F58

WOODWAY REHABILITATION AND HEALTHCARE CENTER

Grade F 58/100 composite score

For profit - CorporationAbuse Citation

CMS Star Ratings

Overall
1/5
Health Insp.
1/5
Quality
3/5
Staffing
2/5
RN Staffing
Not rated

Certified Beds

144

Ownership

For profit - Corporation

Total Fines

$14,846

Last Survey

N/A

7801 WOODWAY DR, WACO, TX 76712
2542357801

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.31h
LPN
0.97h
CNA
2.88h
Total
4.16h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Apr 2020

100%

LTC HOUSTON MANAGEMENT LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Sep 2024

WRHC,LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Sep 2024

THREADGILL, SHARLYN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Sep 2024

BYROM, DAVID

IndividualCORPORATE OFFICERSince Apr 2020

FUZE VENTURES, LP

Organization5% OR GREATER MORTGAGE INTERESTSince Sep 2024

HEALTHCARE INVESTMENTS RC, LLC

Organization5% OR GREATER MORTGAGE INTERESTSince Sep 2024

M VENTURES 111, LLC

Organization5% OR GREATER MORTGAGE INTERESTSince Sep 2024

MMT REALTY-WACO, LLC

Organization5% OR GREATER MORTGAGE INTERESTSince Sep 2024

WRHC RE, LLC

Organization5% OR GREATER MORTGAGE INTERESTSince Sep 2024

FELLBAUM, ERNEST

Individual5% OR GREATER MORTGAGE INTERESTSince Sep 2024

MARTEL, MICHAEL

Individual5% OR GREATER MORTGAGE INTERESTSince Sep 2024

STUDER, STANLEY

Individual5% OR GREATER MORTGAGE INTERESTSince Sep 2024

THREADGILL, FORREST

Individual5% OR GREATER MORTGAGE INTERESTSince Sep 2024

THREADGILL, MORGAN

Individual5% OR GREATER MORTGAGE INTERESTSince Sep 2024

THREADGILL, SHARLYN

Individual5% OR GREATER MORTGAGE INTERESTSince Sep 2024

THREADGILL, WADE

Individual5% OR GREATER MORTGAGE INTERESTSince Sep 2024

Penalties & Fines (2)

$14,846total fines
DateTypeDescriptionAmount
Mar 14, 2025Fine$6,337
Jan 23, 2025Fine$8,509

Health Inspection Deficiencies (16)

November 20, 2025Health2 deficiencies
0607DMinimal harm, Isolated

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

June 5, 2025Health1 deficiency
0755DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

Corrected Jun 6, 2025
March 14, 2025Health3 deficiencies2 severe
0656DMinimal harm, Isolated

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

Corrected Mar 15, 2025
0684JImmediate jeopardy, Isolated

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

Quality of Life and Care Deficiencies

Corrected Mar 15, 2025
0726JImmediate jeopardy, Isolated

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Nursing and Physician Services Deficiencies

Corrected Mar 15, 2025
January 23, 2025Health4 deficiencies3 severe
0600JImmediate jeopardy, Isolated

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

Corrected Jan 24, 2025
0607JImmediate jeopardy, Isolated

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jan 24, 2025
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jan 24, 2025
0610JImmediate jeopardy, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jan 24, 2025
December 28, 2024Health1 deficiency
0558EMinimal harm, Pattern

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Dec 31, 2024
July 17, 2024Health1 deficiency
0573DMinimal harm, Isolated

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Resident Rights Deficiencies

Corrected Aug 5, 2024
April 25, 2024Health1 deficiency
0558DMinimal harm, Isolated

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected May 9, 2024
September 20, 2023Health1 deficiency
0600DMinimal harm, Isolated

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

Corrected Oct 17, 2023
February 23, 2023Health2 deficiencies
0585DMinimal harm, Isolated

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Resident Rights Deficiencies

Corrected Mar 13, 2023
0755DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

Corrected Mar 10, 2023

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Frequently Asked Questions

What is the CareGrader rating for WOODWAY REHABILITATION AND HEALTHCARE CENTER?

WOODWAY REHABILITATION AND HEALTHCARE CENTER in WACO, Texas has a CareGrader grade of F (Poor), with a composite score of 58.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for WOODWAY REHABILITATION AND HEALTHCARE CENTER?

WOODWAY REHABILITATION AND HEALTHCARE CENTER has an overall CMS star rating of 1 out of 5, a health inspection rating of 1/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does WOODWAY REHABILITATION AND HEALTHCARE CENTER have?

WOODWAY REHABILITATION AND HEALTHCARE CENTER has 16 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). This facility has abuse citations on record. View the full inspection timeline above for details on each deficiency.

Has WOODWAY REHABILITATION AND HEALTHCARE CENTER been fined?

Yes. WOODWAY REHABILITATION AND HEALTHCARE CENTER has $14,846 in total fines from CMS enforcement actions across 2 penalties.

How many beds does WOODWAY REHABILITATION AND HEALTHCARE CENTER have?

WOODWAY REHABILITATION AND HEALTHCARE CENTER has 144 certified beds with approximately 72 current residents (50% occupancy). The facility is located at 7801 WOODWAY DR, WACO, Texas 76712. It is a for profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.