Woodway Nursing & Rehab
2808 Stoneybrook Drive · Houston, TX · 77063 · 7137824355
112 certified beds For profit - Limited Liability company Chain: Chambers County Public Hospital District No. 1
Why this verdict
- On the federal Special Focus list of the most persistently poor performers.
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (10 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
Red flags
Special Focus Facility
CMS has designated this facility one of the most persistently poor performers in the country — it is under increased inspection and enforcement.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
10 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$245,950 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: not rated Inspections: not rated Staffing: not rated Quality measures: not rated
| Total nurse hours / resident-day | 3.94 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.48 | 0.55–0.75 |
| Weekend hours / resident-day | 3.68 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 4 · $300,554 |
Inspection citations (61 in the current record)
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Immediate jeopardy · J March 5, 2026 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected February 25, 2026 · Quality of Life and Care
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Immediate jeopardy · K March 5, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 6, 2026 · Quality of Life and Care
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Potential for harm · D January 16, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 11, 2026 · Resident Assessment and Care Planning
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Potential for harm · D November 6, 2025 · found via complaint
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.
Corrected December 19, 2025 · Resident Rights
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Potential for harm · E November 6, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected December 19, 2025 · Pharmacy Service
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Potential for harm · D November 6, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 19, 2025 · Infection Control
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Immediate jeopardy · K June 19, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K June 19, 2025 · found via complaint
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.
Corrected July 16, 2025 · Quality of Life and Care
-
Immediate jeopardy · K June 19, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 16, 2025 · Resident Assessment and Care Planning
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Immediate jeopardy · K June 19, 2025
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected July 16, 2025 · Quality of Life and Care
-
Immediate jeopardy · K June 19, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 16, 2025 · Quality of Life and Care
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Immediate jeopardy · K June 19, 2025
Ensure that residents are free from significant medication errors.
Corrected July 16, 2025 · Pharmacy Service
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Immediate jeopardy · L June 19, 2025
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected July 16, 2025 · Administration
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Immediate jeopardy · K June 19, 2025 · found via complaint
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.
Corrected July 16, 2025 · Quality of Life and Care
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Potential for harm · D June 19, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected July 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E June 19, 2025 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected July 16, 2025 · Environmental
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Potential for harm · E June 19, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected July 16, 2025 · Resident Rights
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Potential for harm · F June 19, 2025
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.
Corrected July 16, 2025 · Resident Rights
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Potential for harm · E June 19, 2025
Ensure each resident receives an accurate assessment.
Corrected July 16, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 19, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected July 16, 2025 · Resident Assessment and Care Planning
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Potential for harm · E June 19, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 16, 2025 · Quality of Life and Care
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Potential for harm · F June 19, 2025
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.
Corrected July 16, 2025 · Nursing and Physician Services
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Potential for harm · E June 19, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 16, 2025 · Pharmacy Service
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Potential for harm · E June 19, 2025
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.
Corrected July 16, 2025 · Pharmacy Service
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Potential for harm · E June 19, 2025
Provide and implement an infection prevention and control program.
Corrected July 16, 2025 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 5, 2026 | Fine | $24,920 |
| March 12, 2025 | Fine | $205,139 |
| March 12, 2025 | Payment Denial | 64 days |
| November 13, 2024 | Fine | $15,891 |
| December 8, 2023 | Fine | $54,604 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675078 · certified since August 1, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.