CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 4554782026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Ivy Creek Wellness & Rehabilitation

2501 Maple Ave · Waco, TX 76707 · Mc Lennan County

CMS OVERALL RATING★☆☆☆☆1/5CMS field—not our score or recommendation
Certified beds162CMS provider file
Recent citation rows45current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12025-07-2392025-07-230
Cycle 22024-06-1352024-06-1325
Cycle 32023-05-1042023-05-102
02 / CITATION DETAIL

45 rows in the current release

4 rows carry G–L scope/severity codes; 4 carry J–L. 5 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-07-01 · HEALTHF0580Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Correction field: Deficient, Provider has no plan of correction · complaint
2026-07-01 · HEALTHF0609Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Correction field: Deficient, Provider has no plan of correction · complaint
2026-07-01 · HEALTHF0689Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has no plan of correction · complaint
2026-02-06 · HEALTHF0602Severity E · pattern; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

Correction field: Deficient, Provider has date of correction · 2026-02-09 · complaint
2025-07-23 · HEALTHF0688Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Correction field: Deficient, Provider has date of correction · 2025-08-15
2025-07-23 · HEALTHF0755Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-08-15
2025-07-23 · HEALTHF0812Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-08-15
2025-07-23 · HEALTHF0880Severity E · pattern; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2025-08-15
2025-07-23 · HEALTHF0926Severity D · isolated; potential for more than minimal harm

Environmental Deficiencies

Have policies on smoking.

Correction field: Deficient, Provider has date of correction · 2025-08-15
2024-06-13 · FIREE0004Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

Correction field: Deficient, Provider has date of correction · 2025-05-14
2024-06-13 · FIREE0020Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Establish policies and procedures including evacuation.

Correction field: Deficient, Provider has date of correction · 2025-05-14
2024-06-13 · FIREE0039Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

Correction field: Deficient, Provider has date of correction · 2025-05-05
2024-06-13 · HEALTHF0576Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

Ensure residents have reasonable access to and privacy in their use of communication methods.

Correction field: Deficient, Provider has date of correction · 2024-07-08
2024-06-13 · HEALTHF0684Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-07-03
2024-06-13 · HEALTHF0812Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-07-03
2024-06-13 · HEALTHF0880Severity E · pattern; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2024-07-03
2024-06-13 · HEALTHF0919Severity D · isolated; potential for more than minimal harm

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

Correction field: Deficient, Provider has date of correction · 2024-07-05
2024-06-13 · FIREK0100Severity L · widespread immediate jeopardy

Construction Deficiencies

Meet other general requirements.

Correction field: Deficient, Provider has date of correction · 2025-06-12
2024-06-13 · FIREK0211Severity C · widespread; potential for minimal harm

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Correction field: Deficient, Provider has date of correction · 2025-04-17
2024-06-13 · FIREK0223Severity D · isolated; potential for more than minimal harm

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Correction field: Deficient, Provider has date of correction · 2025-05-31
2024-06-13 · FIREK0225Severity E · pattern; potential for more than minimal harm

Egress Deficiencies

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Correction field: Deficient, Provider has date of correction · 2025-05-31
2024-06-13 · FIREK0291Severity E · pattern; potential for more than minimal harm

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

Correction field: Deficient, Provider has date of correction · 2025-05-31
2024-06-13 · FIREK0293Severity D · isolated; potential for more than minimal harm

Egress Deficiencies

Have properly located and lighted "Exit" signs.

Correction field: Deficient, Provider has date of correction · 2025-05-31
2024-06-13 · FIREK0321Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Correction field: Deficient, Provider has date of correction · 2025-05-31
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
2025-04-16Fine$140,0850
2023-12-29Fine$8,9540
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITYOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    100% · since 01/02/2024
  • BYROM, DAVIDIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 09/01/2014
  • IVY CREEK WELLNESS & REHABILITATION LLCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 02/01/2026
  • BEASLEY, CAROLYNIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 01/15/2024
  • GARETZ, DAVIDIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 02/01/2026
  • JIAN, PETERIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 01/02/2024
  • DAVIDOVICH, NIVIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
    NOT APPLICABLE · since 02/02/2026
  • HAGINS, ELIZABETHIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
    NOT APPLICABLE · since 02/02/2026
  • KAPLAN, ESTHERIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
    NOT APPLICABLE · since 02/02/2026
  • MINDLE, ADAMIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
    NOT APPLICABLE · since 02/02/2026
  • STERNSHEIN, JENNIFERIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
    NOT APPLICABLE · since 02/02/2026
  • 2501 MAPLE AVE TX LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 02/01/2026
  • ESDOV INVESTMENTS LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 02/01/2026
  • FIRST SWEETZER HOLDINGS LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 02/01/2026
  • LINZ TRUSTOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 02/01/2026
  • PIMENTO PROPERTY HOLDINGS LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 02/01/2026
  • RED STONE ADVISORS LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 02/01/2026
  • ROJO RE TRUSTOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 02/01/2026

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours3.21per resident day
RN hours0.37per resident day
Weekend nurse hours2.86per resident day
Staff turnover64.7%CMS reported field
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.