Woodway Nursing & Rehab
State inspectors recorded 15 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
CMS currently lists this facility as: SFF (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).
Serious inspection findings
2026-03-05 — IMMEDIATE JEOPARDY (tag F0686, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2026-03-05 — IMMEDIATE JEOPARDY (tag F0678, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
2025-06-19 — IMMEDIATE JEOPARDY (tag F0693, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
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.
2025-06-19 — IMMEDIATE JEOPARDY (tag F0835, severity L)
Administration Deficiencies · correction not recorded in CMS data
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
2025-06-19 — IMMEDIATE JEOPARDY (tag F0656, severity K)
Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2025-06-19 — IMMEDIATE JEOPARDY (tag F0678, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
2025-06-19 — IMMEDIATE JEOPARDY (tag F0684, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2025-06-19 — IMMEDIATE JEOPARDY (tag F0742, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
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.
Staffing, from payroll records
Nursing hours / resident / day
3.04
state median 2.67
Weekend staffing gap
−10%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.31
registered nurses only
Contract (agency) staff
1%
share of all nursing hours
Days with zero RN hours reported
8
with residents present
Nursing staff turnover
85%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
5 enforcement action(s), totaling $303,754 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-03-05 | Fine | $28,120 |
| 2025-03-12 | Fine | $205,139 |
| 2025-03-12 | Payment Denial | payment denial |
| 2024-11-13 | Fine | $15,891 |
| 2023-12-08 | Fine | $54,604 |
Ownership
Ownership type: For profit - Limited Liability company. Part of the CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 chain.
Other facilities under the same ownership, with their CMS overall ratings:
- Sharpville Residence and Rehabilitation Center (Houston, TX) —
- Baywind Village Skilled Nursing & Rehab (League City, TX) —
- Country Village Care (Angleton, TX) —
- Regency Village (Webster, TX) —
- WILL-O-BELL (BARTLETT, TX) —
- LEGACIES NURSING AND REHABILITATION (HEMPHILL, TX) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-03-05 | F0678 | Quality of Life and Care Deficiencies | J | not recorded |
| 2026-03-05 | F0686 | Quality of Life and Care Deficiencies | K | not recorded |
| 2026-01-16 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-11-06 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2025-11-06 | F0760 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-11-06 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-06-19 | F0552 | Resident Rights Deficiencies | E | not recorded |
| 2025-06-19 | F0584 | Resident Rights Deficiencies | F | not recorded |
| 2025-06-19 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | K | not recorded |
| 2025-06-19 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-06-19 | F0641 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-06-19 | F0655 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-06-19 | F0656 | Resident Assessment and Care Planning Deficiencies | K | not recorded |
| 2025-06-19 | F0677 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-06-19 | F0678 | Quality of Life and Care Deficiencies | K | not recorded |
| 2025-06-19 | F0684 | Quality of Life and Care Deficiencies | K | not recorded |
| 2025-06-19 | F0693 | Quality of Life and Care Deficiencies | K | not recorded |
| 2025-06-19 | F0727 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2025-06-19 | F0732 | Nursing and Physician Services Deficiencies | B | not recorded |
| 2025-06-19 | F0742 | Quality of Life and Care Deficiencies | K | not recorded |
| 2025-06-19 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-06-19 | F0760 | Pharmacy Service Deficiencies | K | not recorded |
| 2025-06-19 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-06-19 | F0835 | Administration Deficiencies | L | not recorded |
| 2025-06-19 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2025-06-19 | F0908 | Environmental Deficiencies | F | not recorded |
| 2025-06-19 | F0921 | Environmental Deficiencies | E | not recorded |
| 2025-06-19 | F0925 | Environmental Deficiencies | E | not recorded |
| 2025-03-12 | F0584 | Resident Rights Deficiencies | L | not recorded |
| 2025-03-12 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | L | not recorded |
| 2025-03-12 | F0641 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-03-12 | F0656 | Resident Assessment and Care Planning Deficiencies | K | not recorded |
| 2025-03-12 | F0677 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-03-12 | F0684 | Quality of Life and Care Deficiencies | K | not recorded |
| 2025-03-12 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-03-12 | F0921 | Environmental Deficiencies | E | not recorded |
| 2024-11-13 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-09-15 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-06-28 | F0687 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-02-13 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2024-02-13 | F0644 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-02-13 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-02-13 | F0695 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-02-13 | F0727 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2024-02-13 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2023-12-14 | F0550 | Resident Rights Deficiencies | E | not recorded |
| 2023-12-14 | F0919 | Environmental Deficiencies | D | not recorded |
| 2023-12-08 | F0580 | Resident Rights Deficiencies | K | not recorded |
| 2023-12-08 | F0686 | Quality of Life and Care Deficiencies | K | not recorded |
| 2023-08-18 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2022-11-23 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2022-11-23 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2022-11-23 | F0692 | Quality of Life and Care Deficiencies | J | not recorded |
| 2022-11-23 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-11-23 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2022-11-23 | F0759 | Pharmacy Service Deficiencies | E | not recorded |
| 2022-11-23 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2022-11-23 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2022-11-23 | F0908 | Environmental Deficiencies | D | not recorded |
| 2022-11-23 | F0919 | Environmental Deficiencies | E | not recorded |