Harris County

Woodway Nursing & Rehab

In Medicare’s Special Focus Facility program
Medicare rating
Rating withheld
17
findings of immediate jeopardy, the most serious kind
34%
less nursing care than its residents are expected to need, against a research benchmark
$305,625
in federal fines recorded since 2023

Medicare withholds the star rating from every home in its Special Focus Facility program. This rating is not missing. It is withheld.

2808 Stoney Brook Dr, Houston, TX 77063 · (713) 782-4355
112 beds · about 45 residents on a typical day · for-profit limited liability company

Staffing

All nursing staff, per resident, per day
3 hours 41 minutes

Residents here are expected to need about 5 hours 36 minutes, given how sick they are. This home reports 34% less. The average Texas home reports 3 hours 23 minutes.

Registered nurses only
27 minutes

Registered nurses have the most training of the nursing staff on a shift. Residents here are expected to need about 1 hour 29 minutes of their time. This home reports 70% less.

Nursing staff who left in the past year
85%

85% of the nursing staff left within a year. High turnover means the people caring for your family member keep changing. The average Texas home reports 55%.

Where the benchmark comes from

Staffing is the measure most closely linked to how residents do, and the one families almost never see. How much nursing care a resident needs depends on how sick they are, so we compare this home against the level its own residents are expected to need. The marker on the first two bars shows that level. It is a research benchmark, not a legal limit. The hours shown are the hours the home filed with Medicare, before any adjustment for how sick its residents are.

Medicare attached a note to this home’s staffing figure, numbered 18. Medicare does not publish what its staffing note numbers mean, so we cannot tell you why it is there, only that it is. Treat the hours above, and the gap we work out from them, with that in mind.

What inspectors found

Inspectors visit every nursing home and write up what they find. This home has 55 findings on record going back to 2023, 32 of them after someone filed a complaint.

The 20 serious findings here

Actual harm June 5, 2026

Bedsores

The home did not prevent or properly treat pressure sores.

The home has not submitted a plan to fix this.

Medicare’s wording

Federal tag F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Actual harm June 5, 2026

No plan for new resident

The home did not write and follow a plan for a new resident’s most urgent needs within 48 hours.

The home has not submitted a plan to fix this.

Medicare’s wording

Federal tag F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Actual harm June 5, 2026

No help eating or washing

The home did not give a resident who could not manage alone the help they needed with everyday care such as eating, washing, grooming and mouth care.

The home has not submitted a plan to fix this.

Medicare’s wording

Federal tag F677Provide care and assistance to perform activities of daily living for any resident who is unable.

Immediate jeopardy March 5, 2026 From a complaint

CPR rules not met

The home did not provide basic life support, including CPR, before emergency responders arrived, where the resident’s own doctor’s orders and advance directives called for it.

The home had already fixed this before inspectors arrived.

Medicare’s wording

Federal tag F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel, subject to physician orders and the resident’s advance directives.

Immediate jeopardy March 5, 2026 From a complaint

Bedsores

The home did not prevent or properly treat pressure sores.

The home fixed this on March 6, 2026.

Medicare’s wording

Federal tag F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Immediate jeopardy June 19, 2025

CPR rules not met

The home did not provide basic life support, including CPR, before emergency responders arrived, where the resident’s own doctor’s orders and advance directives called for it.

The home fixed this on July 16, 2025.

Medicare’s wording

Federal tag F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel, subject to physician orders and the resident’s advance directives.

Immediate jeopardy June 19, 2025

Poorly run

The home was not managed in a way that let it provide proper care.

The home fixed this on July 16, 2025.

Medicare’s wording

Federal tag F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Immediate jeopardy June 19, 2025

Quality of care

A resident did not get treatment and care that followed their orders, their own preferences and their goals.

The home fixed this on July 16, 2025.

Medicare’s wording

Federal tag F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Immediate jeopardy June 19, 2025

Medication errors

The home did not keep a resident free of a significant medication error.

The home fixed this on July 16, 2025.

Medicare’s wording

Federal tag F760Ensure that residents are free from significant medication errors.

Immediate jeopardy June 19, 2025 From a complaint

Treatment for mental illness missed

The home did not treat a resident who was struggling to adjust or cope emotionally.

The home fixed this on July 16, 2025.

Medicare’s wording

Federal tag F742Provide 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.

Immediate jeopardy June 19, 2025 From a complaint

Feeding tube rules broken

The home used a feeding tube without a medical reason, or did not care for the tube properly.

The home fixed this on July 16, 2025.

Medicare’s wording

Federal tag F693Ensure 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.

Immediate jeopardy June 19, 2025 From a complaint

Resident not protected from abuse or neglect

The home did not protect a resident from abuse or neglect by anyone.

The home fixed this on July 16, 2025.

