Nursing home in Houston, Texas
Woodway Nursing & Rehab
Medicare and Medicaid
2808 Stoney Brook Dr, Houston, TX 77063
(713) 782-4355
- This nursing home is in the CMS Special Focus Facility program, for facilities with a history of serious quality issues.
CMS star ratings
CMS did not publish an overall star rating for this nursing home in this release. Each rating is compared with the mean of rated nursing homes in Texas (1,165 for the overall rating) and in the U.S. (14,565). How to read an inspection report.
Overall rating
Not available[18]
- This nursing homeNot available
- Texas average2.7 (1,165 rated)
- U.S. average3.0 (14,565 rated)
Health inspections
Not available[18]
- This nursing homeNot available
- Texas average2.8 (1,165 rated)
- U.S. average2.8 (14,565 rated)
Staffing
Not available[18]
- This nursing homeNot available
- Texas average1.9 (1,163 rated)
- U.S. average2.9 (14,494 rated)
Quality measures
Not available[18]
- This nursing homeNot available
- Texas average3.7 (1,162 rated)
- U.S. average3.6 (14,495 rated)
Health inspections
Most recent standard health inspection (rating cycle 1): Jun 5, 2026. CMS counts 12 health deficiencies in rating cycle 1.
- This nursing home12
- Texas average9.4 (1,171 with data)
- U.S. average9.2 (14,652 with data)
Rating cycle 1 health deficiencies. Averages include every nursing home with a count in the CMS file; fewer is better.
Deficiencies since Sep 30, 2023
Inspectors cited 55 health deficiencies on 13 inspection dates since Sep 30, 2023. By level of harm: 17 immediate jeopardy, 3 actual harm, 34 potential for harm, 1 minimal harm potential.
- 17 Immediate jeopardy to resident health or safety
- 3 Actual harm
- 34 No actual harm, potential for more than minimal harm
- 1 No actual harm, potential for minimal harm
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Jul 3, 2026 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents.Administration Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has plan of correction Jul 10, 2026 |
| Jun 5, 2026 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedResident Assessment and Care Planning Deficiencies | G Actual harm, isolated | Standard | Deficient, Provider has plan of correction Jun 6, 2026 |
| Jun 5, 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of Life and Care Deficiencies | G Actual harm, isolated | Standard | Deficient, Provider has plan of correction Jun 6, 2026 |
| Jun 5, 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing.Quality of Life and Care Deficiencies | G Actual harm, isolated | Standard | Deficient, Provider has plan of correction Jun 6, 2026 |
| Jun 5, 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has plan of correction Jun 6, 2026 |
| Jun 5, 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy Service Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has plan of correction Jun 6, 2026 |
| Mar 5, 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing.Quality of Life and Care Deficiencies | K Immediate jeopardy, pattern | Complaint | Deficient, Provider has date of correction Mar 6, 2026 |
| Mar 5, 2026 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.Quality of Life and Care Deficiencies | J Immediate jeopardy, isolated | Complaint | Past Non-Compliance Feb 25, 2026 |
| Jan 16, 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Feb 11, 2026 |
| Nov 6, 2025 | F0760 | Ensure that residents are free from significant medication errors.Pharmacy Service Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Dec 19, 2025 |
Show the other 45 deficiencies
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Nov 6, 2025 | F0584 | 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.Resident Rights Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Dec 19, 2025 |
| Nov 6, 2025 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Dec 19, 2025 |
| Jun 19, 2025 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently.Administration Deficiencies | L Immediate jeopardy, widespread | Standard | Deficient, Provider has date of correction Jul 16, 2025 |
| Jun 19, 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Freedom from Abuse, Neglect, and Exploitation Deficiencies | K Immediate jeopardy, pattern | Complaint | Deficient, Provider has date of correction Jul 16, 2025 |
| Jun 19, 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning Deficiencies | K Immediate jeopardy, pattern | Standard | Deficient, Provider has date of correction Jul 16, 2025 |
| Jun 19, 2025 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.Quality of Life and Care Deficiencies | K Immediate jeopardy, pattern | Standard | Deficient, Provider has date of correction Jul 16, 2025 |
| Jun 19, 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and Care Deficiencies | K Immediate jeopardy, pattern | Standard | Deficient, Provider has date of correction Jul 16, 2025 |
| Jun 19, 2025 | F0693 | 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.Quality of Life and Care Deficiencies | K Immediate jeopardy, pattern | Complaint | Deficient, Provider has date of correction Jul 16, 2025 |
| Jun 19, 2025 | F0742 | 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.Quality of Life and Care Deficiencies | K Immediate jeopardy, pattern | Standard, Complaint | Deficient, Provider has date of correction Jul 16, 2025 |
| Jun 19, 2025 | F0760 | Ensure that residents are free from significant medication errors.Pharmacy Service Deficiencies | K Immediate jeopardy, pattern | Standard | Deficient, Provider has date of correction Jul 16, 2025 |
| Jun 19, 2025 | F0584 | 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.Resident Rights Deficiencies | F Potential for harm, widespread | Standard | Deficient, Provider has date of correction Jul 16, 2025 |
