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Complaint Investigation

Crestview Healthcare Residence

August 14, 2025 · Waco, TX · 1400 Lake Shore Dr
Citations 1
CMS Rating 4/5
Beds 192
Provider ID 675141
Healthcare Facility
Crestview Healthcare Residence
Waco, TX  ·  View full profile →
Inspection Summary

Crestview Healthcare Residence in Waco, TX — inspection on August 14, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0684
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

During an interview on 8/14/2025 at 5:08 PM with ADON revealed Resident #1 came from another town hospital and he scheduled his own MRI and set up his own transportation where he attended his appointment in the other town.

She stated he came back with no follow-up paperwork.

She stated she received a call from the surgical confirming his appointment on or about 3/30/2025.

She advised the surgical representative that there will not have anyone medically equipped on the van to handle Resident #1 after the procedure.

The next day they called from the same surgical center and stated he cannot get on the van after the procedure.

The ADON stated that was why the first appointment was cancelled.

She stated Resident #1 then received a referral from the doctor to a local urologist.

The ADON stated the appointment was scheduled but never questioned anything regarding preop instructions because she figured he did not need anything for the MRI.

Once he arrived at the appointment, he could not be seen because he had not been prepped.

The ADON stated they received the orders from the doctors' office, but the orders were not put into PCC so Resident #1 missed that appointment.

The ADON stated the orders was now placed into the system and Resident #1 appointment was scheduled and he has started his preop for the procedure that will take place on tomorrow.

The ADON stated the was not a life-threatening procedural appointment he missed.

During an interview on 8/14/2025 at 5:38 PM with DON revealed it was the ADON or the charge nurse job to make sure appointments and orders are placed in PCC but ultimately it was her responsibility.

The DON stated the first time, the surgical center in [NAME] did not communicate the instruction.

The second time, it was not entered into PCC.

When she learned about it, she scheduled it.

She stated the ADON went on vacation, and she did not see the instruction. It was revealed, the instructions were not placed in PCC.

She found the instructions and she went over them with Resident #1.

She advised him it was scheduled for 8/15/2025 and he was alright with that. A record review of the facility's Abuse Prohibition undated policy revealed, each resident has the right to be free from verbal, sexual, physical and mental abuse, mistreatment, neglect, involuntary seclusion and misappropriation of property.

Neglect: Failure to provide goods and services necessary to avoid physical harm, mental anguish or mental illness. It may include failure to assist in personal hygiene, or in provision of food, clothing, shelter; failure to provide medical care for physical and mental health needs or failure to protect from health and safety hazards.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Waco, TX, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Crestview Healthcare Residence or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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