Above average — CMS composite of the measures below.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at St. Anthony's Care Center during CMS and state inspections, most recent first.
Kitchen Food Safety Deficiencies: Staff were observed handling dishes, food prep, and tray delivery without required beard guards despite facial hair, and multiple food items in refrigeration, freezer, and dry storage were found with missing or unclear labels and dates. Interviews with the DS, DM, DA F, DA G, DON, ADM, and RD confirmed the facility’s expectations for food dating and hair restraint use, and facility policies required hair restraints and labeling of stored food items.
A facility failed to respect resident dignity during room searches and mealtime care. Two residents reported that staff removed personal items such as razors, scissors, and nail clippers from their rooms without clearly telling them why, and records showed no safety assessments for their use of those items. In a separate event, a CNA was observed standing while feeding a severely cognitively impaired resident in the dining room, and the CNA acknowledged she knew she was supposed to sit beside him while providing feeding assistance.
Care Plan Missing for Razor Use and Possession: A resident with multiple chronic diagnoses, PASRR+ ID, and intact cognition had an electric razor stored in his bathroom, but the care plan did not address his razor use or possession. Staff gave mixed accounts about whether he was safe to shave himself, and the EMR showed no safety assessment to evaluate shaving ability. The resident said he wanted his disposable razors back and was upset they had been taken without explanation.
A CNA blew on each bite of food to cool it before feeding a resident who was severely cognitively impaired and dependent on staff for all ADLs, including eating. The resident had diagnoses including dementia, Alzheimer's disease, schizoaffective disorder, bipolar disorder, anxiety, HTN, and BPH, and was on a pureed diet with nectar consistency. The CNA said she had not received facility training before working on the floor and acknowledged she should not have blown on the resident's food. Facility leadership stated this was an infection control concern because germs could be spread to the resident.
A resident admitted for a respite stay developed pressure ulcers due to the facility's failure to monitor skin changes and conduct discharge skin assessments. The resident, with a history of Parkinson's and other conditions, was admitted without skin issues but discharged with significant redness and purple marks on the foot. The facility lacked procedures for skin assessments, and staff were unaware of the issue post-discharge.
A resident with Parkinson's disease did not receive five doses of Carbidopa-Levodopa-Entacapone due to an oversight in entering the medication order into the EMR during admission. This resulted in increased symptoms and discomfort, as confirmed by family and staff interviews. The DON acknowledged the error, emphasizing the need for complete order entry to ensure proper medication administration.
A facility failed to collect a urinalysis specimen for a resident with severe cognitive impairment and incontinence, despite physician orders. The LVN who received the order did not attempt to collect the specimen and passed the responsibility to the night shift, leading to a delay and eventual discontinuation of the order. Interviews revealed a lack of communication and documentation regarding the failure.
Kitchen Food Labeling and Hair Restraint Deficiencies
Penalty
Summary
The facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in one kitchen reviewed for sanitation. During observation of the kitchen, DA F and DA G were seen washing breakfast dishes in the dish room, with DA F unloading the dish machine and putting away clean dishes while not wearing a beard guard and having a mustache. DA G was loading dirty dishes into the dish machine with a face mask worn below the bottom lip and no beard guard observed, and DA G had a mustache and patchy facial hair on both cheeks. Additional observations in the kitchen identified multiple food items in refrigeration, freezer, and dry storage that were not clearly labeled and dated. In refrigerator #1, items included pudding, turkey breast, pimentos, fruit cocktail, turkey, sweet potatoes, chocolate pudding, unidentified liquids in insulated mugs, green bean casserole, juices, milk, tea, ranch dressing, ketchup, sour cream, and bananas, many of which were undated, unlabeled, or had dates that could not be determined as preparation, open, or discard dates. In the freezer, breaded steak patties, churros, diced chicken, and beef patties were observed with missing or unclear labeling and dating. Refrigerator #2 contained bell peppers, purple onion, and pureed tomato with dates that were unclear as to whether they represented preparation, open, or discard dates. The dry storage pantry also contained multiple open food items with incomplete dating information, including cream of wheat, chips, gelatin mix, country gravy mix, brown gravy mix, brown sugar, and dry spaghetti. During meal service, DA F was observed going in and out of the kitchen delivering meal trays and speed racks to nursing staff in the dining room without a beard guard throughout the meal service. Interviews with the DS, DM, DA G, DA F, DON, ADM, and RD confirmed that staff were expected to label and date food items upon receipt, opening, or preparation, and that staff with facial hair were required to wear beard guards while in the kitchen. Facility policies also reflected requirements for hair restraints and for labeling and dating food items in storage and refrigeration.
