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The Highlands Nursing And Rehabilitation

2501 Maple Ave, Waco, TX 76707

Call The Highlands Nursing And Rehabilitation directly(254) 752-0311

For profit - Corporation · 162 certified beds · Medicare and Medicaid · Part of Gulf Coast Ltc Partners (20 facilities)

2
Overall
CMS Rating
★★☆☆☆

The Highlands Nursing And Rehabilitation is a Medicare-certified nursing home in Waco, Texas. CMS rates it 2 out of 5 stars overall (2/5 for staffing, 2/5 for health inspections). Nurse staffing is 2.74 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Jul 23, 2025 cited 5 deficiencies.

3 fines totaling $241,937 in CMS records. 4 total penalties
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CMS Quality Ratings

Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars = highest quality.

Overall Rating
★★☆☆☆ 2/5
Health Inspections
★★☆☆☆ 2/5
Staffing
★★☆☆☆ 2/5
Quality Measures
★★★★☆ 4/5
Long-Stay QM
★★★★☆ 4/5
Short-Stay QM
No data

How The Highlands Nursing And Rehabilitation 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.

MetricThis facilityTexas avgNational avg
Total nurse staffing (hrs/resident/day)2.743.403.89below avg
RN staffing (hrs/resident/day)0.380.440.68below avg
Aide staffing (hrs/resident/day)1.822.012.34below avg
Nursing staff turnover63.5%51.5%46.4%above avg
Deficiencies cited, last inspection5.09.19.5below avg

Staffing

Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.

2.74
Total Nurse Hrs/Resident/Day
0.38
RN Hrs/Resident/Day
0.53
LPN Hrs/Resident/Day
1.82
Aide Hrs/Resident/Day
2.58
Weekend Nurse Hrs/Resident/Day

Staff Turnover

Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is ~60%.

Total Nursing Staff
63.5%
Registered Nurses
60.0%
Administrator Changes 1 in last year

Recent Health Inspection

CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.

Jul 23, 2025
Most Recent Inspection Date
5
Total Deficiencies Found
28
Health Inspection Score
3
Number of Fines

What inspectors found at The Highlands Nursing And Rehabilitation

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
    Protect each resident from the wrongful use of the resident's belongings or money.Freedom from Abuse, Neglect, and Exploitation Deficiencies · Feb 6, 2026
  • Potential for harm
    Provide and implement an infection prevention and control program.Infection Control Deficiencies · Jul 23, 2025
  • Potential for harm
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies · Jul 23, 2025
  • Potential for harm
    Have policies on smoking.Environmental Deficiencies · Jul 23, 2025
  • Potential for harm
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy Service Deficiencies · Jul 23, 2025
  • Potential for harm
    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.Quality of Life and Care Deficiencies · Jul 23, 2025
  • Potential for harm
    Provide and implement an infection prevention and control program.Infection Control Deficiencies · Jun 13, 2024
  • Potential for harm
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies · Jun 13, 2024
  • Potential for harm
    Ensure residents have reasonable access to and privacy in their use of communication methods.Resident Rights Deficiencies · Jun 13, 2024
  • Potential for harm
    Make sure that a working call system is available in each resident's bathroom and bathing area.Environmental Deficiencies · Jun 13, 2024
  • Potential for harm
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and Care Deficiencies · Jun 13, 2024
  • 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 · Dec 29, 2023

About This Facility

Address

2501 Maple Ave
Waco, TX 76707

CMS Certification #

455478

Ownership

For profit - Corporation

Certified Beds

162

Avg Residents/Day

63.0

Provider Type

Medicare and Medicaid

First Certified

1983-05-18

Chain

Gulf Coast Ltc Partners (20 facilities)

Setting

Urban

Part of Gulf Coast Ltc Partners

20
Facilities Nationwide

Gulf Coast Ltc Partners operates 20 nursing facilities across the United States.

View All Gulf Coast Ltc Partners Facilities →

Location & Nearby

Explore the area around The Highlands Nursing And Rehabilitation using Google Maps.

Frequently asked questions

CMS gives The Highlands Nursing And Rehabilitation an overall rating of 2 out of 5 stars, including 2/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.

The Highlands Nursing And Rehabilitation reports 2.74 total nurse hours per resident per day, compared with the Texas average of 3.40.

Its most recent CMS inspection cited 5 deficiencies.

The Highlands Nursing And Rehabilitation is certified for 162 beds.

Admissions at The Highlands Nursing And Rehabilitation

For admissions, availability and rehab questions, call (254) 752-0311. If a parent is leaving the hospital, the hospital discharge planner can also check which nursing homes have a bed.

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