| Jun 19, 2025 | F0727 | 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.Nursing and Physician Services Deficiencies | F Potential for harm, widespread | Standard | Deficient, Provider has date of correction Jul 16, 2025 |
| Jun 19, 2025 | F0908 | Keep all essential equipment working safely.Environmental Deficiencies | F Potential for harm, widespread | Standard | Deficient, Provider has date of correction Jul 16, 2025 |
| Jun 19, 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments.Resident Rights Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Jul 16, 2025 |
| Jun 19, 2025 | F0641 | Ensure each resident receives an accurate assessment.Resident Assessment and Care Planning Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Jul 16, 2025 |
| Jun 19, 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of Life and Care Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Jul 16, 2025 |
| Jun 19, 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy Service Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Jul 16, 2025 |
| Jun 19, 2025 | F0761 | 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.Pharmacy Service Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Jul 16, 2025 |
| Jun 19, 2025 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Jul 16, 2025 |
| Jun 19, 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Environmental Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Jul 16, 2025 |
| Jun 19, 2025 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Environmental Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Jul 16, 2025 |
| Jun 19, 2025 | F0610 | Respond appropriately to all alleged violations.Freedom from Abuse, Neglect, and Exploitation Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Jul 16, 2025 |
| Jun 19, 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedResident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jul 16, 2025 |
| Jun 19, 2025 | F0732 | Post nurse staffing information every day.Nursing and Physician Services Deficiencies | B Minimal harm potential, pattern | Standard | Deficient, Provider has date of correction Jul 16, 2025 |
| Mar 12, 2025 | F0584 | 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.Resident Rights Deficiencies | L Immediate jeopardy, widespread | Complaint | Deficient, Provider has date of correction Jul 15, 2025 |
| Mar 12, 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Freedom from Abuse, Neglect, and Exploitation Deficiencies | L Immediate jeopardy, widespread | Complaint | Deficient, Provider has date of correction Jul 15, 2025 |
| Mar 12, 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning Deficiencies | K Immediate jeopardy, pattern | Complaint | Deficient, Provider has date of correction Jul 15, 2025 |
| Mar 12, 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and Care Deficiencies | K Immediate jeopardy, pattern | Complaint | Deficient, Provider has date of correction Jul 15, 2025 |
| Mar 12, 2025 | F0641 | Ensure each resident receives an accurate assessment.Resident Assessment and Care Planning Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Jul 15, 2025 |
| Mar 12, 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of Life and Care Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Jul 15, 2025 |
| Mar 12, 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Environmental Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Jul 15, 2025 |
| Mar 12, 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Mar 14, 2025 |
| Nov 13, 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | J Immediate jeopardy, isolated | Complaint | Past Non-Compliance |
| Sep 15, 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Oct 31, 2024 |
| Jun 28, 2024 | F0687 | Provide appropriate foot care.Quality of Life and Care Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Aug 1, 2024 |
| Feb 13, 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies | F Potential for harm, widespread | Standard, Complaint | Deficient, Provider has date of correction Mar 11, 2024 |
| Feb 13, 2024 | F0584 | 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.Resident Rights Deficiencies | E Potential for harm, pattern | Standard, Complaint | Deficient, Provider has date of correction Mar 11, 2024 |
| Feb 13, 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Resident Assessment and Care Planning Deficiencies | E Potential for harm, pattern | Standard, Complaint | Deficient, Provider has date of correction Mar 11, 2024 |
| Feb 13, 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed.Quality of Life and Care Deficiencies | E Potential for harm, pattern | Standard, Complaint | Deficient, Provider has date of correction Mar 11, 2024 |
| Feb 13, 2024 | F0727 | 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.Nursing and Physician Services Deficiencies | E Potential for harm, pattern | Standard, Complaint | Deficient, Provider has date of correction Mar 11, 2024 |
| Feb 13, 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Mar 11, 2024 |
| Dec 14, 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident Rights Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Jan 12, 2024 |
| Dec 14, 2023 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area.Environmental Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Jan 12, 2024 |
| Dec 8, 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Resident Rights Deficiencies | K Immediate jeopardy, pattern | Complaint | Deficient, Provider has date of correction Dec 11, 2023 |
| Dec 8, 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing.Quality of Life and Care Deficiencies | K Immediate jeopardy, pattern | Complaint | Deficient, Provider has date of correction Dec 11, 2023 |
Staffing
Total nurse staffing
Reported hours per resident per day.
