For profit - Limited Liability company · 112 certified beds · CMS number 675078
Woodway Nursing & Rehab, Houston, TX
CMS records 55 health deficiencies at Woodway Nursing & Rehab in Houston, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jun 5, 2026. The highest severity cited is L (immediate jeopardy to resident health or safety). 17 citations were at the immediate jeopardy level, 2 of them recorded as past non-compliance (fixed before the inspection). CMS lists 4 fines totaling $295,783 and 1 payment denial in the last three years.
- 55deficiencies, 3 cycles (TX median 25)
- 12in the latest cycle (TX median 8)
- Lhighest severity · Immediate jeopardy
- $295,783fines, last 3 years
- Not ratedCMS overall rating
Inspections and deficiencies
CMS findings for Woodway Nursing & Rehab as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Woodway Nursing & Rehab may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (12 deficiencies)
Standard inspection Jun 5, 2026. CMS counts 12 health deficiencies and 3 fire safety deficiencies in this cycle.
Jul 3, 2026 · Complaint inspection
1 deficiency, highest D
F770 · Timely laboratory services
Requirement cited (CMS): Provide timely, quality laboratory services/tests to meet the needs of residents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Plan of correction, no correction date yet
Jun 5, 2026 · Standard inspection
5 deficiencies, highest G
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Plan of correction, no correction date yet
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Plan of correction, no correction date yet
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Plan of correction, no correction date yet
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Plan of correction, no correction date yet
F655 · Baseline care plan within 48 hours
Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Plan of correction, no correction date yet
Mar 5, 2026 · Complaint inspection
2 deficiencies, highest K
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Mar 6, 2026
F678 · CPR and basic life support
Requirement cited (CMS): Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection), Feb 25, 2026
Jan 16, 2026 · Complaint inspection
1 deficiency, highest D
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 11, 2026
Nov 6, 2025 · Complaint inspection
3 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 19, 2025
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 19, 2025
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 19, 2025
Previous cycle: 32 deficiencies (standard inspection Jun 19, 2025)
Standard inspection Jun 19, 2025. CMS counts 32 health deficiencies and 2 fire safety deficiencies in this cycle.
Jun 19, 2025 · Standard + complaint inspection
22 deficiencies, highest L
F925 · Pest control
Requirement cited (CMS): Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 16, 2025
F921 · Safe, functional, sanitary building
Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 16, 2025
F908 · Equipment kept in safe working order
Requirement cited (CMS): Keep all essential equipment working safely.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Jul 16, 2025
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 16, 2025
F835 · Effective administration
Requirement cited (CMS): Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- Severity
- L Immediate jeopardy to resident health or safety, widespread
- Status
- Correction date Jul 16, 2025
F761 · Drug labeling and secure storage
Requirement cited (CMS): Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 16, 2025
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Jul 16, 2025
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 16, 2025
F742 · Treatment for mental health and trauma
Requirement cited (CMS): Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Jul 16, 2025
F732 · Daily posting of nurse staffing
Requirement cited (CMS): Post nurse staffing information every day.
- Severity
- B No actual harm, potential for minimal harm, pattern
- Status
- Correction date Jul 16, 2025
F727 · RN coverage and director of nursing
Requirement cited (CMS): Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Jul 16, 2025
F693 · Feeding tube use and care
Requirement cited (CMS): Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Jul 16, 2025
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Jul 16, 2025
F678 · CPR and basic life support
Requirement cited (CMS): Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Jul 16, 2025
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 16, 2025
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Jul 16, 2025
F655 · Baseline care plan within 48 hours
Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 16, 2025
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 16, 2025
F610 · Investigating and responding to allegations
Requirement cited (CMS): Respond appropriately to all alleged violations.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 16, 2025
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Jul 16, 2025
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Jul 16, 2025
F552 · Being informed about health and treatment
Requirement cited (CMS): Ensure that residents are fully informed and understand their health status, care and treatments.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 16, 2025
Mar 12, 2025 · Complaint inspection
8 deficiencies, highest L
F921 · Safe, functional, sanitary building
Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 15, 2025
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 14, 2025
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Jul 15, 2025
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 15, 2025
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Jul 15, 2025
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 15, 2025
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- L Immediate jeopardy to resident health or safety, widespread
- Status
- Correction date Jul 15, 2025
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- Severity
- L Immediate jeopardy to resident health or safety, widespread
- Status
- Correction date Jul 15, 2025
Nov 13, 2024 · Complaint inspection
1 deficiency, highest J
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection)
Sep 15, 2024 · Complaint inspection
1 deficiency, highest D
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 31, 2024
Earlier cycle: 11 deficiencies (standard inspection Feb 13, 2024)
Standard inspection Feb 13, 2024. CMS counts 11 health deficiencies and 2 fire safety deficiencies in this cycle.
