Nursing home
The Brazos of Waco
2430 Market Place Drive, Waco, TX 76711 · Map
For profit - Corporation · Part of The Ensign Group (329 facilities) · 123 certified beds
The Brazos of Waco is a Medicare-certified nursing home in Waco, Texas. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 2.90 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Dec 18, 2024 cited 13 deficiencies.
- 3 fines totaling $64,603In CMS records: 3 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How The Brazos of Waco compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 2.90 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.35 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.84 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 72.4% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 13.0 | 9.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 3 fines totaling $64,603, 3 total penalties.
What inspectors found at The Brazos of Waco
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Jan 23, 2026 · Full report (PDF) - Immediate jeopardy
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Sep 26, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Aug 28, 2025 · Full report (PDF) - Potential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Aug 28, 2025 · Full report (PDF) - Potential for harm
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights Deficiencies · Jul 30, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Jul 1, 2025 · Full report (PDF) - Immediate jeopardy
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Mar 20, 2025 · Full report (PDF) - Immediate jeopardy
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Mar 20, 2025 · Full report (PDF) - Immediate jeopardy
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Feb 27, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Feb 27, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jan 8, 2025 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Jan 8, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 2430 Market Place Drive
Waco, TX 76711 - CMS certification #
- 676409
- Ownership
- For profit - Corporation
- Certified beds
- 123
- Avg residents/day
- 63.5
- Provider type
- Medicare and Medicaid
- First certified
- 2016-11-02
- Chain
- The Ensign Group (329 facilities)
- Setting
- Urban
Part of The Ensign Group
The Ensign Group operates 329 nursing facilities across the United States. View all The Ensign Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around The Brazos of Waco using Google Maps.
Other public records
- Website says Nurse 24 hours a day
Full public records, with dates and sources
Care and services
From the community’s website
What The Brazos of Waco says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Nurse on site: 24 hours a day.
Our Nursing staff provides 24-hour round the clock care for our residents under the direction of our in-house physicians.
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Ascension Providence, Waco. 2.5 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Greenview Nursing and Rehabilitation, Waco. 2.3 miles away, straight line.
- Nearest home health agency office
- Ascension At Home, Waco. 2.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Circle Drug. 2.0 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 76711 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fmc Greenway Kidney Center, Waco, 0.8 miles away, straight line (has a shift starting after 5 pm; CMS rating 5 of 5 stars)
Fresenius Medical Care Brazos, Waco, 3.8 miles away, straight line (CMS rating 4 of 5 stars)
Fmc Dialysis Services Waco West, Waco, 6.2 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 15 Medicare hospices tell CMS they serve ZIP code 76711.
Compassus - Central Texas, office in Waco, 2.1 miles away, straight line
Harbor Hospice Of Waco, Lp, office in Waco, 2.1 miles away, straight line
Bluebonnet Health Services, office in Waco, 2.5 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Vesper Medical Care PLLC, Woodway. 3.2 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively low, inland flooding relatively moderate, wildfire relatively low, tornado very high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Only cases that look tied to an earlier operator (not shown) |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is The Brazos of Waco a good nursing home?
CMS gives The Brazos of Waco an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is The Brazos of Waco staffed?
The Brazos of Waco reports 2.90 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has The Brazos of Waco had inspection problems?
Its most recent CMS inspection cited 13 deficiencies.
How many beds does The Brazos of Waco have?
The Brazos of Waco is certified for 123 beds.