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CMS Nursing Home Compare · August 2026

Woodway Nursing & Rehab

2808 Stoney Brook Dr, Houston, TX 77063 · All homes in Houston

Woodway Nursing & Rehab, a 112-bed for profit - limited liability company nursing facility in Houston, TX, holds no current CMS overall rating - not currently rated against the 3.0-star national average, with nurse staffing below the national norm. 18 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 7137824355

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N/A
CMS overall · nat'l 3.0
3.68
About average · nurse hrs/day · nat'l 3.86
50
Inspection findings · 18 serious
$306K
Federal penalties (4)

The verdict

Woodway Nursing & Rehab, a 112-bed for profit - limited liability company nursing facility in Houston, TX, holds no current CMS overall rating - not currently rated against the 3.0-star national average, with nurse staffing below the national norm. 18 inspection findings reached the actual-harm or immediate-jeopardy level.

N/A
CMS overall · national 3.0
3.68
Nurse hrs/resident-day · national 3.86
50
Inspection findings · 18 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 1,177 TX nursing homes split by ownership sector

This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

N/A

Staffing

N/A

Quality Measures

N/A

Long-Stay Quality

N/A

Facility Information

Provider Number
675078
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
112
Residents
45
In Hospital
Yes
County
Harris
Last Inspection
Jun 5, 2026
Special Focus
SFF

Staffing Data

How the 3.68 total nursing hours per resident-day are staffed:

RN Hours
0.44 (nat'l avg: 0.69)
LPN Hours
1.13
CNA Hours
2.10
Total Nursing Hours
3.68 (nat'l avg: 3.86)
PT Hours
0.12
Nursing Turnover
85.3%
RN Turnover
93.8%

What the CMS Record Reveals About Woodway Nursing & Rehab

Woodway Nursing & Rehab operates 112 certified beds in Houston, TX with approximately 45 residents currently in care, and carries a CMS overall rating of no current rating.

The inspection file contains 50 deficiency records from recent surveys, of which 18 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS enforcement records show 4 penalties totaling $306K levied against this facility. Staffing is reported at 3.68 total nursing hours per resident day (national average 3.86), with RN coverage at 0.44 per resident day. This facility is currently an active CMS Special Focus Facility, a small, published list reserved for providers with a persistent pattern of serious quality problems that puts them under enhanced federal oversight.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider embedded within a hospital campus, Woodway Nursing & Rehab falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 85.3% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

D - Isolated - Minimal harm Jun 5, 2026 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

E - Pattern - Minimal harm Jun 5, 2026 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

G - Isolated - Actual harm Jun 5, 2026 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

G - Isolated - Actual harm Jun 5, 2026 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

G - Isolated - Actual harm Jun 5, 2026 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

J - Isolated - Jeopardy Mar 5, 2026 Tag: 0678

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 25, 2026

K - Pattern - Jeopardy Mar 5, 2026 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 6, 2026

D - Isolated - Minimal harm Jan 16, 2026 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 11, 2026

D - Isolated - Minimal harm Nov 6, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 19, 2025

D - Isolated - Minimal harm Nov 6, 2025 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Dec 19, 2025

E - Pattern - Minimal harm Nov 6, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Dec 19, 2025

B - Pattern - No harm Jun 19, 2025 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Jul 16, 2025

D - Isolated - Minimal harm Jun 19, 2025 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 16, 2025

D - Isolated - Minimal harm Jun 19, 2025 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 16, 2025

E - Pattern - Minimal harm Jun 19, 2025 Tag: 0925

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category: Environmental Deficiencies

Corrected: Jul 16, 2025

E - Pattern - Minimal harm Jun 19, 2025 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Jul 16, 2025

E - Pattern - Minimal harm Jun 19, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jul 16, 2025

E - Pattern - Minimal harm Jun 19, 2025 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Jul 16, 2025

E - Pattern - Minimal harm Jun 19, 2025 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Jul 16, 2025

E - Pattern - Minimal harm Jun 19, 2025 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 16, 2025

E - Pattern - Minimal harm Jun 19, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 16, 2025

E - Pattern - Minimal harm Jun 19, 2025 Tag: 0552

Ensure that residents are fully informed and understand their health status, care and treatments.