Jun 28, 2024 · Complaint inspection
1 deficiency, highest E
F687 · Foot care
Requirement cited (CMS): Provide appropriate foot care.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 1, 2024
Feb 13, 2024 · Standard + complaint inspection
6 deficiencies, highest F
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Mar 11, 2024
F727 · RN coverage and director of nursing
Requirement cited (CMS): Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 11, 2024
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 11, 2024
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 11, 2024
F644 · Coordinating with PASARR screening
Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 11, 2024
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 11, 2024
Dec 14, 2023 · Complaint inspection
2 deficiencies, highest E
F919 · Working call system
Requirement cited (CMS): Make sure that a working call system is available in each resident's bathroom and bathing area.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 12, 2024
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 12, 2024
Dec 8, 2023 · Complaint inspection
2 deficiencies, highest K
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Dec 11, 2023
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Dec 11, 2023
Tags cited in more than one inspection
16 tags cited on more than one inspection date at Woodway Nursing & Rehab; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F584 Safe, clean, homelike surroundings | 4 | Nov 6, 2025; Jun 19, 2025; Mar 12, 2025; Feb 13, 2024 |
| F677 Help with daily care | 3 | Jun 5, 2026; Jun 19, 2025; Mar 12, 2025 |
| F686 Pressure ulcer prevention and care | 3 | Jun 5, 2026; Mar 5, 2026; Dec 8, 2023 |
| F689 Accident prevention and supervision | 3 | Jun 5, 2026; Nov 13, 2024 (PNC); Sep 15, 2024 |
| F600 Freedom from abuse and neglect | 2 | Jun 19, 2025; Mar 12, 2025 |
| F641 Accurate resident assessments | 2 | Jun 19, 2025; Mar 12, 2025 |
| F655 Baseline care plan within 48 hours | 2 | Jun 5, 2026; Jun 19, 2025 |
| F656 Comprehensive person-centered care plan | 2 | Jun 19, 2025; Mar 12, 2025 |
| F678 CPR and basic life support | 2 | Mar 5, 2026 (PNC); Jun 19, 2025 |
| F684 Quality of care | 2 | Jun 19, 2025; Mar 12, 2025 |
| F727 RN coverage and director of nursing | 2 | Jun 19, 2025; Feb 13, 2024 |
| F755 Pharmacy services and a consultant pharmacist | 2 | Jun 5, 2026; Jun 19, 2025 |
| F760 No significant medication errors | 2 | Nov 6, 2025; Jun 19, 2025 |
| F842 Complete, confidential medical records | 2 | Jan 16, 2026; Mar 12, 2025 |
| F880 Infection prevention and control program | 2 | Nov 6, 2025; Jun 19, 2025 |
| F921 Safe, functional, sanitary building | 2 | Jun 19, 2025; Mar 12, 2025 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Mar 5, 2026 | Fine | $18,278 |
| Mar 12, 2025 | Fine | $207,010 |
| Mar 12, 2025 | Payment Denial | 64 days from Jun 12, 2025 |
| Nov 13, 2024 | Fine | $15,891 |
| Dec 8, 2023 | Fine | $54,604 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.68 h (above the Texas median of 3.27 h)
- RN hours per resident per day
- 0.44 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 3.28 h
- Nursing staff turnover
- 85.3% (Texas median 52.1%)
- Administrators who left
- 2
- CMS overall rating
- Not rated
- Health inspection rating
- Not rated
- Staffing rating
- Not rated
- Quality measure rating
- Not rated
CMS figures for Woodway Nursing & Rehab, copied as published; Texas medians are ours.
Facility details
- Address
- 2808 Stoney Brook Dr, Houston, TX 77063
- Phone
- (713) 782-4355
- County
- Harris
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Chain (CMS)
- Chambers County Public Hospital District No. 1
- Certified beds
- 112
- Average residents per day
- 45.2
- In Medicare/Medicaid since
- Aug 1, 1992
- Inside a hospital
- Yes
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How often are rooms cleaned and bed linens changed? (F584, cited 4 times)
- How often do residents who need help get assistance with bathing, grooming, and mouth care? (F677, cited 3 times)
- How often are residents who spend a lot of time in bed or a wheelchair repositioned and checked for skin problems? (F686, cited 3 times)
- How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 3 times)
Other nursing homes in Houston and the same chain
- Avir at Houston
Houston · 45 deficiencies - Terra Bella Health and Wellness Suites
Houston · 44 deficiencies - Afton Oaks Nursing and Rehabilitation Center
Houston · 43 deficiencies - Fallbrook Rehabilitation and Care Center
Houston · 43 deficiencies - Paradigm at Westbury
Houston · 42 deficiencies - Paradigm at Woodwind Lakes
Houston · 39 deficiencies - Regency Village
Webster · 29 deficiencies - Will-O-Bell
Bartlett · 29 deficiencies - Country Village Care
Angleton · 23 deficiencies - Sharpview Residence and Rehabilitation Center
Houston · 17 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.