Greenview Nursing and Rehabilitation: Call System Failure - TX
Not to use it. She couldn't use the toilet there. She walked to the bathroom to press the call button on the wall, because that was the only way to get anyone to come.
That is what inspectors found when they visited Greenview, a nursing and rehabilitation facility at 401 Owen Lane in Waco, on January 29, 2026, following a complaint.
The resident, identified in inspection records as Resident 2, told inspectors her call system had been broken for about six months. The bell the maintenance director gave her as a workaround was on the nightstand, but she couldn't reach it from her bed. So every time she needed help, she made the trip to the bathroom and pressed the wall button there, the one function she could still access. She told inspectors she was not able to use the toilet in that bathroom. She went there only to call for help.
The facility's own maintenance records tell a timeline that is difficult to explain away. A work order, listed without a date, describes the call light in the room as "malfunctioning, unscrewed and unplugged from wall" and was assigned medium priority. A second order, dated December 12, 2025, describes the situation having worsened: "call light completely broken out of wall, separated from wiring." Also medium priority. An invoice from the maintenance director dated November 18, 2025, shows a replacement part was ordered, a bedside patient station component.
The part was ordered in November. Inspectors arrived in late January. The call system was still broken.
The director of nursing told inspectors she knew about the problem. She said she wasn't sure exactly how long the system had been broken but confirmed the maintenance director was working on it. She acknowledged the bell was supposed to be placed within Resident 2's reach and said plainly: if she couldn't reach it, "it was a safety issue."
The administrator told inspectors he also knew. He put the outage at "a couple of months, maybe 2 months," which falls short of what Resident 2 described but still represents weeks of a broken emergency system in an occupied room. He said he expected staff to make frequent rounds and keep the bell within the resident's reach "as if it was the call light." He said any damage to the facility should be fixed immediately.
The maintenance director told inspectors he verbally notified nursing staff about the broken system and checked the TELS maintenance tracking system daily. He said he tried to address concerns within a day, or at most 72 hours, based on priority. The call light in Resident 2 and Resident 3's room had been logged as medium priority.
Resident 3 shared the room. She told inspectors she did have a bell and could use it. She also told inspectors she sometimes yells for help.
The inspection report does not document any injury to either resident. The level of harm was classified as minimal harm or potential for actual harm. But the classification doesn't change what the record shows: a woman who needed assistance had to leave her bed, walk to a bathroom she couldn't use, and press a wall button to get anyone to come to her. That was her system. That was what the facility left her with, for months, while a replacement part sat somewhere and work orders aged in a tracking system checked daily by the man responsible for fixing it.
Greenview's own policy, revised as recently as June 2025, states the facility will make reasonable accommodations to individualize each resident's physical environment and will assist residents in maintaining independent functioning, dignity, and well-being to the extent possible.
Resident 2 told inspectors her call system had been broken for about six months. The administrator told inspectors maybe two. The maintenance records show a part ordered in November and a work order from December describing a call light pulled completely out of the wall.
Nobody disputes the light was broken. Nobody disputes she couldn't reach the bell. The walk to the bathroom was not a solution. It was what she was left with.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Greenview Nursing and Rehabilitation from 2026-01-29 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 17, 2026 · Our methodology
Greenview Nursing and Rehabilitation in Waco, TX was cited for violations during a health inspection on January 29, 2026.
She couldn't use the toilet there.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.