Bluebonnet Health Services of Waco
A home health agency in Waco, Texas 76710
720 N. 64th Street, Waco, Texas 76710. (254) 772-5577.
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 21, 2026.
- 3.5of 5 quality of patient care rating
- 4of 5 patient survey rating
- 1 deficiencies cited in the last three years
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on Aug 5, 2026: a recertification inspection.
1 deficiency cited in the last three years.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
1 deficiency in 1 month of the last 36. Last cited Aug 2026. Most serious: Standard-level. The last 3 years, to Oct 24, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Nov | Dec | ||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
Aug 5, 2026: recertification inspection1 deficiency
-
Develop Ep Plan, Review And Update Annually
The inspectors’ words, 520 words
“Develop EP Plan, Review and Update Annually CFR(s): 484.102(a) §403.748(a), §416.54(a), §418.113(a), §441.184(a), §460.84(a), §482.15(a), §483.73(a), §483.475(a), §484.102(a), §485.68(a), §485.542(a), §485.625(a), §485.727(a), §485.920(a), §486.360(a), §491.12(a), §494.62(a). The [facility] must comply with all applicable Federal, State and local emergency preparedness requirements. The [facility] must develop establish and maintain a comprehensive emergency preparedness program that meets the requirements of this section. The emergency preparedness program must include, but not be limited to, the following elements: (a) Emergency Plan. The [facility] must develop and maintain an emergency preparedness plan that must be [reviewed], and updated at least every 2 years. The plan must do all of the following: * [For hospitals at §482.15 and CAHs at §485.625(a):] Emergency Plan. The [hospital or CAH] must comply with all applicable Federal, State, and local emergency preparedness requirements. The [hospital or CAH] must develop and maintain a comprehensive emergency preparedness program that meets the requirements of this section, utilizing an all-hazards approach. * [For LTC Facilities at §483.73(a):] Emergency Plan. The LTC facility must develop and maintain an emergency preparedness plan that must be reviewed, and updated at least annually. * [For ESRD Facilities at §494.62(a):] Emergency Plan. The ESRD facility must develop and maintain an emergency preparedness plan that must be [evaluated], and updated at least every 2 years. . This Standard is not met as evidenced by: Based on record review and interview, the agency failed to develop and maintain an emergency preparedness plan that included an annual evaluation at least every 2 years for one of one Emergency Preparedness Plan. Review of agency’s policy in reference to Emergency Preparedness dated 4/14/23 revealed agency policy stated the plan, and related policies and procedures must be reviewed and updated at least annually. Review of the agency binder of documentation for Emergency Preparedness procedures, undated, revealed documentation for annual evaluation dated the year 2021. Agency EP binder revealed documentation of evaluation plan for EP, which included the plan be evaluated and revised annually. Interview with the Administrator on 8/4/26 at 9:05 AM in reference to the Emergency Preparedness policy within the agency. Asked Administrator about agency policy on Emergency Preparedness annual evaluation for years 2023, 2024, and 2025 due to review of agency binder did not include these documents. Administrator stated he was unclear in the annual evaluation and documents on the missing years. He stated this should be part of the data which was provided in the binder, which includes documentation of committee attendees and data discussed at each evaluation. Administrator did not provide details on why this data was not included in the agency’s binder. Asked Administrator why it was important to review the EP policy annually and update any revisions at that time. Administrator stated because it was mandated by the state guidelines and requires compliance. Review of agency policy titled Emergency Preparedness and Response Plan-Addendum dated 4/14/23 stated policy: In addition to the Policy Statement for the Emergency Preparedness and Response Plan policy in the Environment Safety and Equipment Management section of the Administrative Policy Manual: a) the plan and related policies and procedures must be reviewed and updated at least annually.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Aug 5, 2026 | Recertification inspection | 1 deficiency cited |
Is it certified?
- Medicare-certified home health agency since Aug 19, 2004.
- Ownership: proprietary (for profit).
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
CMS, Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
Has anything been proven against it?
- CMS doesn’t publish fines or other penalties for home health agencies, so none are shown.
- 0 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
Who does the caring?
- Offers nursing care, physical therapy, occupational therapy, speech pathology, medical social services and home health aide services.
- CMS doesn’t publish staffing levels for home health agencies.
CMS, Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
Who owns it?