Category: Resident Rights Deficiencies

Corrected: Jul 16, 2025

F - Widespread - Minimal harm Jun 19, 2025 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

Corrected: Jul 16, 2025

F - Widespread - Minimal harm Jun 19, 2025 Tag: 0727

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Jul 16, 2025

F - Widespread - Minimal harm Jun 19, 2025 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Jul 16, 2025

K - Pattern - Jeopardy Jun 19, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Jul 16, 2025

K - Pattern - Jeopardy Jun 19, 2025 Tag: 0742

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.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 16, 2025

K - Pattern - Jeopardy Jun 19, 2025 Tag: 0693

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.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 16, 2025

K - Pattern - Jeopardy Jun 19, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 16, 2025

K - Pattern - Jeopardy Jun 19, 2025 Tag: 0678

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 16, 2025

K - Pattern - Jeopardy Jun 19, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 16, 2025

K - Pattern - Jeopardy Jun 19, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 16, 2025

L - Widespread - Jeopardy Jun 19, 2025 Tag: 0835

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Category: Administration Deficiencies

Corrected: Jul 16, 2025

D - Isolated - Minimal harm Mar 12, 2025 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 14, 2025

E - Pattern - Minimal harm Mar 12, 2025 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Jul 15, 2025

E - Pattern - Minimal harm Mar 12, 2025 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 15, 2025

E - Pattern - Minimal harm Mar 12, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 15, 2025

K - Pattern - Jeopardy Mar 12, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 15, 2025

K - Pattern - Jeopardy Mar 12, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 15, 2025

L - Widespread - Jeopardy Mar 12, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 15, 2025

L - Widespread - Jeopardy Mar 12, 2025 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Jul 15, 2025

J - Isolated - Jeopardy Nov 13, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

D - Isolated - Minimal harm Sep 15, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 31, 2024

E - Pattern - Minimal harm Jun 28, 2024 Tag: 0687

Provide appropriate foot care.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 1, 2024

D - Isolated - Minimal harm Feb 13, 2024 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 11, 2024

E - Pattern - Minimal harm Feb 13, 2024 Tag: 0727

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Mar 11, 2024

E - Pattern - Minimal harm Feb 13, 2024 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 11, 2024

E - Pattern - Minimal harm Feb 13, 2024 Tag: 0644

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 11, 2024

E - Pattern - Minimal harm Feb 13, 2024 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Mar 11, 2024

F - Widespread - Minimal harm Feb 13, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 11, 2024

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 20.9% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.6% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 5.6% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.1% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 13.0% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 5.6% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 14.9% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 2.4% No
Percentage of long-stay residents who have depressive symptoms Long Stay 2.2% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 12.0% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 95.7% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 19.3% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 95.7% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 58.3% No

Penalty History 4 penalties totaling $306K

Date Type Amount
Mar 5, 2026 Fine $28K
Mar 12, 2025 Fine $207K
Mar 12, 2025 Payment Denial -
Nov 13, 2024 Fine $16K
Dec 8, 2023 Fine $55K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Woodway Nursing & Rehab, both outside TX so the neighborhoods are not the same-state geography list below.

What the CMS records show for Woodway Nursing & Rehab

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The TX registry aggregates state averages and the highest-rated homes in this cohort. View TX registry
  • Peer homes near 112 beds show how CMS stars vary at a similar scale in TX. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What are the staffing levels at Woodway Nursing & Rehab?
Woodway Nursing & Rehab reports 3.68 total nursing hours per resident day (national average: 3.86). RN hours are 0.44 per resident day (national average: 0.69). Nursing staff turnover is 85.3%.
How many beds does Woodway Nursing & Rehab have?
Woodway Nursing & Rehab has 112 certified beds with approximately 45 residents. The facility is located at 2808 Stoney Brook Dr, Houston, TX 77063.
Does Woodway Nursing & Rehab have any deficiencies on record?
Yes, Woodway Nursing & Rehab has 50 deficiencies on record from recent inspections. Of these, 18 are classified as causing actual harm or jeopardy.
Has Woodway Nursing & Rehab received any fines or penalties?
Yes, Woodway Nursing & Rehab has received 4 penalties totaling $306K.
Who owns Woodway Nursing & Rehab?
Woodway Nursing & Rehab is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid" and is located within a hospital.
When was Woodway Nursing & Rehab last inspected?
The most recent health inspection for Woodway Nursing & Rehab was on Jun 5, 2026.
What quality measures are tracked for Woodway Nursing & Rehab?
Woodway Nursing & Rehab is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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