Deficiency Index

Woodway Rehabilitation and Healthcare Center

Waco, Texas · CCN 675924

24 surveys since 2011, 9 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
57
Surveys
24
Harm or worse
9
Immediate jeopardy
7
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy7

Findings at the most serious level CMS records.

Beyond CMS’s monthly file14/24

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
144
Ownership
For profit - Corporation
Chain
MOMENTUM SKILLED SERVICES
County
Mc Lennan
Medicare-certified since
2002

CMS ratings

Overall
2
Health inspection
2
Staffing
2
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 209 for-profit facilities with 128 or more beds in Texas.

Last survey on record

Jun 30, 2026

132 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.713.26
Registered-nurse hours per resident day0.37—
Annual nurse turnover74.5%55.3%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$14,846 across 2 penalties

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ531.3%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1062.5%E16.3%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 16 of the 57 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F5582×

    Reasonably accommodate the needs and preferences of each resident.

  • F6002×

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

  • F6072×

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

  • F6092×

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

  • F6842×

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

In the surveyor’s words

From the most serious findings on record at Woodway Rehabilitation and Healthcare Center, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF684Mar 14, 2025

    Based on observation, interview and record review, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices reviewed for 1 (Resident #1) of 5 residents reviewed for quality of care. The facility nurses failed to hold Resident #1s health shakes and administered them through a 60ML syringe by mouth while she was not responsive on 3/10/25 at 10:20pm and 3/11/25 at 12:10pm. These failures resulted in an identification of an Immediate Jeopardy (IJ) On 3/12/2025 at 4:35 p.m. […]

  • Immediate jeopardy, isolatedF726Mar 14, 2025

    Based on observation, interview, and record review, the facility failed to assure that all nursing staff possess the competencies and skill sets necessary to provide nursing and related services to meet the residents' needs safely and in a manner that promotes each resident's rights, physical, mental, and psychosocial well-being for 1 (Resident #1) of 5 residents reviewed. The facility nurses failed to hold Resident #1's health shakes and administered them through a 60 ML syringe by mouth while she was not responsive on 3/10/25 at 10:20pm and 3/11/25 at 12:10pm. These failures resulted in an identification of an Immediate Jeopardy (IJ) On 3/12/2025 at 4:35 p.m. […]

  • Immediate jeopardy, isolatedF600Jan 23, 2025

    Based on interview and record review, the facility failed to ensure residents had the right to be free from abuse for one (Resident #1) of five residents reviewed for abuse. The facility failed to protect Resident #1 from physical abuse when CNA A was slapped by Resident #1 across the face and CNA A slapped Resident #1 back across their face on 1/5/2025. An Immediate Jeopardy (IJ) was identified on 01/22/2025. The IJ template was provided to the facility on [DATE] at 5:43 PM. While the IJ was removed on 01/23/2025, the facility remained out of compliance at a scope of isolated and a severity level of no actual harm with potential for more than minimal harm that is not immediate jeopardy because all staff had not been trained on abuse/neglect. […]

  • Immediate jeopardy, isolatedF607Jan 23, 2025

    Based on interview and record review, the facility failed to implement their written policies and procedures regarding investigating abuse for one (Resident #1) of five residents reviewed for abuse and neglect. The facility failed to ensure CNA A was suspended/terminated or removed from working with all residents after she slapped a resident in the memory care unit, potentially causing additional abuse and/or emotional distress. An Immediate Jeopardy (IJ) was identified on 01/22/2025. The IJ template was provided to the facility on [DATE] at 5:43 PM. […]

  • Immediate jeopardy, isolatedF610Jan 23, 2025

    Based on interview and record review, the facility failed to, in response to allegations of abuse, prevent further potential abuse for one (Resident #1) of five residents reviewed for abuse and neglect while the investigation of alleged abuse was in progress. The facility failed to ensure CNA A was suspended/terminated or removed from working with all residents while the investigation of alleged abuse was ongoing. CNA A was moved to another wing to continue the remainder of her shift working with other residents for approximately 10 additional hours on the day she slapped a resident in the memory care unit. An Immediate Jeopardy (IJ) was identified on 01/22/2025. The IJ template was provided to the facility on [DATE] at 5:43 PM. […]

Read 23 findings in full →The most serious and the most recent: 23 of 57 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 26, 2026Standard6 findings · 1 harm
  • Jun 30, 2026Complaint1 finding
  • Nov 20, 2025Complaint2 findings
  • Jun 5, 2025Standard and complaint1 finding
  • Mar 14, 2025Complaint3 findings · 2 harm
  • Jan 23, 2025Complaint4 findings · 3 harm
  • Dec 28, 2024Complaint1 finding
  • Jul 17, 2024Complaint1 finding
Show the 16 earlier surveys
  • Apr 25, 2024Complaint1 finding
  • Sep 20, 2023Complaint1 finding
  • Feb 23, 2023Standard and complaint2 findings
  • Dec 16, 2022Complaint1 finding
  • Feb 20, 2020Standard1 finding
  • Dec 19, 2018Standard3 findings
  • Nov 15, 2017Standard1 finding
  • Oct 5, 2016Standard5 findings
  • Dec 16, 2015Complaint2 findings · 2 harm
  • Jul 23, 2014Standard and complaint2 findings · 1 harm
  • Jan 30, 2014Complaint3 findings
  • Jan 15, 2013—3 findings
  • Nov 27, 2012—1 finding
  • Apr 11, 2012—6 findings
  • May 19, 2011—3 findings
  • Apr 25, 2011—3 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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