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Wesley Woods Health & Rehabilitation

πŸ“ 1700 Woodgate Drive, Waco, TX 76712 πŸ“ž (254) 666-5454 πŸ›οΈ 120 beds

Inspection History Overview

Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

March 28, 2025 Complaint Investigation

Fines and Penalties by Year

2025 1 penalties totaling $40,700

$40,700
Mar 19, 2025

Fine

2022 3 penalties totaling $4,907

$3,250
Jun 23, 2022

Fine

$994
Feb 7, 2022

Fine

$663
Jan 31, 2022

Fine

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Health Violations by Year

2025 6 violations

Tag 0755 E May 6, 2025

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: May 10, 2025
Tag 0755 K Apr 8, 2025

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: May 16, 2025
Tag 0552 D Mar 28, 2025

Ensure that residents are fully informed and understand their health status, care and treatments.

βœ“ Corrected: Apr 14, 2025
Tag 0550 D Mar 19, 2025

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Apr 12, 2025
Tag 0689 D Mar 19, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Apr 12, 2025
Tag 0812 D Mar 19, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Apr 12, 2025

2024 5 violations

Tag 0600 G Jun 13, 2024

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Jun 14, 2024
Tag 0684 D Jun 13, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Jun 14, 2024
Tag 0755 E May 25, 2024

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Jun 12, 2024
Tag 0812 F May 25, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Jun 12, 2024
Tag 0842 E Jan 22, 2024

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Feb 6, 2024
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2023 7 violations

Tag 0583 G Aug 2, 2023

Keep residents' personal and medical records private and confidential.

βœ“ Corrected: Aug 3, 2023
Tag 0677 E Aug 2, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Aug 3, 2023
Tag 0695 E Aug 2, 2023

Provide safe and appropriate respiratory care for a resident when needed.

βœ“ Corrected: Aug 3, 2023
Tag 0880 F Aug 2, 2023

Provide and implement an infection prevention and control program.

βœ“ Corrected: Aug 11, 2023
Tag 0550 D Jun 26, 2023

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Jun 28, 2023
Tag 0600 J Jun 9, 2023

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Jun 9, 2023
Tag 0623 D May 19, 2023

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

βœ“ Corrected: May 20, 2023

2022 4 violations

Tag 0609 D Dec 6, 2022

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Dec 27, 2022
Tag 0583 D Jun 23, 2022

Keep residents' personal and medical records private and confidential.

βœ“ Corrected: Jun 24, 2022
Tag 0880 D Jun 23, 2022

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jun 24, 2022
Tag 0908 F Jun 23, 2022

Keep all essential equipment working safely.

βœ“ Corrected: Jul 8, 2022
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2021 5 violations

Tag 0757 D Sep 23, 2021

Ensure each resident’s drug regimen must be free from unnecessary drugs.

βœ“ Corrected: Oct 25, 2021
Tag 0761 D Sep 23, 2021

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.

βœ“ Corrected: Oct 25, 2021
Tag 0812 F Sep 23, 2021

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Oct 25, 2021
Tag 0880 E Sep 23, 2021

Provide and implement an infection prevention and control program.

βœ“ Corrected: Oct 25, 2021
Tag 0812 E Aug 19, 2021

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Sep 1, 2021

2020 1 violations

Tag 0609 D Jan 24, 2020

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Jan 25, 2020
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2019 5 violations

Tag 0656 B May 30, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Jun 19, 2019
Tag 0657 B May 30, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Jun 19, 2019
Tag 0759 E May 30, 2019

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Jun 19, 2019
Tag 0842 E May 30, 2019

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Jun 19, 2019
Tag 0656 E Jan 11, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Feb 1, 2019

2018 6 violations

Tag 0550 D Apr 18, 2018

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: May 9, 2018
Tag 0558 E Apr 18, 2018

Reasonably accommodate the needs and preferences of each resident.

βœ“ Corrected: May 9, 2018
Tag 0646 D Apr 18, 2018

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

βœ“ Corrected: May 9, 2018
Tag 0675 D Apr 18, 2018

Honor each resident's preferences, choices, values and beliefs.

βœ“ Corrected: May 9, 2018
Tag 0758 E Apr 18, 2018

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: May 9, 2018
Tag 0925 E Apr 18, 2018

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

βœ“ Corrected: May 9, 2018
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2017 7 violations

Tag 0223 G Apr 11, 2017

Protect each resident from all abuse, physical punishment, and involuntary separation from others.

βœ“ Corrected: May 8, 2017
Tag 0226 G Apr 11, 2017

Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

βœ“ Corrected: May 8, 2017
Tag 0282 G Apr 11, 2017

Provide care by qualified persons according to each resident's written plan of care.

βœ“ Corrected: May 8, 2017
Tag 0323 G Apr 11, 2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

βœ“ Corrected: May 8, 2017
Tag 0456 G Apr 11, 2017

Keep all essential equipment working safely.

βœ“ Corrected: May 8, 2017
Tag 0241 E Mar 8, 2017

Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

βœ“ Corrected: Mar 31, 2017
Tag 0323 E Mar 8, 2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

βœ“ Corrected: Mar 31, 2017
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