Waco, TX

Greenview Nursing and Rehabilitation

1-star overall rating with 1-star inspections with abuse icon flag with $50,213 in total fines with 24 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

401 Owen Ln, Waco, TX

(254) 772-8900

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

128

Certified beds

Average residents

86

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Eduro Healthcare

Operator or chain grouping

Approved since

1985-12-06

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

36 facilities

Chain averages 2 overall / 3 health / 2 staffing / 3 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.43

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.84

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

1.68

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

2.94

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.27

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.59

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.38

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.16

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.51

CMS adjusted RN staffing hours

Adjusted total hours

3.46

CMS adjusted total nurse staffing hours

Case-mix index

1.16

Higher values indicate more complex resident acuity

RN turnover

77%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

76%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,285

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

20.88

Composite VBP score used to determine payment impact.

Payment multiplier

0.9825

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.81

Baseline 21.17% · Performance 20.13% · Measure score 2.81 · Achievement 2.81 · Improvement 2.01

Healthcare-associated infections

3.30

Baseline 6.75% · Performance 6.85% · Measure score 3.30 · Achievement 3.30 · Improvement 0

Total nurse turnover

0

Performance 73.91% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

2.24

Baseline 3.73 hours · Performance 3.72 hours · Measure score 2.24 · Achievement 2.24 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.44%
10.72%
1.3 pts better
No Different than the National Rate · Eligible stays 58 · Observed rate 5.17% · Lower 95% interval 6.31%
Discharge to community Not Available
50.57%
Not Available · Eligible stays 17 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary 0.83
1.02
0.2 pts better
Drug regimen review with follow-up 82.61%
95.27%
12.7 pts worse
Numerator 19 · Denominator 23
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 23
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened 0%
2.29%
2.3 pts better
Numerator 0 · Denominator 23 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization 6.85%
7.12%
0.3 pts better
No Different than the National Rate · Eligible stays 32 · Observed rate 6.25% · Lower 95% interval 3.43%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 129
Staff flu vaccination coverage 22.36%
42%
19.6 pts worse
Numerator 36 · Denominator 161
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.3
2.1
0.2 pts worse
1.9
0.4 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 1.9 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 4.5
2.1
2.4 pts worse
1.8
2.7 pts worse
Long Stay · 20240701-20250630 · Adjusted 4.5 · Observed 3.9 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.7%
97.1%
0.4 pts worse
93.4%
3.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.8% · Q3 98.8% · Q4 89.7% · 4Q avg 96.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.7%
97.9%
0.2 pts worse
95.5%
2.2 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.7%
Percentage of long-stay residents experiencing one or more falls with major injury 6.0%
3.3%
2.7 pts worse
3.3%
2.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 4.9% · Q3 7.1% · Q4 4.6% · 4Q avg 6.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 7.7%
2.7%
5 pts worse
11.4%
3.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 11.4% · Q4 19.5% · 4Q avg 7.7%
Percentage of long-stay residents who lose too much weight 9.4%
3.3%
6.1 pts worse
5.4%
4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 7.4% · Q3 4.2% · Q4 16.7% · 4Q avg 9.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 38.3%
18.9%
19.4 pts worse
19.6%
18.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 43.1% · Q2 37.1% · Q3 37.3% · Q4 35.9% · 4Q avg 38.3%
Percentage of long-stay residents who received an antipsychotic medication 29.9%
10.8%
19.1 pts worse
16.7%
13.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 31.8% · Q2 31.8% · Q3 24.4% · Q4 31.8% · 4Q avg 29.9% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.0%
About the same
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 14.7%
15.4%
0.7 pts better
16.3%
1.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 19.8% · Q2 10.4% · Q3 11.2% · Q4 17.1% · 4Q avg 14.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 16.8%
16.1%
0.7 pts worse
14.9%
1.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 14.5% · Q2 10.6% · Q3 18.9% · Q4 22.1% · 4Q avg 16.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.6%
0.5%
0.1 pts worse
1.0%
0.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.4% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 2.1%
0.8%
1.3 pts worse
1.7%
0.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 5.1% · Q3 1.2% · Q4 0.0% · 4Q avg 2.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 23.4%
15.0%
8.4 pts worse
19.8%
3.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 21.0% · Q2 12.4% · Q3 23.9% · Q4 34.4% · 4Q avg 23.4%
Percentage of long-stay residents with pressure ulcers 5.2%
4.2%
1 pts worse
5.1%
0.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 1.7% · Q3 6.1% · Q4 6.5% · 4Q avg 5.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 73.5%
89.7%
16.2 pts worse
81.7%
8.2 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 82.9% · Q2 77.6% · Q3 59.2% · Q4 78.8% · 4Q avg 73.5%
Percentage of short-stay residents who had an outpatient emergency department visit 10.3%
12.0%
1.7 pts better
12.0%
1.7 pts better
Short Stay · 20240701-20250630 · Adjusted 10.3% · Observed 12.1% · Expected 13.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 5.3%
1.5%
3.8 pts worse
1.6%
3.7 pts worse
Short Stay · 2024Q4-2025Q3 · Q2 10.0% · 4Q avg 5.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 70.0%
88.0%
18 pts worse
79.7%
9.7 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 70.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 35.6%
25.9%
9.7 pts worse
23.9%
11.7 pts worse
Short Stay · 20240701-20250630 · Adjusted 35.6% · Observed 39.4% · Expected 26.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-19 · Fire 2025-03-19

