Nursing Care Index

Ivy Creek Wellness & Rehabilitation

Waco, Mc Lennan County, Texas · CCN 455478 · For-profit (Corporation) · part of Opco Skilled Management (66 facilities, chain average 2.3 stars)

CMS rates Ivy Creek Wellness & Rehabilitation 1 of 5 overall as of August 2026. 162 certified beds, 65 residents a day on average. 18 citations on record from the current inspection cycles, 3 at immediate jeopardy; 2 fines totalling $149,039.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★☆☆☆☆ 1 of 5
Health inspections★★☆☆☆ 2 of 5
Staffing★☆☆☆☆ 1 of 5
Quality measures★★★☆☆ 3 of 5
Quality: long-stay / short-stay3 / — of 5

Staffing

Total nurse staffing3.20915 hours per resident per day
Registered nurses0.36544 hours per resident per day
Weekend total2.86281 hours per resident per day
Nursing staff turnover64.7% (registered nurses 85.7%)
Administrators who left2

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-07-01
complaint survey
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · tag F0580
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has no plan of correction
2026-07-01
complaint survey
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has no plan of correction
2026-07-01
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has no plan of correction
2026-02-06
complaint survey
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0602
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-02-09
2025-07-23 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-08-15
2025-07-23 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-08-15
2025-07-23 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.
Quality of Life and Care Deficiencies · tag F0688
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-08-15
2025-07-23 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-08-15
2025-07-23 Have policies on smoking.
Environmental Deficiencies · tag F0926
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-08-15
2024-06-13 Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies · tag F0576
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-07-08
2024-06-13 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-07-03
2024-06-13 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-07-03
2024-06-13 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-07-03
2024-06-13 Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · tag F0919
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-07-05
2023-12-29
complaint survey
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610
J Immediate jeopardy to resident health or safety; isolated Deficient, Provider has date of correction
2024-01-17
2023-12-29
complaint survey
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
J Immediate jeopardy to resident health or safety; isolated Deficient, Provider has date of correction
2024-01-17
2023-12-29
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
J Immediate jeopardy to resident health or safety; isolated Deficient, Provider has date of correction
2024-01-17
2023-05-10 PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · tag F0645
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-06-09

Fines and payment denials

DatePenaltyAmount
2025-04-16Fine$140,085
2023-12-29Fine$8,954

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Coryell County Memorial Hospital Authority
Organization
5% or greater direct ownership interest100%2024-01-02
2501 Maple Ave Tx LLC
Organization
adp of the snf2026-02-01
Esdov Investments LLC
Organization
adp of the snf2026-02-01
First Sweetzer Holdings LLC
Organization
adp of the snf2026-02-01
Linz Trust
Organization
adp of the snf2026-02-01
Pimento Property Holdings LLC
Organization
adp of the snf2026-02-01
Red Stone Advisors LLC
Organization
adp of the snf2026-02-01
Rojo Re Trust
Organization
adp of the snf2026-02-01
Ivy Creek Wellness & Rehabilitation LLC
Organization
operational/managerial control2026-02-01
Beasley, Carolyn
Individual
adp of the snf2024-01-15
Jian, Peter
Individual
adp of the snf2024-01-02
Byrom, David
Individual
corporate director2014-09-01
Davidovich, Niv
Individual
individual is an owner, partner or trustee of any adp of the snf2026-02-02
Hagins, Elizabeth
Individual
individual is an owner, partner or trustee of any adp of the snf2026-02-02
Kaplan, Esther
Individual
individual is an owner, partner or trustee of any adp of the snf2026-02-02
Mindle, Adam
Individual
individual is an owner, partner or trustee of any adp of the snf2026-02-02
Sternshein, Jennifer
Individual
individual is an owner, partner or trustee of any adp of the snf2026-02-02
Beasley, Carolyn
Individual
operational/managerial control2024-01-15
Garetz, David
Individual
operational/managerial control2026-02-01
Jian, Peter
Individual
operational/managerial control2024-01-02

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Mc Lennan County.