Worth Considering
2
Facilities graded B or better with zero fines
Best Nursing Homes in Waco, Texas
2 of 13 nursing homes in Waco (15%) meet our strict criteria. The Texas statewide average is 29%.
2 recommended · 0 caution · 11 avoid · data
City Average
2.0
★
+0.00 vs state
Total Beds
1,742
across 13 facilities
High Risk Facilities
11
10 Grade F
$1,112,745 in combined fines
Zero Fines
2
/13
passed all inspections
Nurse Availability
0 min
RN time per resident daily
Below CMS recommendation
Why These 2?
The nursing home market in Waco, Texas, is adequate but concerning, with only 2 out of 13 facilities recommended. Families should be aware that 11 facilities have accumulated a total of $1,112,745 in fines, highlighting the need for careful selection.
Exceptional (Grade A, Trust Score 90+)
- 1 ST. CATHERINE CENTER (95) — St. Catherine Center shines with a 5★ CMS rating and an impressive Trust Score of 95/100. This non-profit facility focuses on community well-being, providing high-quality care in a supportive environment with zero fines and a solid A+ grade.
Qualified (Grade B, Trust Score 70-79)
- 2 ROYAL MANOR (75) — Royal Manor offers a commendable 4★ CMS rating and a Trust Score of 75/100, reflecting solid care standards. With zero federal fines, this for-profit facility maintains a welcoming atmosphere, making it a reliable choice for residents.
The other 11 Waco facilities didn't qualify — 11 carry Grade D or F ratings and 11 have fines totaling $1.1M.
Recommended
St. Catherine Center shines with a 5★ CMS rating and an impressive Trust Score of 95/100. This non-profit facility focuses on community well-being, providing high-quality care in a supportive environment with zero fines and a solid A+ grade.
Royal Manor offers a commendable 4★ CMS rating and a Trust Score of 75/100, reflecting solid care standards. With zero federal fines, this for-profit facility maintains a welcoming atmosphere, making it a reliable choice for residents.
Staffing Comparison
Staffing levels are the strongest predictor of care quality
| Metric | Top Facility | Waco Avg | CMS Minimum |
|---|---|---|---|
| RN Hours / Resident / Day | 0.00 | 0.00 | 0.75 |
| CMS Star Rating | 5 stars | 2.0 stars | — |
| Deficiencies / Inspection | 0 | 0.0 | — |
Facilities to Avoid
These facilities have significant quality concerns.
What Disqualified the Other 11?
Our criteria: Trust Grade B or better (score 70+) AND zero fines in 3 years
- Grade F facilities
- 10 Grade F — critical inspection failures
- Facilities with fines
- 11 Have fines totaling $1,112,745
- Low-scoring facilities
- 1 Scored below B — Trust Scores under 70
Questions Waco Families Should Ask
Based on what we found in local inspection data
-
1
"What is your current CMS star rating and Trust Score?"
Waco's city average is 2.0 stars
-
2
"Have you received any fines in the past 3 years?"
11 of 13 Waco facilities have fines
-
3
"How many RN hours per resident do you provide daily?"
CMS recommends 45 min; Waco avg is 0 min
-
4
"What were your most recent inspection findings?"
Waco facilities average 0.0 deficiencies per inspection
Explore Nearby Cities
Houston has strong options, but nearby cities add even more choices
Houston at a Glance
Good News
- 12 facilities meet our strict criteria—20% of the market
- 3 exceptional A-grade facilities with 5-star CMS ratings
- 24 facilities with zero fines in the past 3 years
Be Aware
- 30 facilities carry Grade F—nearly half the market
- $3.2M+ in total fines across 37 facilities
- Worst facility has $448,216 in fines alone
Key Numbers
- Average Trust Score: 48.6 (dragged down by 30 F-grades)
- 82% for-profit, 13% non-profit, 5% government
- 9.4 average deficiencies per facility
Frequently Asked Questions
How many nursing homes in Waco, TX are recommended?
2 of 13 nursing homes in Waco (15%) meet our strict criteria of excellent inspection results and a clean record with no fines.
What makes a nursing home in Waco "recommended"?
A facility earns our recommendation when it achieves a Trust Grade of B or better (score of 70+) AND has zero fines in the past three years. This combination indicates consistent quality care and regulatory compliance.
How should I evaluate nursing homes in Waco?
Look beyond star ratings. Check for recent fines, abuse citations, staffing levels (especially RN hours), and inspection deficiencies. Visit in person during different times of day to observe care quality firsthand.