About Wesley Woods Health and Rehabilitation
Wesley Woods Health And Rehabilitation, located in Waco, TX, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Wesley Woods Health and Rehabilitation
Key Performance Indicators
- CMS Overall Rating 2 Stars
- Nursing Hours 3.72 hrs
- Safety Record Clean
Chain Affiliations & Network
This facility is part of the CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY network. This chain operates 9 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Mixed Staffing Levels
Wesley Woods Health and Rehabilitation provides more care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 2 |
|
| Health Inspection | 2 |
|
| Quality Measures | 2 |
|
| Staffing | 2 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 64 | Dec 31, 2025 |
| Weighted Average | 111 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 31.9% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 32.0% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 2.6% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 3.6% |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 14.8% |
| Percentage of long-stay residents who lose too much weight (QM404) | 7.5% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 0.5% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 0.0% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 0.5% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 3.4% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 100.0% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 97.9% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 1.4% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 19.6% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 25.1% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 92.6% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 80.5% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 4.4% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 19.7% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 24.0% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 3 complaints
- 2024: 5 complaints
- 2025: 9 complaints
- 2026: 1 complaint
- Total: 18 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Aug 17, 2025 | Keep residents' personal and medical records private and confidential. |
| Jul 11, 2025 | Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. |
| Jul 11, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| May 16, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| May 10, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Apr 14, 2025 | Ensure that residents are fully informed and understand their health status, care and treatments. |
| Apr 12, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| Apr 12, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Apr 12, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| Jun 14, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Jun 14, 2024 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Jun 12, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Jun 12, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| Feb 06, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Jun 28, 2023 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| May 20, 2023 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. |
| May 06, 2023 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Jun 21, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
Nearby Hospitals
ASCENSION PROVIDENCE
WACO, TX
GOODALL WITCHER HOSPITAL
CLIFTON, TX
OCEANS BEHAVIORAL HOSPITAL OF WACO
WACO, TX
FALLS COMMUNITY HOSPITAL AND CLINIC
MARLIN, TX
Owner & Operator Information
Business Entity
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
Ownership Structure
Management & Direction
- DAVID BYROM MANAGING CONTROL - GOVERNING BODY
- DAVID BYROM CORPORATE DIRECTOR
- CATHERINE COOK OPERATIONAL/MANAGERIAL CONTROL
- JACK COOK OPERATIONAL/MANAGERIAL CONTROL
- JACK COOK ADP OF THE SNF
- CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY OPERATIONAL/MANAGERIAL CONTROL
- CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY ADP OF THE SNF
- ADAM FLOWERS OPERATIONAL/MANAGERIAL CONTROL
- ADAM FLOWERS ADP OF THE SNF
- DEBRA THOMASSON OPERATIONAL/MANAGERIAL CONTROL
- DEBRA THOMASSON ADP OF THE SNF
- WOODGATE SENIOR CARE LLC OPERATIONAL/MANAGERIAL CONTROL
- WOODGATE SENIOR CARE LLC ADP OF THE SNF
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| The Atrium of Bellmead | N/A | 4 |
| St. Catherine Center | N/A | 5 |
| Golden Years Nursing and Rehabilitation Center | N/A | 5 |
| Avir at Waco | N/A | 3 |
| St. Anthony's Care Center | N/A | 4 |
| Sunset Home | N/A | 3 |
| Crestview Healthcare Residence | N/A | 2 |
| Ivy Creek Wellness and Rehabilitation | N/A | 3 |
| Woodway Rehabilitation and Healthcare Center | N/A | 2 |
| Wesley Woods Health and Rehabilitation | N/A | 2 |
Related Analysis
Best Nursing Homes in Waco, TX
Compare Wesley Woods Health and Rehabilitation to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Wesley Woods Health and Rehabilitation directly at 2546665454. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.