Failure to Respect Resident Dignity During Room Searches and Mealtime Assistance
Penalty
Summary
The facility failed to treat residents with dignity and respect when it conducted room searches and removed personal items without fully informing the residents why the searches were occurring or why the items were being taken. Resident #3, who had anxiety, depression, obsessive-compulsive personality disorder, mild intellectual disabilities, developmental disorder of scholastic skills, and a BIMS score of 15, stated that staff took his disposable razors without telling him why and that he wanted them back. An electric razor was observed in his bathroom, and later staff entered his room and removed it. Resident #3’s record showed no safety assessment dating back to 06/2025-03/2026 to evaluate his ability to safely shave himself. Resident #30, who had anxiety, a BIMS score of 15, intact decision-making ability, and care plan documentation indicating adequate vision, reported that scissors and fingernail clippers were taken from her room while she was sleeping. She stated that no one told her what was being taken or why, and she did not know who entered her room. Her record also showed no safety assessment dating back to 11/2025-03/2026 to evaluate her ability to safely use scissors. Staff interviews confirmed that room searches were being conducted for prohibited items, including scissors, nail clippers, razors, and other sharp or hazardous items, and that items were being confiscated from resident rooms. The facility also failed to honor Resident #94’s dignity during mealtime. Resident #94 had severe cognitive impairment, was dependent on staff for all ADLs including eating, and had orders for a regular diet with pureed texture and nectar consistency. During observation, CNA C was standing while feeding him in the dining room. CNA C stated she was feeding two residents at the same time and knew she was supposed to be sitting next to the resident while feeding him. She also stated that standing while feeding a resident could make the resident feel rushed. Facility leadership stated that standing while assisting a resident with feeding was a dignity issue.
Care Plan Missing for Razor Use and Possession
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan for Resident #3 that included measurable objectives and timeframes to meet his medical, nursing, mental, and psychosocial needs. The deficiency centered on the resident’s use and possession of an electric razor, which was stored in his room, without a corresponding care plan entry addressing that item. Resident #3 was admitted with diagnoses including cancer, heart failure, high blood pressure, renal failure, arthritis, anxiety, depression, obsessive-compulsive personality disorder, mild intellectual disabilities, and a developmental disorder of scholastic skills. His MDS reflected clear speech, the ability to make himself understood and understand others, adequate vision, substantial assistance with personal hygiene, and a BIMS score of 15 indicating intact cognition. The comprehensive care plan dated 07/23/2023 reflected that Resident #3 had adequate vision and could see fine details including regular print, and that he was PASRR positive for ID and confirmed by LIDDA evaluation. Review of the EMR showed no Safety Assessment dating back to 06/2025-03/2026 to evaluate his ability to safely shave himself. During observation on 03/24/2026, an electric razor was seen sitting on the countertop in his bathroom. During interview on 03/25/2026, Resident #3 stated he had an electric razor in his bathroom, that it did not work as well as the disposable razors he had, and that it left stubble on his face. He stated he wanted to know where his disposable razors were and why they were taken from him, and said he could shave himself and was upset that his property was taken away without explanation. Staff interviews reflected differing views about his shaving safety and the handling of razors. The MDSC stated she would not consider him safe to shave with a disposable razor due to his PASRR+ status, but said an electric razor may be more appropriate and should be added to his care plan. A CNA stated she had recently shaved him with a disposable razor and was aware he wanted disposable razors, but staff told him they kept the razors for his safety and provided the care. The ADM stated she would not think he was safe to shave himself because some days he had jerking motions with his hands, and said he could be assessed for safety and care planned for possession of the electric razor if determined safe. The facility policy stated razors, disposable or electric, must not be kept in resident rooms unless care-planned and secured, and the comprehensive care plan policy required measurable objectives and timeframes for resident needs.
Infection Control Failure During Assisted Feeding
Penalty
Summary
Provide and implement an infection prevention and control program was deficient when CNA C blew on each bite of food to cool it off before feeding it to Resident #94. Resident #94 was admitted with diagnoses including senile degeneration of the brain, schizoaffective disorder, Alzheimer's disease, unspecified dementia, bipolar disorder, anxiety disorder, hypertension, and benign prostatic hyperplasia. The quarterly MDS reflected the resident was severely cognitively impaired and dependent on staff for all ADLs, including eating. The resident's care plan identified risk for weight changes and malnutrition related to severe cognitive impairment and dependence on staff assistance with eating, with interventions for set-up, supervision, verbal cueing, and physical assistance as needed during meals. Physician orders reflected a regular diet with pureed texture and nectar consistency. During an observation, CNA C was seen blowing on each bite of food before presenting it to the resident to eat. In interview, CNA C stated she had received no training from the facility before working on the floor with residents and acknowledged she knew she should not have been blowing on the resident's food before feeding him. She stated it was her 'mom instinct' because the food was too hot and said it could potentially be an infection control concern if she was sick. Facility leadership stated agency staff were supposed to complete competency training before providing resident care, and the SC, DON, and ADM each stated that blowing on resident food would be an infection control concern because germs could be spread and cause infection.
