CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 4559832026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

St. Catherine Center

300 West Highway 6 · Waco, TX 76712 · Mc Lennan County

CMS OVERALL RATING★★★★★5/5CMS field—not our score or recommendation
Certified beds165CMS provider file
Recent citation rows24current CMS citation release
Penalty rows1current 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 12026-04-3052026-04-301
Cycle 22025-02-2632025-02-263
Cycle 32024-01-2542024-01-258
02 / CITATION DETAIL

24 rows in the current release

1 rows carry G–L scope/severity codes; 0 carry J–L. 3 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-04-30 · HEALTHF0550Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Correction field: Deficient, Provider has date of correction · 2026-05-25
2026-04-30 · HEALTHF0580Severity G · isolated actual 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 date of correction · 2026-05-25
2026-04-30 · HEALTHF0584Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Correction field: Deficient, Provider has date of correction · 2026-05-25
2026-04-30 · 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 · 2026-05-25
2026-04-30 · FIREK0511Severity D · isolated; potential for more than minimal harm

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Correction field: Deficient, Provider has date of correction · 2026-06-06
2025-12-09 · HEALTHF0695Severity E · pattern; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Correction field: Deficient, Provider has date of correction · 2025-12-10 · complaint
2025-02-26 · HEALTHF0641Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Correction field: Deficient, Provider has date of correction · 2025-03-18
2025-02-26 · 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 · 2025-03-18
2025-02-26 · FIREK0321Severity D · isolated; 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 · 2025-03-18
2025-02-26 · FIREK0345Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Correction field: Deficient, Provider has date of correction · 2025-03-18
2025-02-26 · FIREK0353Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2025-03-18
2024-09-10 · HEALTHF0552Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

Correction field: Deficient, Provider has date of correction · 2024-09-25 · complaint
2024-01-25 · 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 · 2024-01-25
2024-01-25 · HEALTHF0583Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

Correction field: Deficient, Provider has date of correction · 2024-02-16
2024-01-25 · HEALTHF0644Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Correction field: Deficient, Provider has date of correction · 2024-02-16
2024-01-25 · 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 · 2024-02-16 · complaint
2024-01-25 · FIREK0132Severity D · isolated; potential for more than minimal harm

Construction Deficiencies

Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.

Correction field: Deficient, Provider has date of correction · 2024-03-08
2024-01-25 · FIREK0281Severity F · widespread; potential for more than minimal harm

Egress Deficiencies

Install proper backup exit lighting.

Correction field: Deficient, Provider has date of correction · 2024-03-08
2024-01-25 · FIREK0293Severity F · widespread; potential for more than minimal harm

Egress Deficiencies

Have properly located and lighted "Exit" signs.

Correction field: Deficient, Provider has date of correction · 2024-03-08
2024-01-25 · FIREK0353Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2024-01-29
2024-01-25 · FIREK0372Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Correction field: Deficient, Provider has date of correction · 2024-01-25
2024-01-25 · FIREK0711Severity C · widespread; potential for minimal harm

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

Correction field: Deficient, Provider has date of correction · 2024-03-08
2024-01-25 · FIREK0918Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Correction field: Deficient, Provider has date of correction · 2024-02-21
2023-11-16 · HEALTHF0644Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Correction field: Deficient, Provider has date of correction · 2023-12-06 · complaint
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
2026-04-30Fine$13,0650
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • ASCENSION HEALTH SENIOR CAREOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    100% · since 07/01/2014
  • BREEDLOVE, RYANIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2024
  • MUSGRAVE, LISAIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2024
  • SMOOT, KENNETHIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2024
  • SHADBOLT, ERINIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 02/28/2023
  • LEFCO, AMYIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 02/17/2025
  • PIETSCH, DARRELLIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 08/01/2017
  • ASCENSION HEALTH SENIOR CAREOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 07/01/2015
  • HEALTH DIMENSIONS CONSULTING INCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 08/02/2019
  • MEDICAL SOLUTIONS LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 06/14/2017
  • BREEDLOVE, RYANIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 01/01/2024
  • LEFCO, AMYIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 02/17/2025
  • MUSGRAVE, LISAIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 01/01/2024
  • PIETSCH, DARRELLIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 08/01/2017
  • SHADBOLT, ERINIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 01/01/2024
  • SMOOT, KENNETHIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 01/01/2024

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 hours3.94per resident day
RN hours0.63per resident day
Weekend nurse hours3.62per resident day
Staff turnover28.2%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.