Medicare’s wording

Federal tag F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Immediate jeopardy June 19, 2025

No proper plan of care

The home did not write or follow a full written plan for how a resident’s needs would be met.

The home fixed this on July 16, 2025.

Medicare’s wording

Federal tag F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Immediate jeopardy March 12, 2025 From a complaint

Quality of care

A resident did not get treatment and care that followed their orders, their own preferences and their goals.

The home fixed this on July 15, 2025.

Medicare’s wording

Federal tag F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Immediate jeopardy March 12, 2025 From a complaint

Rooms not homelike

The home did not keep residents’ rooms and shared areas homelike and comfortable.

The home fixed this on July 15, 2025.

Medicare’s wording

Federal tag F584Honor 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.

Immediate jeopardy March 12, 2025 From a complaint

Resident not protected from abuse or neglect

The home did not protect a resident from abuse or neglect by anyone.

The home fixed this on July 15, 2025.

Medicare’s wording

Federal tag F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Immediate jeopardy March 12, 2025 From a complaint

No proper plan of care

The home did not write or follow a full written plan for how a resident’s needs would be met.

The home fixed this on July 15, 2025.

Medicare’s wording

Federal tag F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Immediate jeopardy November 13, 2024 From a complaint

Accidents and supervision

The home did not keep the building free of hazards, or did not supervise a resident closely enough to prevent an accident.

The home had already fixed this before inspectors arrived.

Medicare’s wording

Federal tag F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy December 8, 2023 From a complaint

Bedsores

The home did not prevent or properly treat pressure sores.

The home fixed this on December 11, 2023.

Medicare’s wording

Federal tag F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Immediate jeopardy December 8, 2023 From a complaint

Doctor and spokesperson not told

The home did not quickly tell the doctor, or the person who speaks for the resident, about a major change.

The home fixed this on December 11, 2023.

Medicare’s wording

Federal tag F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Everything on record

Immediate jeopardy 17 Has caused, or was likely to cause, serious injury, harm, impairment or death
Actual harm 3 A resident was hurt
Potential for harm 34 Could have caused harm. No one was hurt. The most common kind.
No harm1Rule was broken but no resident was put at risk. Usually paperwork or procedure.

1,176 of the 1,177 nursing homes in Texas have fewer findings of harm or immediate jeopardy on record than this one.

Medicare also blocked payment for new admissions at this home for 64 days, starting June 12, 2025.

What these levels mean

Immediate jeopardy The most serious finding there is. Medicare’s words: noncompliance that has caused, or is likely to cause, serious injury, harm, impairment, or death. About 2 in every 100 findings nationally.

Actual harm A resident was really hurt, not just put at risk. About 3 in every 100 findings.

The letter is Medicare’s own code for how many residents were involved. Immediate jeopardy covers J, K and L. Actual harm covers G, H and I. The later the letter, the more residents were affected.

The plain-English line under each finding describes the rule the inspector cited. It is not an account of what happened. Medicare’s own wording of the rule is printed with it, and the full inspection report is the record of the incident.

This home has 2 findings under three federal tags that are counted together, and they do not all mean abuse: F600 is abuse or neglect, F602 is the wrongful use of a resident’s belongings or money, and F603 is involuntary seclusion. Medicare also publishes a separate abuse warning icon, which is narrower and time-limited, and this home does not currently carry it.

What you can do

Numbers only go so far. These are two things most families do not know they can do.

Ask for today’s staffing sheet

Every nursing home must post how many nurses are working each shift, keep 18 months of it, and show it to you on request. Ask for today’s, then last Saturday’s. Weekends are when staffing thins out.

Call the ombudsman before you decide

Every state has a free, confidential long-term care ombudsman. You can ask how many complaints a specific home has had and what they were about. You can find your state’s office through its department of aging.

Where this comes from

Inspection findings, staffing hours, fines and star ratings on this page are published by the Centers for Medicare & Medicaid Services, a federal agency, and are current as of August 1, 2026. We reload after each monthly release, and the footer of every page shows both the release date and the date we loaded it. The federal ID for this home is 675078.

What these numbers do not say

Fines can be appealed and reduced. The amount shown is what CMS had recorded as of this release. Medicare’s penalties file covers a rolling window of the last few years rather than a home’s whole history, so this is what Medicare publishes today and not everything this home has ever been fined. The year beside the figure above is the earliest fine Medicare still lists for it.

The level of care residents here are expected to need, and the gap, are not Medicare figures. We work them out from this home’s own Medicare case-mix score using the published CASE formula (Harrington and others, Journal of the American Geriatrics Society, 2025). It is a research benchmark, not a legal limit.

Inspection findings are recorded by state inspectors on behalf of Medicare. Staffing hours come from payroll records the home files with Medicare, and Medicare audits a sample of them. Star ratings partly reflect quality measures the home reports about itself, which is why we show inspections and staffing separately rather than only the star.