24 health deficiencies

Top issue: Resident Rights (7 deficiencies)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-02-14 · Fire 2024-02-14

12 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2022-11-30 · Fire 2022-11-30

6 health deficiencies

Top issue: Environmental (3 deficiencies)

7 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-03-19

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-03-20

F · Potential for more than minimal harm 2024-02-14

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-12-14

F · Potential for more than minimal harm 2022-11-30

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2023-07-12

F · Potential for more than minimal harm 2022-11-30

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-07-12

F · Potential for more than minimal harm 2022-11-30

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-07-12

F · Potential for more than minimal harm 2022-11-30

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-07-12

F · Potential for more than minimal harm 2022-11-30

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-07-12

E · Potential for more than minimal harm 2022-11-30

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-07-12

E · Potential for more than minimal harm 2022-11-30

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-07-12

Inspection history

Recent health citations

E · Potential for more than minimal harm 2026-01-29

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Not marked corrected

E · Potential for more than minimal harm 2026-01-29

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Not marked corrected

D · Potential for more than minimal harm 2026-01-29

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Not marked corrected

D · Potential for more than minimal harm 2026-01-29

F689 · Quality of Life and Care Deficiencies

Health

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

Not marked corrected

E · Potential for more than minimal harm 2025-12-09

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-12-10

D · Potential for more than minimal harm 2025-09-12

F813 · Nutrition and Dietary Deficiencies

Health

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2025-09-15

D · Potential for more than minimal harm 2025-08-29

F584 · Resident Rights Deficiencies

Health

Honor 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.

Corrected 2025-09-01

K · Immediate jeopardy 2025-07-03

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2025-07-02

D · Potential for more than minimal harm 2025-07-03

F755 · Pharmacy Service Deficiencies

Health

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

Corrected 2025-07-08

D · Potential for more than minimal harm 2025-07-03

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-07-08

J · Immediate jeopardy 2025-06-12

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-06-13

G · Actual harm 2025-06-12

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-07-11

E · Potential for more than minimal harm 2025-06-12

F755 · Pharmacy Service Deficiencies

Health

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

Corrected 2025-07-11

E · Potential for more than minimal harm 2025-06-12

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-07-11

D · Potential for more than minimal harm 2025-06-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-07-11

D · Potential for more than minimal harm 2025-05-17

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-05-21

D · Potential for more than minimal harm 2025-04-21

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2025-05-13

F · Potential for more than minimal harm 2025-03-19

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-03-20

E · Potential for more than minimal harm 2025-03-19

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2025-03-20

E · Potential for more than minimal harm 2025-03-19

F584 · Resident Rights Deficiencies

Health

Honor 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.

