Ridgecrest Retirement and Healthcare Community — nursing home in Waco, TX

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 90 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 76.4 CMS, MDS-derived
CMS Certification Number: 455670
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Aug 26, 1986
Ownership type: For profit - Limited Liability company
Operator (legal business name): Eastland Memorial Hospital District
CMS chain: Not part of a CMS-reported chain
Phone: (254) 776-9681
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

10

latest Jun 15, 2025

Citations

34

27 health · 7 fire

Harm or worse

1

1 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K1	L·
Actual harm	G·	H·	I·
Potential harm	D15	E14	F3
Minimal	A·	B·	C1

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

1

$14,267

Payment denials

0

Latest

Jun 15, 2025

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 455670
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 90
First approved: Aug 26, 1986
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Texas.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jun 15, 2025	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Jun 15, 2025	Health	Health Complaint, Health Standard	13	Immediate jeopardy	—	Open →
Apr 30, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Dec 17, 2024	Health	Health Complaint	4	Potential harm	—	Open →
Sep 11, 2024	Health	Health Complaint	1	Potential harm	—	Open →
May 1, 2024	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
May 1, 2024	Health	Health Standard	5	Potential harm	—	Open →
Oct 13, 2023	Health	Health Complaint	1	Potential harm	—	Open →
Mar 8, 2023	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Mar 8, 2023	Health	Health Standard	2	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Jun 15, 2025	Civil money penalty (fine)	$14,267	—	455670\|Fine\|113951

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K1	L·
Actual harm	G·	H·	I·
Potential harm	D15	E14	F3
Minimal	A·	B·	C1

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jun 15, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	K · Immediate jeopardy Pattern	Corrected Jun 16, 2025	Complaint
Jun 15, 2025	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 23, 2025	Complaint
Jun 15, 2025	F-0636	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jun 20, 2025
Jun 15, 2025	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 7, 2025
Jun 15, 2025	F-0655	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 3, 2025
Jun 15, 2025	F-0656	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 · Clinical care	E · Potential harm Pattern	Corrected Jul 3, 2025
Jun 15, 2025	F-0676	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 16, 2025
Jun 15, 2025	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Jun 20, 2025
Jun 15, 2025	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jun 20, 2025
Jun 15, 2025	F-0825	Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 16, 2025
Jun 15, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jun 20, 2025
Jun 15, 2025	F-0926	Have policies on smoking. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 20, 2025
Jun 15, 2025	F-0577	Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Resident rights & abuse/neglect	C · Minimal Widespread	Corrected Jun 16, 2025
Apr 30, 2025	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected May 1, 2025	Complaint
Dec 17, 2024	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Dec 18, 2024	Complaint
Dec 17, 2024	F-0583	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Dec 18, 2024	Complaint
Dec 17, 2024	F-0656	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 · Clinical care	D · Potential harm Isolated	Corrected Dec 18, 2024	Complaint
Dec 17, 2024	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 18, 2024	Complaint
Sep 11, 2024	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Oct 4, 2024	Complaint
May 1, 2024	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Nov 27, 2024
May 1, 2024	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Nov 27, 2024
May 1, 2024	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 2, 2024
May 1, 2024	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected May 2, 2024
May 1, 2024	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected May 2, 2024
May 1, 2024	F-0656	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 · Clinical care	D · Potential harm Isolated	Corrected May 2, 2024
May 1, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected May 2, 2024
Oct 13, 2023	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Oct 17, 2023	Complaint
Mar 8, 2023	E-0004	Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected May 16, 2023
Mar 8, 2023	K-0200	Meet other general requirements. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 16, 2023
Mar 8, 2023	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 16, 2023
Mar 8, 2023	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 16, 2023
Mar 8, 2023	K-0352	Properly install and monitor supervisory attachments on automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 16, 2023
Mar 8, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Mar 13, 2023
Mar 8, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Mar 13, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 2.8

Health inspectionsstate 2.8

Staffingstate 1.9

Quality measuresstate 3.8

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.03

State avg 3.42US avg 3.90

Registered nurse (RN)0.23

State avg 0.44US avg 0.69

Licensed practical nurse0.92

State avg 0.94US avg 0.86

Nurse aide1.89

State avg 2.03US avg 2.35

Weekend total nurse2.52

State avg 2.99US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.19 (case-mix index 1.33).

