St. Catherine Center
Waco, Mc Lennan County, Texas · CCN 455983 · Non-profit (Corporation) · part of Ascension Living (12 facilities, chain average 2.8 stars)
CMS rates St. Catherine Center 5 of 5 overall as of August 2026. 165 certified beds, 144 residents a day on average. 12 citations on record from the current inspection cycles, 1 involving actual harm; 1 fine totalling $13,065.
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 | ★★★★★ 5 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★★★★★ 5 of 5 |
| Quality measures | ★★☆☆☆ 2 of 5 |
| Quality: long-stay / short-stay | 3 / 2 of 5 |
Staffing
| Total nurse staffing | 3.93892 hours per resident per day |
|---|---|
| Registered nurses | 0.62659 hours per resident per day |
| Weekend total | 3.61515 hours per resident per day |
| Nursing staff turnover | 28.2% (registered nurses 33.3%) |
| Administrators who left | 1 |
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.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-04-30 | 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 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2026-05-25 |
| 2026-04-30 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-05-25 |
| 2026-04-30 | 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 2026-05-25 |
| 2026-04-30 | 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. Resident Rights Deficiencies · tag F0584 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-25 |
| 2025-12-09 complaint survey |
Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-12-10 |
| 2025-02-26 | 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 2025-03-18 |
| 2025-02-26 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-18 |
| 2024-09-10 complaint survey |
Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · tag F0552 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-25 |
| 2024-01-25 complaint survey |
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 2024-02-16 |
| 2024-01-25 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · tag F0583 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-16 |
| 2024-01-25 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · tag F0644 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-16 |
| 2023-11-16 complaint survey |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · tag F0644 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-12-06 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2026-04-30 | Fine | $13,065 |
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.
| Name | Role | Share | Since |
|---|---|---|---|
| Ascension Health Senior Care Organization | 5% or greater direct ownership interest | 100% | 2014-07-01 |
| Ascension Health Senior Care Organization | adp of the snf | — | 2015-07-01 |
| Health Dimensions Consulting Inc. Organization | adp of the snf | — | 2019-08-02 |
| Medical Solutions LLC Organization | adp of the snf | — | 2017-06-14 |
| Breedlove, Ryan Individual | adp of the snf | — | 2024-01-01 |
| Lefco, Amy Individual | adp of the snf | — | 2025-02-17 |
| Musgrave, Lisa Individual | adp of the snf | — | 2024-01-01 |
| Pietsch, Darrell Individual | adp of the snf | — | 2017-08-01 |
| Shadbolt, Erin Individual | adp of the snf | — | 2024-01-01 |
| Smoot, Kenneth Individual | adp of the snf | — | 2024-01-01 |
| Breedlove, Ryan Individual | corporate director | — | 2024-01-01 |
| Musgrave, Lisa Individual | corporate director | — | 2024-01-01 |
| Smoot, Kenneth Individual | corporate director | — | 2024-01-01 |
| Shadbolt, Erin Individual | corporate officer | — | 2023-02-28 |
| Lefco, Amy Individual | operational/managerial control | — | 2025-02-17 |
| Pietsch, Darrell Individual | operational/managerial control | — | 2017-08-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for St. Catherine Center.
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.