Skilled nursing facility · CMS certification number 455983
St. Catherine Center
Waco, Texas · Medicare and Medicaid · 165 certified beds in Care Compare
Download St. Catherine Center’s record (CSV, each figure with its worksheet, line and column)
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $8,492.00 · Payment denials: 0. The most recent penalty on file: April 30, 2026, Fine, $8,492. Every penalty on file ↓
St. Catherine Center: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2025, covering July 1, 2024 to June 30, 2025 (364 days), and CMS processed it on January 14, 2026.
- Net patient revenue rose from $21.4M in fiscal year 2024 to $23.8M in fiscal year 2025.
- Its result from service to patients: −$14.2M (2023), −$3.1M (2024), −$2.8M (2025).
- Its cost reports on file run from fiscal year 2016 to fiscal year 2025.
- Its net patient revenue of $23.8M ranks 3rd of the 484 nursing facilities in Texas whose latest cost report on file is fiscal year 2025.
- 2 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2025, also report a loss on service to patients.
St. Catherine Center: Medicare cost reports
Form CMS-2540-10: every report is settled.
| Form CMS-2540-10 | 2025 · report 1446576 | 2024 · report 1444016 | 2023 · report 1399396 | 2022 · report 1375406 | 2021 · report 1344325 | 2020 · report 1319222 | 2019 · report 1283327 | 2018 · report 1251637 | 2017 · report 1225262 | 2016 · report 1150612 |
|---|---|---|---|---|---|---|---|---|---|---|
| Period began | July 1, 2024 | July 1, 2023 | July 1, 2022 | July 1, 2021 | July 1, 2020 | July 1, 2019 | July 1, 2018 | July 1, 2017 | July 1, 2016 | July 8, 2015 |
| Period ended | June 30, 2025 | June 30, 2024 | June 30, 2023 | June 30, 2022 | June 30, 2021 | June 30, 2020 | June 30, 2019 | June 30, 2018 | June 30, 2017 | June 30, 2016 |
| Processed by CMS | January 14, 2026 | December 8, 2025 | November 22, 2024 | March 21, 2024 | March 14, 2023 | June 10, 2022 | May 4, 2021 | February 27, 2020 | May 23, 2019 | January 17, 2017 |
| Total patient revenue | $31,008,756 | $30,015,413 | $28,756,535 | $27,312,880 | $30,615,891 | $36,920,843 | $39,140,426 | $22,416,318 | $29,928,148 | $25,755,843 |
| Contractual allowances and discounts | $7,188,498 | $8,577,773 | $8,504,571 | $8,187,549 | $9,154,766 | $12,600,810 | $14,600,258 | $614,433 | $9,709,911 | $6,601,550 |
| Net patient revenue | $23,820,258 | $21,437,640 | $20,251,964 | $19,125,331 | $21,461,125 | $24,320,033 | $24,540,168 | $21,801,885 | $20,218,237 | $19,154,293 |
| Total operating expenses | $26,659,329 | $24,566,820 | $34,437,807 | $23,418,505 | $25,092,232 | $23,889,000 | $24,189,016 | $22,592,031 | $21,709,947 | $19,743,289 |
| Net income from service to patients | −$2,839,071 | −$3,129,180 | −$14,185,843 | −$4,293,174 | −$3,631,107 | $431,033 | $351,152 | −$790,146 | −$1,491,710 | −$588,996 |
| Total other income | $156,792 | $333,300 | $1,068,518 | $2,139,595 | $5,628,648 | $1,154,256 | $465,525 | $666,361 | $1,418,945 | $314,961 |
| Net income after other income | −$2,682,279 | −$2,795,880 | −$13,117,325 | −$2,153,579 | $1,997,541 | $1,585,289 | $816,677 | −$123,785 | −$72,765 | −$274,035 |
| Net income | −$2,682,279 | −$2,795,880 | −$13,117,325 | −$2,153,579 | $1,997,541 | $1,585,289 | $816,677 | −$123,785 | −$72,765 | −$274,035 |
| Total facility beds, all components | 255 | 255 | 215 | 265 | 265 | 265 | 265 | 265 | 265 | 265 |
| Bed days available, all components | 93,075 | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 6,566 | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 68,715 | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 75,281 | 71,867 | 66,042 | 51,285 | 68,226 | 82,461 | 85,616 | 86,093 | 87,463 | 91,015 |
| Medicare discharges | 225 | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 788 | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 1,013 | 1,018 | 938 | 843 | 1,211 | 1,255 | 1,264 | 1,095 | 918 | 726 |
| Average length of stay, Medicare, in days | 29.18 | 31.75 | 29.51 | 30.04 | 28.55 | 28.66 | 32.44 | 30.43 | 28.27 | 27.7 |
| Average length of stay, all patients, in days | 74.31 | 70.6 | 70.41 | 60.84 | 56.34 | 65.71 | 67.73 | 78.62 | 95.28 | 125.37 |
Net income, fiscal years 2025, 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016. Checked against the form’s own arithmetic: what that check shows.
