Woodville, TX

Woodville Health And Rehabilitation Center

4-star overall rating with 4-star inspections with 7 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

102 N Beech St, Woodville, TX

(409) 283-2555

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

89

Certified beds

Average residents

58

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Cantex Continuing Care

Operator or chain grouping

Approved since

1993-04-12

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

38 facilities

Chain averages 3 overall / 3 health / 2 staffing / 5 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

0.35

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

1.16

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

1.67

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.18

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.51

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.70

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.22

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.41

CMS adjusted RN staffing hours

Adjusted total hours

3.73

CMS adjusted total nurse staffing hours

Case-mix index

1.17

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

51%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,464

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

Performance score

36.08

Composite VBP score used to determine payment impact.

Payment multiplier

0.9896

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.97

Baseline 22.42% · Performance 20.55% · Measure score 2.97 · Achievement 1.91 · Improvement 2.97

Healthcare-associated infections

4.10

Baseline 7.93% · Performance 6.61% · Measure score 4.10 · Achievement 4.10 · Improvement 4.01

Total nurse turnover

5.16

Baseline 100.00% · Performance 57.50% · Measure score 5.16 · Achievement 1.51 · Improvement 5.16

Adjusted total nurse staffing

2.2

Baseline 3.50 hours · Performance 3.70 hours · Measure score 2.2 · Achievement 2.2 · Improvement 0.40

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.92%
10.72%
0.2 pts worse
No Different than the National Rate · Eligible stays 100 · Observed rate 12% · Lower 95% interval 7.93%
Discharge to community 44.37%
50.57%
6.2 pts worse
No Different than the National Rate · Eligible stays 66 · Observed rate 37.88% · Lower 95% interval 33.23%
Medicare spending per beneficiary 0.81
1.02
0.2 pts better
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 50 · Denominator 50
Falls with major injury 2%
0.77%
1.2 pts worse
Numerator 1 · Denominator 50
Discharge self-care score 48.39%
53.69%
5.3 pts worse
Numerator 15 · Denominator 31
Discharge mobility score 45.16%
50.94%
5.8 pts worse
Numerator 14 · Denominator 31
Pressure ulcers or injuries, new or worsened 4%
2.29%
1.7 pts worse
Numerator 2 · Denominator 50 · Adjusted rate 4.25%
Healthcare-associated infections requiring hospitalization 6.61%
7.12%
0.5 pts better
No Different than the National Rate · Eligible stays 43 · Observed rate 4.65% · Lower 95% interval 3.32%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 55
Staff flu vaccination coverage 22.35%
42%
19.6 pts worse
Numerator 19 · Denominator 85
Discharge function score 61.29%
56.45%
4.8 pts better
Numerator 19 · Denominator 31
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 23 · Denominator 23
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 4.55%
25.2%
20.6 pts worse
Numerator 1 · Denominator 22

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 3.0
2.1
0.9 pts worse
1.9
1.1 pts worse
Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 2.1 · Expected 1.3 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 2.8
2.1
0.7 pts worse
1.8
1 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 2.1 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
97.1%
2.9 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
97.9%
2.1 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 2.2%
3.3%
1.1 pts better
3.3%
1.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 2.3% · Q3 2.4% · Q4 0.0% · 4Q avg 2.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 2.4%
2.7%
0.3 pts better
11.4%
9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 5.0% · Q3 0.0% · Q4 0.0% · 4Q avg 2.4%
Percentage of long-stay residents who lose too much weight 9.1%
3.3%
5.8 pts worse
5.4%
3.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 16.0% · Q3 12.5% · Q4 0.0% · 4Q avg 9.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 11.4%
18.9%
7.5 pts better
19.6%
8.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 12.0% · Q3 12.0% · Q4 10.7% · 4Q avg 11.4%
Percentage of long-stay residents who received an antipsychotic medication 9.2%
10.8%
1.6 pts better
16.7%
7.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q4 20.0% · 4Q avg 9.2% · 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 16.0%
15.4%
0.6 pts worse
16.3%
0.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 20.5% · 4Q avg 16.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 19.6%
16.1%
3.5 pts worse
14.9%
4.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 4.3% · Q3 33.3% · Q4 21.7% · 4Q avg 19.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.5%
0.5 pts better
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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.0%
0.8%
0.8 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 16.3%
15.0%
1.3 pts worse
19.8%
3.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 35.1% · Q2 10.1% · Q3 4.5% · Q4 15.4% · 4Q avg 16.3%
Percentage of long-stay residents with pressure ulcers 3.9%
4.2%
0.3 pts better
5.1%
1.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 8.7% · Q3 0.0% · Q4 2.1% · 4Q avg 3.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
89.7%
10.3 pts better
81.7%
18.3 pts better
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of short-stay residents who had an outpatient emergency department visit 16.5%
12.0%
4.5 pts worse
12.0%
4.5 pts worse
Short Stay · 20240701-20250630 · Adjusted 16.5% · Observed 16.7% · Expected 11.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 2.5%
1.5%
1 pts worse
1.6%
0.9 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.9% · Q4 5.9% · 4Q avg 2.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 100.0%
88.0%
12 pts better
79.7%
20.3 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 19.6%
25.9%
6.3 pts better
23.9%
4.3 pts better
Short Stay · 20240701-20250630 · Adjusted 19.6% · Observed 16.7% · Expected 20.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-07-08 · Fire 2025-07-08

