01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-06-05 | 4 | 2025-06-05 | 2 |
| Cycle 2 | 2024-04-25 | 8 | 2024-04-25 | 9 |
| Cycle 3 | 2023-02-23 | 4 | 2023-02-23 | 9 |
CMS CCN 6759242026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Woodway Rehabilitation And Healthcare Center
7801 Woodway Dr · Waco, TX 76712 · Mc Lennan County
Certified beds144CMS provider file
Recent citation rows36current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
36 rows in the current release
5 rows carry G–L scope/severity codes; 5 carry J–L. 12 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-06-30 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-07-10 · complaint2025-11-20 · HEALTHF0607Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Deficient, Provider has date of correction · 2025-11-26 · complaint2025-11-20 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-11-26 · complaint2025-06-05 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2025-06-06 · complaint2025-06-05 · FIREK0345Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2025-06-202025-06-05 · FIREK0351Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Install an approved automatic sprinkler system.
Correction field: Deficient, Provider has date of correction · 2025-07-232025-03-14 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2025-03-15 · complaint2025-03-14 · HEALTHF0684Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-03-15 · complaint2025-03-14 · HEALTHF0726Severity J · isolated immediate jeopardy
Nursing and Physician Services Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-03-15 · complaint2025-01-23 · HEALTHF0600Severity J · isolated immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2025-01-24 · complaint2025-01-23 · HEALTHF0607Severity J · isolated immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Deficient, Provider has date of correction · 2025-01-24 · complaint2025-01-23 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-01-24 · complaint2025-01-23 · HEALTHF0610Severity J · isolated immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2025-01-24 · complaint2024-12-28 · HEALTHF0558Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2024-12-31 · complaint2024-07-17 · HEALTHF0573Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Correction field: Deficient, Provider has date of correction · 2024-08-05 · complaint2024-04-25 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2024-05-09 · complaint2024-04-25 · FIREK0222Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2025-03-282024-04-25 · FIREK0293Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has date of correction · 2025-03-282024-04-25 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2025-03-282024-04-25 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2025-03-282024-04-25 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-03-282024-04-25 · FIREK0372Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2025-03-282024-04-25 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2025-03-282024-04-25 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2025-03-2803 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-03-14 | Fine | $6,443 | 0 |
| 2025-01-23 | Fine | $8,509 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITYOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 04/01/2020
- FUZE VENTURES, LPOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 09/17/2024
- HEALTHCARE INVESTMENTS RC, LLCOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 09/17/2024
- M VENTURES 111, LLCOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 09/17/2024
- MMT REALTY-WACO, LLCOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 09/17/2024
- WRHC RE, LLCOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 09/17/2024
- FELLBAUM, ERNESTIndividual · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 09/17/2024
- MARTEL, MICHAELIndividual · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 09/17/2024
- STUDER, STANLEYIndividual · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 09/17/2024
- THREADGILL, FORRESTIndividual · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 09/17/2024
- THREADGILL, MORGANIndividual · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 09/17/2024
- THREADGILL, SHARLYNIndividual · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 09/17/2024
- THREADGILL, WADEIndividual · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 09/17/2024
- BYROM, DAVIDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2020
- LTC HOUSTON MANAGEMENT LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/17/2024
- WRHC,LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/17/2024
- THREADGILL, SHARLYNIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/17/2024
- CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITYOrganization · ADP OF THE SNFNOT APPLICABLE · since 04/22/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.71per resident day
RN hours0.37per resident day
Weekend nurse hours3.20per resident day
Staff turnover74.5%CMS reported field
06 / LOCAL RECORDS
Open the Waco ledger →Other published facilities nearby
Avir At Jeffrey Place95 beds · CMS overall 3/545 citation rowsAvir At Waco120 beds · CMS overall 4/529 citation rowsCrestview Healthcare Residence192 beds · CMS overall 4/548 citation rowsGreenview Nursing And Rehabilitation128 beds · CMS overall 1/554 citation rowsIvy Creek Wellness & Rehabilitation162 beds · CMS overall 1/545 citation rowsLakeshore Village Nursing And Rehabilitation151 beds · CMS overall 1/552 citation rowsRidgecrest Retirement And Healthcare Community90 beds · CMS overall 1/534 citation rowsSt. Anthony'S Care Center120 beds · CMS overall 4/516 citation rows