Corrected 2025-03-20

D · Potential for more than minimal harm 2025-03-19

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-03-20

D · Potential for more than minimal harm 2025-03-19

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-03-20

D · Potential for more than minimal harm 2025-03-19

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2025-03-20

D · Potential for more than minimal harm 2025-03-19

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2025-03-20

G · Actual harm 2024-10-30

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-12-10

G · Actual harm 2024-10-30

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-12-10

D · Potential for more than minimal harm 2024-10-30

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-12-10

E · Potential for more than minimal harm 2024-10-14

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-11-12

E · Potential for more than minimal harm 2024-10-14

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-12

E · Potential for more than minimal harm 2024-07-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-07-23

D · Potential for more than minimal harm 2024-06-04

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-06-10

G · Actual harm 2024-05-15

F580 · Resident Rights Deficiencies

Health

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

Corrected 2024-06-15

G · Actual harm 2024-05-15

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-06-15

E · Potential for more than minimal harm 2024-04-30

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-04-30

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-06-07

F · Potential for more than minimal harm 2024-02-14

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-03-08

J · Immediate jeopardy 2024-01-12

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-01-13

D · Potential for more than minimal harm 2023-12-05

F626 · Resident Rights Deficiencies

Health

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Corrected 2024-01-13

D · Potential for more than minimal harm 2023-11-09

F584 · Resident Rights Deficiencies

Health

Honor 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.

Corrected 2023-12-14

E · Potential for more than minimal harm 2022-11-30

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2022-12-20

E · Potential for more than minimal harm 2022-11-30

F924 · Environmental Deficiencies

Health

Put firmly secured handrails on each side of hallways.

Corrected 2022-12-20

D · Potential for more than minimal harm 2022-11-30

F914 · Environmental Deficiencies

Health

Provide bedrooms that don't allow residents to see each other when privacy is needed.

Corrected 2022-12-20

Penalties and ownership

What sits behind the stars

$8,281 2025-04-21

Fine

Fine · fine $8,281

Fine

$9,068 2025-04-21

Fine

Fine · fine $9,068

Fine

$0 2024-10-14

Payment Denial

Payment Denial · denial start 2024-11-29 · 11 days

11 day denial

$25,876 2024-04-30

Fine

Fine · fine $25,876

Fine

$0 2024-04-30

Payment Denial

Payment Denial · denial start 2024-06-13 · 2 days

2 day denial

$6,988 2023-11-09

Fine

Fine · fine $6,988

Fine

Ownership

Bewsey, Michael

Operational/Managerial Control · Individual

0% 29 facilities 2022-09-01
Fannin County Hospital Authority

5% Or Greater Direct Ownership Interest · Organization

0% 52 facilities 2022-04-01
Richland Nursing And Rehab Center LLC

Operational/Managerial Control · Organization

0% 1 facilities 2022-09-01
Sanderson, Clark

5% Or Greater Direct Ownership Interest · Individual

0% 56 facilities 2022-04-01
Sanderson, Clark

Corporate Officer · Individual

0% 56 facilities 2012-10-29
Sheddy, Theresa

Operational/Managerial Control · Individual

0% 6 facilities 2016-09-01
Sheddy, Theresa

Corporate Director · Individual

0% 6 facilities 2016-09-01

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2-star overall rating with 2-star inspections with $29,666 in total fines with 13 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

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Fines
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#2

Woodway Rehabilitation And Healthcare Center

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2-star overall rating with 2-star inspections with $14,953 in total fines with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
2 / 5
Staffing
2 / 5
Fines
$14,953

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