The Highlands Nursing and Rehabilitation
2501 MAPLE AVE
WACO, TX, 76707
2547520311
CCN: 455478
2
Overall2
Health2
Staffing4
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| BYROM, DAVID | CORPORATE DIRECTOR | NOT APPLICABLE |
| BEASLEY, CAROLYN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MISTRETTA, CASSANDRA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| PFEIFER, MARY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| JIAN, PETER | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| WACO OPCO LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Penalties (4)
| Date | Type | Amount |
|---|---|---|
| 2025-04-16 | Fine | $139K |
| 2023-12-29 | Fine | $9K |
| 2023-04-29 | Fine | $94K |
| 2023-04-29 | Payment Denial | 6 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/Day3.68
2.74
RN Hrs/Resident/Day0.54
0.38
LPN Hrs/Resident/Day0.81
0.53
CNA Hrs/Resident/Day2.33
1.82
PT Hrs/Resident/Day0.12
0.18
Data as of 2026-03-01