Failure to Prevent Pressure Ulcers in Respite Resident
Penalty
Summary
The facility failed to provide adequate pressure ulcer care and prevention for a resident admitted for a respite stay. The resident, who had a history of Parkinson's Disease, arthritis, weight loss, cerebral infarction, and carotid artery stenosis, was admitted with no noted skin issues. However, during the resident's short stay from admission to discharge, the facility did not have a system in place to monitor for skin changes, resulting in the development of blanchable redness on the resident's right lateral foot and ankle. The facility's documentation indicated that repositioning tasks were signed off as completed, but there was no procedure for conducting a discharge skin assessment. Upon discharge, the resident's family noticed significant red and purple marks on the resident's right foot, which were not present prior to admission. The family reported that the resident was stiff, grimacing, and had a strong odor, which was unusual for him. The facility's Director of Nursing and Assistant Director were unaware of any skin issues post-discharge and acknowledged the lack of procedures for skin assessments for respite residents. Photographic evidence provided by the family showed bright red circles with purple centers on the resident's foot, indicating potential pressure injuries.
Failure to Administer Parkinson's Medication
Penalty
Summary
The facility failed to provide pharmaceutical services to meet the needs of a resident diagnosed with Parkinson's disease, resulting in the resident missing five doses of a critical medication, Carbidopa-Levodopa-Entacapone, over a three-day period. This oversight occurred because the Assistant Director of Nursing (ADON) did not input the medication order into the electronic medical record (EMR) during the resident's admission process. Consequently, the medication was not listed or administered as required, leading to increased symptoms and discomfort for the resident. Interviews with family members and staff revealed that the resident exhibited signs of pain, stiffness, and altered mental status, which were not typical for him. The family member noticed that the medication bottle had the same amount of medication as when it was initially provided to the facility, confirming that the doses were missed. The Director of Nursing (DON) acknowledged the error and stated that the expectation was for staff to input all admission orders completely to ensure residents receive their required medications. The Hospice Medical Director also confirmed that missing these doses would not be life-threatening but would cause significant discomfort and pain due to increased rigidity and motor dysfunction.
Failure to Collect Urinalysis Specimen
Penalty
Summary
The facility failed to ensure that a resident who is incontinent of bladder received appropriate treatment and services to prevent urinary tract infections. Specifically, the facility did not carry out physician orders for a urinalysis (UA) for a resident to diagnose a possible urinary tract infection (UTI). This failure was identified for one resident who had severe cognitive impairment and was always incontinent of bladder, as documented in their care plan and medical records. The deficiency occurred when a Licensed Vocational Nurse (LVN) received an order from hospice to collect a UA via in-and-out catheter but did not attempt to collect the specimen, instead passing the responsibility to the night shift nurses. The night shift nurses also did not collect the specimen, and there was no communication or documentation regarding the failure to collect the specimen. The Assistant Director of Nursing (ADON) and Director of Nursing (DON) confirmed that the nurse who received the order was responsible for ensuring it was carried out, and there was no policy stating that night shift nurses were solely responsible for collecting UAs. Interviews with facility staff, including the hospice nurse case manager and the hospice physician, revealed that the UA was not collected within the expected timeframe, leading to the discontinuation of the order. The hospice nurse case manager and physician emphasized the importance of timely specimen collection for diagnosing and treating UTIs. The facility did not have a specific policy on the collection of lab specimens, but an undated Order Path Flow Chart indicated the process for handling physician orders, which was not followed in this case.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Waco
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Hewitt Nursing And Rehabilitation | 1.2 mi | ★★★★★ | 2 | 0 |
| Avir At Waco | 1.7 mi | ★★★★★ | 7 | 0 |
| The Chateau Waco | 2.3 mi | ★★★★★ | 7 | 2 |
| Wesley Woods Health & Rehabilitation | 2.3 mi | ★★★★★ | 7 | 0 |
| Woodway Rehabilitation And Healthcare Center | 2.7 mi | ★★★★★ | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.