Staff turnover

Total nursing staff turnover78.0%

State avg 50.8%US avg 45.3%

Registered nurse turnover95.0%

State avg 49.8%US avg 42.5%

Administrators who left1

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jun 15, 2025
Cycle 1 health score: 181
Total weighted score: 155.75

Operating entity

Eastland Memorial Hospital District

CMS legal business name of the certified provider. Operates 34 facilities.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

16

Organizations

3

Individuals

12

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Eastland Memorial Hospital District	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	May 1, 2021

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Eastland Memorial Hospital District	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	May 1, 2021
Kelly Bauder	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Apr 3, 2026
Madison Bauder	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Apr 3, 2026
Parker Bauder	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Apr 3, 2026
Douglas Boulware	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Apr 3, 2026
Sandra Boulware	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Apr 3, 2026
Steven Boulware	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Apr 3, 2026
Thomas Boulware	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Apr 3, 2026
Katie Walker	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Apr 3, 2026
Dhc Opco-Waco, LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2021
Pmg Opco- Waco LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 1, 2025
William Bauder	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 1, 2025
Stephen Taylor	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Nov 1, 2025
Eastland Memorial Hospital District	Organization	Trustee	TRUSTEE OF THE SNF	not provided	May 1, 2021
Daniel Broadway	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 6, 2025
Nicholas Schwedock	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 6, 2025

Other facilities operated by Eastland Memorial Hospital District

All 33 →

Facility	Beds	Last inspection	Citations (window)	Fines
Richland Hills Rehabilitation and Healthcare Cente 3109 Kings Ct, Fort Worth, TX 76118 CCN 455576	92	May 28, 2026	401 harm	$8,190
Wellington Rehabilitation and Healthcare 1802 S 31st, Temple, TX 76504 CCN 455637	124	Aug 6, 2026	404 IJ	$32k
Rowlett Health and Rehabilitation Center 9300 Lakeview Pkwy, Rowlett, TX 75088 CCN 455904	163	Jul 24, 2025	20	—
Northern Oaks Living & Rehabilitation Center 2722 Old Anson Rd, Abilene, TX 79603 CCN 455934	96	Jul 2, 2026	43	—
Avir at Woodlands 125 Inspiration Blvd, Eastland, TX 76448 CCN 675001	76	Aug 13, 2025	443 IJ	$86k
Mckinney Healthcare and Rehabilitation Center 253 Enterprise Drive, Mckinney, TX 75069 CCN 675004	125	Jul 16, 2026	23	—
Golden Acres Living and Rehabilitation Center 2525 Centerville Rd, Dallas, TX 75228 CCN 675081	264	Aug 27, 2026	631 open	$13k
Avir at Hillsboro 411 Old Brandon Road, Hillsboro, TX 76645 CCN 675096	105	Jul 23, 2026	513 IJ1 harm	$107k

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 1900 W. State Hwy 6, Waco, TX 76712
ZIP: 76712
County: McLennan County FIPS 48309
Assigned by point in polygon Inferred
State: Texas
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
St. Catherine Center 300 West Highway 6, Waco, TX 76712 CCN 455983	1.6 km	165	Apr 30, 2026	241 harm	$8,492
Woodway Rehabilitation and Healthcare Center 7801 Woodway Dr, Waco, TX 76712 CCN 675924	3.3 km	144	Aug 26, 2026	405 IJ1 harm	$31k
Greenview Nursing and Rehabilitation 401 Owen Lane, Waco, TX 76710 CCN 455638	3.5 km	128	Jul 22, 2026	583 IJ6 harm	$65k
Avir at Jeffrey Place 820 Jeffrey Dr, Waco, TX 76710 CCN 455489	4.1 km	95	Apr 9, 2026	452 IJ	$22k
Wesley Woods Health & Rehabilitation 1700 Woodgate Drive, Waco, TX 76712 CCN 676211	5.1 km	120	Mar 19, 2026	371 IJ2 harm	$56k
Avir at Waco 9101 Panther Way, Waco, TX 76712 CCN 676343	6.2 km	120	Apr 6, 2026	29	—
Ivy Creek Wellness & Rehabilitation 2501 Maple Ave, Waco, TX 76707 CCN 455478	6.7 km	162	Jul 1, 2026	454 IJ2 open	$149k
The Chateau Waco 2430 Market Place Dr., Waco, TX 76711 CCN 676409	7.1 km	123	Mar 19, 2026	336 IJ	$72k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	455670	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	455670	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	455670	county_fips County assigned by locating CMS coordinates in Census county boundaries (the CMS county name did not match the Census code list).	Inferred	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 455670

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction