Nursing home
The Highlands Nursing and Rehabilitation
2501 Maple Ave, Waco, TX 76707 · Map
For profit - Corporation · Part of Gulf Coast Ltc Partners (20 facilities) · 162 certified beds
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 $241,937In CMS records: 4 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
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.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 2.74 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.38 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.82 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 63.5% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 5.0 | 9.1 | 9.5 | below 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 $241,937, 4 total penalties, 1 Medicare payment denial.
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 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jul 23, 2025 · Full report (PDF) - 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 · Full report (PDF) - Potential for harm
Have policies on smoking.
Environmental Deficiencies · Jul 23, 2025 · Full report (PDF) - 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 · Full report (PDF)
Show all 12 deficiencies
- 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 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jun 13, 2024 · Full report (PDF) - 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 · Full report (PDF) - Potential for harm
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies · Jun 13, 2024 · Full report (PDF) - 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 · Full report (PDF) - 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 · 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 · Dec 29, 2023 · 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
- 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
Gulf Coast Ltc Partners operates 20 nursing facilities across the United States. View all Gulf Coast Ltc Partners facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around The Highlands Nursing and Rehabilitation using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Ascension Providence, Waco. 3.5 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Woodland Springs Nursing Center, Waco. 2.2 miles away, straight line.
- Nearest home health agency office
- Ascension At Home, Waco. 2.0 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 1.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 76707 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fresenius Medical Care Brazos, Waco, 1.1 miles away, straight line (CMS rating 4 of 5 stars)
Fresenius Medical Care Waco Lakeshore, Waco, 2.7 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Fmc Greenway Kidney Center, Waco, 4.7 miles away, straight line (has a shift starting after 5 pm; CMS rating 5 of 5 stars) - Hospice
- 14 Medicare hospices tell CMS they serve ZIP code 76707.
Baylor Scott & White Hospice-Waco, office in Waco, 0.5 miles away, straight line (CMS family survey rating 3 of 5 stars)
Compassus - Central Texas, office in Waco, 2.0 miles away, straight line
Harbor Hospice Of Waco, Lp, office in Waco, 2.0 miles away, straight line - Nearest geriatric medicine practice
- Vesper Medical Care PLLC, Woodway. 4.9 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 low, wildfire very low, tornado very high, heat wave relatively high, 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 very 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 | Could not read the site |
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Frequently asked questions
Is The Highlands Nursing and Rehabilitation a good nursing home?
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.
How is The Highlands Nursing and Rehabilitation staffed?
The Highlands Nursing and Rehabilitation reports 2.74 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has The Highlands Nursing and Rehabilitation had inspection problems?
Its most recent CMS inspection cited 5 deficiencies.
How many beds does The Highlands Nursing and Rehabilitation have?
The Highlands Nursing and Rehabilitation is certified for 162 beds.