put firmly secured handrails on each side of hallways.
D
F761 · Pharmacy Service Deficiencies
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.
D
F584 · Resident Rights Deficiencies
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.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
2.74
3.68
RN Hrs/Resident/Day
0.38
0.54
LPN Hrs/Resident/Day
0.53
0.81
CNA Hrs/Resident/Day
1.82
2.33
PT Hrs/Resident/Day
0.18
0.12
Data as of 2026-03-01