7 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

2 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 2 Health 2024-06-19 · Fire 2024-06-19

6 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

4 fire-safety deficiencies

Top issue: Services (2 deficiencies)

Cycle 3 Health 2023-05-03 · Fire 2023-05-03

8 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

2 fire-safety deficiencies

Top issue: Services (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-07-08

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-08-01

C · Minimal harm 2025-07-08

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Not marked corrected

F · Potential for more than minimal harm 2024-06-19

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-07-17

D · Potential for more than minimal harm 2024-06-19

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-07-17

D · Potential for more than minimal harm 2024-06-19

K929 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Corrected 2024-07-17

C · Minimal harm 2024-06-19

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Not marked corrected

D · Potential for more than minimal harm 2023-05-03

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-05-20

C · Minimal harm 2023-05-03

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Not marked corrected

Inspection history

Recent health citations

E · Potential for more than minimal harm 2026-01-17

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2026-01-20

E · Potential for more than minimal harm 2025-07-08

F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2025-08-01

E · Potential for more than minimal harm 2025-07-08

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2025-08-01

D · Potential for more than minimal harm 2025-07-08

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 2025-08-01

D · Potential for more than minimal harm 2025-07-08

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-08-01

D · Potential for more than minimal harm 2025-07-08

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-08-01

D · Potential for more than minimal harm 2025-07-08

F813 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-08-01

E · Potential for more than minimal harm 2024-06-19

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-06-21

E · Potential for more than minimal harm 2024-06-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-06-21

D · Potential for more than minimal harm 2024-06-19

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-06-21

D · Potential for more than minimal harm 2024-06-19

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 2024-06-21

D · Potential for more than minimal harm 2024-06-19

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-06-21

D · Potential for more than minimal harm 2024-06-19

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-06-21

F · Potential for more than minimal harm 2023-05-03

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 2023-05-26

E · Potential for more than minimal harm 2023-05-03

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2023-05-26

E · Potential for more than minimal harm 2023-05-03

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2023-05-26

E · Potential for more than minimal harm 2023-05-03

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 2023-05-26

D · Potential for more than minimal harm 2023-05-03

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-05-26

D · Potential for more than minimal harm 2023-05-03

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-05-26

D · Potential for more than minimal harm 2023-05-03

F693 · Quality of Life and Care Deficiencies

Health

Ensure 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.

Corrected 2023-05-26

D · Potential for more than minimal harm 2023-05-03

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-05-26

Penalties and ownership

What sits behind the stars

Ownership

Tyler County Hospital District

5% Or Greater Direct Ownership Interest · Organization

100% 7 facilities 2015-02-01
Jung, Brittany

Operational/Managerial Control · Individual

0% 1 facilities 2025-03-05
Williams, Sondra

Corporate Officer · Individual

0% 7 facilities 2007-06-18
Woodville Health Care Center Ltd. Co

Operational/Managerial Control · Organization

0% 1 facilities 2015-02-01

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