- Amc Healthcare Holdings Inc. owns 100% directly since Oct 25, 2013.
- 16 owners or officers are people: Brent Wilson (owns 5% or more through other companies, 28.3%); Michael Hillman (owns 5% or more through other companies, 28.3%); Mike Dunham (owns 5% or more through other companies, 12.92%); Holley Walsh (owns 5% or more through other companies, 7.5%); Mark Walsh (owns 5% or more through other companies, 7.5%); Ryan Gibson (owns 5% or more through other companies, 5.67%); Brent Mckenzie (corporate officer); Brent Mckenzie (corporate director); Brent Mckenzie (managing employee (on the payroll)); Brent Mckenzie (runs it (operational or managerial control)); Brent Wilson (corporate officer); Brent Wilson (corporate director); Ryan Gibson (corporate director); Mike Dunham (corporate director); Michael Hillman (corporate officer); Michael Hillman (corporate director).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Home Health Agency All Owners and Home Health Agency Enrollments. Released Sep 29, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Amc Healthcare Holdings Inc. | Owns 5% or more directly | 100% | Oct 25, 2013 |
| Mildus LLC | Owns 5% or more through other companies | 12.92% | Feb 21, 2022 |
How do patients fare?
- CMS rates its quality of patient care 3.5 of 5.
- Patients rate it 4 of 5 in CMS’s patient survey (217 surveys completed): 88% rated it 9 or 10 out of 10, and 83% would definitely recommend it.
- CMS compares it with the national rate: discharged to the community, worse; potentially preventable hospital stays, the same; potentially preventable readmissions after discharge, the same.
CMS, Home Health Care Agencies and Home Health Patient Survey. Released Oct 21, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Quality of patient care ratingCMS star rating, 1 to 5 in half stars | 3.5 of 5 |
| Patient survey ratingCMS star rating from its survey of the agency’s patients, 1 to 5 | 4 of 5 |
| Discharged to the communityCMS’s risk-adjusted rate, compared with the national rate | 69.84% (worse than the national rate) |
| Potentially preventable hospital staysCMS’s risk-adjusted rate, compared with the national rate | 15.29% (same as the national rate) |
| Potentially preventable readmissions after dischargeCMS’s risk-adjusted rate, compared with the national rate | 4.04% (same as the national rate) |
How does it compare nearby?
- Of the 20 agencies CMS’s data show serving patients in ZIP code 76710, where this agency’s office is, 19 have a quality of patient care rating; the middle one is 4 of 5, and this one is rated 3.5 of 5.
CMS, Home Health ZIP Codes and Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
| Place | Quality rating |
|---|---|
| Bluebonnet Health Services of Waco This home health agency | 3.5 |
| Centerwell Home Health | 4 |
| Ascension at Home | 3 |
| Magnolia Home Health | 4 |
| Reliable Home Health Services | 3 |
| Accentcare Home Health of Waco | 4 |
| Enhabit Home Health | 3.5 |
| Vitalcaring Group | 4 |
| Remarkable Home Health | 3.5 |
| Accentcare Home Health of Temple | 4 |
| Texmed Home Health Inc. | 4.5 |
| Adaptive Home Health | 4 |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for home health agencies, so none are shown.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- QCOR says some of its home health reports are accurate or available only through May 19, 2021, because of a systems migration.
- Many home health agencies are inspected by a private accrediting organisation instead of the state, and QCOR’s home health file doesn’t appear to include those inspections: no inspection on record here doesn’t mean none took place.
Sources
-
Centers for Medicare & Medicaid Services, Home Health Care Agencies (6jpm-sxkc).
Released Oct 21, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Home Health Patient Survey (ccn4-8vby).
Released Oct 21, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, QCOR home health inspection reports (HHA_2567s_2018_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 24, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Home Health Agency All Owners (fc009b2d-7846-44b1-b4a1-692f0c143879).
Released Sep 29, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Home Health Agency Enrollments (15f64ab4-3172-4a27-b589-ebd67a6d28aa).
Released Sep 29, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Home Health ZIP Codes (m5eg-upu5).
Released Oct 21, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Oct 24, 2026.
From the agency
The public record above comes first. Anything the agency adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the agency will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the agency”, and paying will never change a finding, a rating or the order of results.