Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at St. Catherine Center during CMS and state inspections, most recent first.
A resident with significant physical and cognitive impairments did not receive prescribed APAP therapy for 15 days in a month, despite physician orders and care plan directives. Staff interviews and device data confirmed the therapy was not administered, and there was no documentation of refusals or reasons for missed treatments, contrary to facility policy.
The facility failed to maintain sanitary conditions in its main and satellite kitchens, with unsealed food packages, improper food storage, and unclean equipment observed. Dust accumulation on air vents above serving areas and staff not wearing required hairnets further contributed to the deficiencies. These issues were identified during observations and interviews, highlighting lapses in adherence to facility policies and procedures.
The facility failed to accurately assess two residents' MDS for PASRR, leading to incorrect coding. A resident with schizoaffective bipolar disorder and another with bipolar disorder were both marked incorrectly in their MDS assessments, despite positive PASRR screenings for mental illness. The MDS Coordinator misunderstood the relationship between active diagnoses and PASRR screening, resulting in these inaccuracies.
A facility failed to obtain written consent from a resident's representative before administering Seroquel, a psychotropic medication, despite the resident's severe cognitive impairment and potential for drug-related complications. The representative was not informed of the medication changes, and the facility's policy did not explicitly require consent, leading to a deficiency in ensuring residents were fully informed and involved in their care.
Failure to Provide Prescribed Respiratory Care and Document Therapy Refusals
Penalty
Summary
A deficiency occurred when a resident with a history of cerebral palsy, spastic quadriplegic cerebral palsy, muscle weakness, and dysphagia, who was dependent on staff for all activities of daily living, did not consistently receive prescribed respiratory care. The resident had a physician's order for an APAP (Automatic Positive Airway Pressure) machine to be applied at hour of sleep, as documented in the care plan and physician's orders. Despite this, internal device reports showed that the APAP machine was not used for 15 out of 29 days in October, with no documented refusals or explanations in the treatment records or progress notes for those days. Interviews with facility staff, including the unit supervisor, respiratory therapist, and DON, confirmed that the resident was supposed to use the APAP machine nightly and that nursing staff were responsible for applying the mask and turning on the device. Staff indicated that if the resident refused the therapy, it should have been documented, but there was no such documentation for the missed days. The responsible party for the resident was notified by the supply company about the lack of usage data and expressed concern, noting the resident's inability to apply the device independently due to limited mobility. The facility's policy required documentation of refusals and reasons for missed therapy, but this was not followed. The lack of APAP usage was confirmed by both internal device data and staff interviews, with no evidence that the resident refused the therapy or that staff made additional attempts to apply the device as required. The deficiency was identified through record review, interviews, and observation, demonstrating a failure to provide respiratory care and services consistent with professional standards of practice.
Sanitation and Food Safety Deficiencies in Facility Kitchens
Penalty
Summary
The facility failed to maintain sanitary conditions in its main kitchen and three satellite kitchens, leading to potential risks of foodborne illness for residents. Observations revealed that packages of cornmeal, sugar, breadcrumbs, salt, and parboiled rice in the dry pantry were not re-sealed, and food packages were stored on the floor in both the walk-in cooler and freezer. Additionally, the single door reach-in cooler and a small microwave in the main kitchen were found to be unclean, with food debris and dried food splatters present. Interviews with the acting Dietary Manager (DM) indicated that another employee was responsible for pantry, cooler, and freezer maintenance, but was off duty at the time of the inspection. Further observations highlighted cleanliness issues in the satellite kitchens on the second, third, and fourth floors, where dust was found on air vent grates directly above serving steam tables. The Maintenance Director admitted to being unaware of the dust accumulation and acknowledged that the vents should be cleaned monthly to prevent contamination. The facility's Sanitation and Infection Prevention/Control policy assigns the Maintenance Department the responsibility for cleaning equipment, but the oversight in cleaning the air vents was noted as a lapse in adherence to this policy. Additionally, staff members were observed not adhering to the facility's dress guidelines for food service management. DA A in the fourth-floor satellite kitchen was seen handling food without a hairnet over his beard, citing a lack of supplies. Similarly, DS C was observed in the main kitchen without a hairnet, acknowledging the oversight upon seeing the surveyor. The Director of Nursing (DON) confirmed that hairnets should be worn at all times in the kitchen areas, covering both head and facial hair, and noted that this requirement had been recently discussed with staff.
Inaccurate MDS Assessments for PASRR in Two Residents
Penalty
Summary
The facility failed to ensure accurate assessments for two residents, leading to deficiencies in the coding of their Minimum Data Set (MDS) assessments concerning the Preadmission Screening and Resident Review (PASRR). Resident #6, a female with schizoaffective bipolar disorder, anxiety, and major depressive disorder, was inaccurately coded in her MDS assessment. Despite her PASRR Level 1 screening indicating a positive result for mental illness, her MDS Section A1500 was marked as 'No' for serious mental illness, contradicting her active diagnoses and medication records. Similarly, Resident #87, a male with bipolar disorder, major depressive disorder, and anxiety disorder, was also inaccurately assessed. His PASRR Level 1 screening and evaluation confirmed a positive result for mental illness, yet his MDS Section A1500 was incorrectly coded as 'No' for serious mental illness. The MDS Coordinator admitted to misunderstanding the relationship between Section I Active Diagnoses and Section A PASRR screening, leading to these inaccuracies. This oversight could potentially risk residents not receiving appropriate care and services.
Failure to Obtain Consent for Psychotropic Medication
Penalty
Summary
The facility failed to ensure that residents were fully informed and understood their health status, care, and treatments, specifically regarding medication changes. This deficiency was identified through interviews and record reviews, revealing that the facility did not obtain written consent from a resident's representative before administering Seroquel, a psychotropic medication. The resident, who had severe cognitive impairment and was receiving antipsychotic, antidepressant, and hypnotic medications, had a care plan indicating a potential for drug-related complications. Despite this, the consent forms for the medication changes were not signed by the resident's representative. During interviews, the resident's representative stated they were not notified nor gave consent for the medication, expressing a desire to be involved in the resident's care. The Director of Nursing acknowledged the expectation for consent to be signed by the resident or their representative before administering psychotropic medications, noting that the facility's policy did not explicitly require consent but included it as an attachment. The facility's policy on psychotropic medications emphasized considering these medications only after addressing various causes of behavioral symptoms, yet the lack of signed consent indicated a failure to adhere to this policy.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Waco
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Woodland Springs Nursing Center | 1 mi | — | 3 | 1 |
| Ivy Creek Wellness & Rehabilitation | 1.3 mi | — | 1 | 0 |
| The Atrium Of Bellmead | 1.3 mi | — | 2 | 0 |
| Crestview Healthcare Residence | 2.9 mi | — | 0 | 0 |
| Lakeshore Village Nursing And Rehabilitation | 3.3 mi | — | 6 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.