St. Catherine Center: nurse staffing hours by quarter →
Who owns St. Catherine Center, as filed with CMS
Care Compare
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: ASCENSION HEALTH SENIOR CARE (organization), 100%%, since 07/01/2014
- ADP OF THE SNF: ASCENSION HEALTH SENIOR CARE (organization), NOT APPLICABLE, since 07/01/2015; BREEDLOVE, RYAN (individual), NOT APPLICABLE, since 01/01/2024; HEALTH DIMENSIONS CONSULTING INC (organization), NOT APPLICABLE, since 08/02/2019; LEFCO, AMY (individual), NOT APPLICABLE, since 02/17/2025; MEDICAL SOLUTIONS LLC (organization), NOT APPLICABLE, since 06/14/2017; MUSGRAVE, LISA (individual), NOT APPLICABLE, since 01/01/2024; PIETSCH, DARRELL (individual), NOT APPLICABLE, since 08/01/2017; SHADBOLT, ERIN (individual), NOT APPLICABLE, since 01/01/2024; SMOOT, KENNETH (individual), NOT APPLICABLE, since 01/01/2024
- CORPORATE DIRECTOR: BREEDLOVE, RYAN (individual), NOT APPLICABLE, since 01/01/2024; MUSGRAVE, LISA (individual), NOT APPLICABLE, since 01/01/2024; SMOOT, KENNETH (individual), NOT APPLICABLE, since 01/01/2024
- CORPORATE OFFICER: SHADBOLT, ERIN (individual), NOT APPLICABLE, since 02/28/2023
- OPERATIONAL/MANAGERIAL CONTROL: LEFCO, AMY (individual), NOT APPLICABLE, since 02/17/2025; PIETSCH, DARRELL (individual), NOT APPLICABLE, since 08/01/2017
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of PROVIDENCE PARK INC (enrollment ID O20150918002016).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: ASCENSION HEALTH SENIOR CARE (organization), 100.00%, since 07/01/2014
- ADP OF THE SNF: AMY K LEFCO (individual), since 02/17/2025; ASCENSION HEALTH SENIOR CARE (organization), since 07/01/2015; DARRELL R PIETSCH (individual), since 08/01/2017; ERIN SHADBOLT (individual), since 01/01/2024; HEALTH DIMENSIONS CONSULTING INC (organization), since 08/02/2019; KENNETH SMOOT (individual), since 01/01/2024; LISA MUSGRAVE (individual), since 01/01/2024; MEDICAL SOLUTIONS LLC (organization), since 06/14/2017; RYAN BREEDLOVE (individual), since 01/01/2024
- CORPORATE DIRECTOR: KENNETH SMOOT (individual), since 01/01/2024; LISA MUSGRAVE (individual), since 01/01/2024; RYAN BREEDLOVE (individual), since 01/01/2024
- CORPORATE OFFICER: ERIN SHADBOLT (individual), since 02/28/2023
- OPERATIONAL/MANAGERIAL CONTROL: AMY K LEFCO (individual), since 02/17/2025; DARRELL R PIETSCH (individual), since 08/01/2017
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: ASCENSION HEALTH SENIOR CARE; ASCENSION HEALTH SENIOR CARE; HEALTH DIMENSIONS CONSULTING INC; MEDICAL SOLUTIONS LLC.
Private equity company, real estate investment trust and holding company: Paused by CMS: AMY K LEFCO; DARRELL R PIETSCH; ERIN SHADBOLT; KENNETH SMOOT; LISA MUSGRAVE; RYAN BREEDLOVE; KENNETH SMOOT; LISA MUSGRAVE; RYAN BREEDLOVE; ERIN SHADBOLT; AMY K LEFCO; DARRELL R PIETSCH.