- This nursing home3.68 hours
- Texas average3.39 hours (1,148 with data)
- U.S. average3.86 hours (14,351 with data)
Registered nurse staffing
Reported hours per resident per day.
- This nursing home0.44 hours
- Texas average0.43 hours (1,148 with data)
- U.S. average0.69 hours (14,351 with data)
Nursing staff turnover
Share of nursing staff who left during the year, as reported to CMS.
- This nursing home85.3%
- Texas average55.3% (1,051 with data)
- U.S. average45.8% (13,538 with data)
Penalties
CMS lists 5 penalties for this nursing home: 4 fines totaling $295,783, and 1 payment denial. CMS counts penalties from the last 3 years.
Facility details
| Certified beds | 112 |
|---|---|
| Average residents per day | 45.2 |
| Ownership | For profit - Limited Liability company |
| Provider type | Medicare and Medicaid |
| Inside a hospital | Yes |
| Continuing care retirement community | No |
| Resident and family council | Resident |
| Automatic sprinklers in all required areas | Yes |
| Chain | Chambers County Public Hospital District No. 1 (7 facilities) |
| Legal business name | CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 |
| First approved for Medicare and Medicaid | Aug 1, 1992 |
| County | Harris |
| CMS certification number | 675078 |
Also in Houston
| Nursing home | CMS overall rating | Health inspection rating | Certified beds | Ownership |
|---|---|---|---|---|
| The Methodist Hospital SNF | 25 | Non profit - Church related | ||
| Avir at Courtyard | 120 | For profit - Limited Liability company | ||
| The Vosswood Nursing Center | 224 | For profit - Limited Liability company | ||
| Focused Care at Beechnut | 146 | For profit - Limited Liability company | ||
| Afton Oaks Nursing and Rehabilitation Center | 169 | For profit - Individual | ||
| Fallbrook Rehabilitation and Care Center | 202 | For profit - Partnership | ||
| Golfcrest Nursing and Rehabilitation | 120 | For profit - Corporation | ||
| Jacinto Nursing and Rehabilitation Center | 148 | For profit - Limited Liability company | ||
| Paradigm Northwest | 148 | For profit - Corporation | ||
| Sharpview Residence and Rehabilitation Center | 134 | Non profit - Corporation | ||
| The Lev at Town Park | 180 | Government - Hospital district | ||
| Paradigm at Woodwind Lakes | Not available | Not available | 180 | For profit - Limited Liability company |
| Hospital | CMS overall rating | Type | Emergency services |
|---|---|---|---|
| Houston Methodist Hospital | Acute Care Hospitals | Yes | |
| Baylor St Lukes Medical Center | Acute Care Hospitals | Yes | |
| Memorial Hermann - Texas Medical Center | Acute Care Hospitals | Yes | |
| Memorial Hermann Memorial City Hospital | Acute Care Hospitals | Yes | |
| Harris Health | Acute Care Hospitals | Yes | |
| Memorial Hermann Hospital System | Acute Care Hospitals | Yes | |
| St Joseph Medical Center | Acute Care Hospitals | Yes | |
| HCA Houston Healthcare Northwest | Acute Care Hospitals | Yes |
CMS footnotes on this page
- [18]
- This facility is not rated due to a history of serious quality issues and is included in the special focus facility program.