Woodway Nursing & Rehab

In the surveyor’s words

From the most serious findings on record at Woodway Nursing & Rehab, in the surveyor’s own words.

• Immediate jeopardy, widespreadF835Jun 19, 2025

  Based on observation, interview, and record review, the facility failed to ensure it was administered in a manner that enables it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being for the entire facility which included: 2 residents who experienced abuse (Resident #113 & Resident #114), 3 residents who experienced problems with services for treatment and services for mental and psychosocial concerns (Resident #30, Resident #42 & Resident #52); 2 resident who experienced repeated G-tube dislodgement (Resident #18 & Resident #33); 2 residents who experience problems with ADL care (Resident #28 & Resident #109), 3 residents who experienced significant medication errors and problems with quality of care… […]

• Immediate jeopardy, widespreadF584Mar 12, 2025

  Based on observations, interviews, and record review, the facility failed to ensure residents had a safe, clean, comfortable, and homelike environment, including but not limited to receiving treatment and support for daily living safely for 18 of 18 residents reviewed (CR #1, Resident #2, #3, #4, #5, #6, #7, #10, #21, #22, #23, #24, #25, #26, #27, #28, #29 and #30) and 4 of 4 Halls (A, B, C & D Halls) reviewed for clean, comfortable, homelike environment, and clean bed and bath linens. - The facility failed to maintain a clean and homelike environment for all residents across the facility. […]

• Immediate jeopardy, widespreadF600Mar 12, 2025

  Based on observation, interview and record review, the facility failed to ensure all residents were free from neglect for 18 of 18 residents (CR #1, Resident #2, #3, #4, #5, #6, #7, #10, #21, #22, #23, #24, #25, #26, #27, #28, #29 and #30) and 4 of 4 Halls (A, B, C & D Halls) reviewed for neglect. - The facility failed to provide adequate clean linens (towels & Sheets) to meet the needs of all residents across all units which resulted in residents (CR#1, Resident #2, #7, #5, #3) who reported they stuck to their mattress, felt cold, unclean, dirty, worthless, neglected, and left CR #1 in tears. - The facility failed to provide adequate clean linens as Residents #6, #10, #21, #22, #24, #25, #26, #27, #28, #29 & #30 were observed laying on bare mattresses. […]

• Immediate jeopardy, patternF686Mar 5, 2026

  Based on observation, interview, and record review, the facility failed to ensure that residents with pressure ulcers receive necessary treatments and services, consistent with professional standards of practice, to promote healing, prevent infection, and prevent new ulcers from developing for 1 (Resident #1) of 5 residents reviewed for wound prevention. The facility failed to provide Resident #1 wound care every day shift as ordered on 2/23/26, 2/24/26, and 2/25/26 for his 6 documented wounds. Pressure wound on Resident #1's left hip developed a strong odor with moderate serosanguinous fluid. Wound Care Doctor (WCD) diagnosed the wound as infected on 2/27/26. An IJ was identified on 03/01/256. The IJ template was provided to the facility on [DATE] at 3:30 p.m. […]

• Immediate jeopardy, patternF600Jun 19, 2025

  Based on observation, interviews and record reviews, the facility failed to protect the resident's right to be free from abuse, neglect, and exploitation for two residents (Resident #111, #113 and #114) out of seven reviewed for abuse. The facility failed to protect Resident #113 and #114 from a physical altercation on 3/23/25. Resident #114 sustained redness and pain to the left eye and sent to the ER. The facility failed to address Resident # 114's continued threatening and aggressive behavior towards residents and staff. The facility failed to address Resident #113's inappropriate sexual behavior on 5/03/2024 towards an unknown female resident as documented in the medical records. An Immediate Jeopardy (IJ) was identified on 05/03/2025. […]