Changes in ownership
- September 1, 2025, enrollment ownership file; no longer listed: LISA MUSGRAVE (OPERATIONAL/MANAGERIAL CONTROL); ROBIN BINEK (CORPORATE DIRECTOR); AMANDA L SONNIER (W-2 MANAGING EMPLOYEE); JASON MUSIL (W-2 MANAGING EMPLOYEE); ASCENSION HEALTH SENIOR CARE (OPERATIONAL/MANAGERIAL CONTROL); PROVIDENCE PARK INC (5% OR GREATER DIRECT OWNERSHIP INTEREST); first listed: ERIN SHADBOLT (ADP OF THE SNF), associated since January 1, 2024; KENNETH SMOOT (ADP OF THE SNF), associated since January 1, 2024; LISA MUSGRAVE (ADP OF THE SNF), associated since January 1, 2024; LISA MUSGRAVE (CORPORATE DIRECTOR), associated since January 1, 2024; RYAN BREEDLOVE (ADP OF THE SNF), associated since January 1, 2024; ASCENSION HEALTH SENIOR CARE (ADP OF THE SNF), associated since July 1, 2015; ASCENSION HEALTH SENIOR CARE (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since July 1, 2014; AMY K LEFCO (ADP OF THE SNF), associated since February 17, 2025; AMY K LEFCO (OPERATIONAL/MANAGERIAL CONTROL), associated since February 17, 2025; DARRELL R PIETSCH (ADP OF THE SNF), associated since August 1, 2017; DARRELL R PIETSCH (OPERATIONAL/MANAGERIAL CONTROL), associated since August 1, 2017; HEALTH DIMENSIONS CONSULTING INC (ADP OF THE SNF), associated since August 2, 2019; MEDICAL SOLUTIONS LLC (ADP OF THE SNF), associated since June 14, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- June 3, 2024, enrollment ownership file; no longer listed: DENNIS MYERS (OFFICER); AMANDA L SONNIER (CONTRACTED MANAGING EMPLOYEE); JUDITH A MANESS (OFFICER); LAWRENCE KRUEGER (OFFICER); MICHAEL R GORDON (W-2 MANAGING EMPLOYEE); MICHAEL R GORDON (DIRECTOR); MICHAEL R GORDON (OFFICER); first listed: ERIN SHADBOLT (OFFICER), associated since February 28, 2023; KENNETH SMOOT (DIRECTOR), associated since January 1, 2024; RYAN BREEDLOVE (DIRECTOR), associated since January 1, 2024; ROBIN BINEK (DIRECTOR), associated since January 1, 2024; AMANDA L SONNIER (W-2 MANAGING EMPLOYEE), associated since July 8, 2015; JASON MUSIL (W-2 MANAGING EMPLOYEE), associated since August 11, 2008. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- April 14, 2023, enrollment ownership file; no longer listed: DANIEL R STRICKER (OPERATIONAL/MANAGERIAL CONTROL); first listed: LISA MUSGRAVE (OPERATIONAL/MANAGERIAL CONTROL), associated since January 18, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
Inspections of St. Catherine Center
- Cycle 1: health April 30, 2026 (5 deficiencies), fire safety April 30, 2026 (1)
- Cycle 2: health February 26, 2025 (2 deficiencies), fire safety February 26, 2025 (3)
- Cycle 3: health January 25, 2024 (5 deficiencies), fire safety January 25, 2024 (8)
Deficiencies cited at St. Catherine Center
12 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 4 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0550, resident rights: April 30, 2026 (E, corrected May 25, 2026).
- F 0580, resident rights: April 30, 2026 (G, corrected May 25, 2026).
- F 0584, resident rights: April 30, 2026 (D, corrected May 25, 2026).
- F 0812, nutrition and dietary: April 30, 2026 (E, corrected May 25, 2026); February 26, 2025 (E, corrected March 18, 2025).
- F 0695, quality of life and care: December 9, 2025 (E, from a complaint, corrected December 10, 2025).
- F 0641, resident assessment and care planning: February 26, 2025 (D, corrected March 18, 2025).
- F 0552, resident rights: September 10, 2024 (D, from a complaint, corrected September 25, 2024).
- F 0583, resident rights: January 25, 2024 (D, corrected February 16, 2024).
- F 0644, resident assessment and care planning: January 25, 2024 (D, corrected February 16, 2024); November 16, 2023 (D, from a complaint, corrected December 6, 2023).
- F 0880, infection control: January 25, 2024 (E, from a complaint, corrected February 16, 2024).
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| April 30, 2026 | Fine | $8,492 | 138902 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
St. Catherine Center in Care Compare
- Ownership Type: Non profit - Corporation
- Legal Business Name: PROVIDENCE PARK INC
- Date First Approved to Provide Medicare and Medicaid Services: 1992-01-03
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: Y
- Urban: Y
- County/Parish: Mc Lennan
- Telephone Number: 2547618500
- Chain Name: ASCENSION LIVING
- Chain ID: 48
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Resident
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 149.5
- Overall Rating: 4
- Health Inspection Rating: 4
- QM Rating: 2
- Long-Stay QM Rating: 3
- Short-Stay QM Rating: 2
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Other nursing facilities in Waco and Texas
Report a figure on St. Catherine Center’s record that differs from its CMS file, quoting 455983.