Federal inspection record · CMS data as of October 1, 2026

Woodway Rehabilitation and Healthcare Center

7801 Woodway Dr, Waco, TX · (254) 235-7801

CMS overall rating

2 of 5

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Certified beds
144
Residents per day
85
Ownership
For-Profit
Chain
Momentum Skilled Services
Medicare / Medicaid
Medicare + Medicaid
Certified since
August 14, 2002

1

How this home got 2 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    2 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Texas homes

Woodway Rehabilitation and Healthcare Center carries 136.5 inspection points. That is fewer than 22% of Texas's 1,166 rated homes.

5★4★3★2★1★+35 homes above 292.505102550100200inspection points → fewer is better on the leftThis home · 136.5 pts · 2★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–26 pts
  • 4★ 26–51 pts
  • 3★ 51–85 pts
  • 2★ 85–145.75 pts
  • 1★ over 145.75 pts

Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

20 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 5 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 12 4 pts
E 2 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (6)

  1. G

    Provide safe, appropriate pain management for a resident who requires such services.

    August 26, 2026 · Standard inspection · Quality of Life and Care · F697 · Corrected August 31, 2026

  2. J

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

    March 14, 2025 · Complaint inspection · Quality of Life and Care · F684 · Corrected March 15, 2025

  3. J

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    March 14, 2025 · Complaint inspection · Nursing and Physician Services · F726 · Corrected March 15, 2025

  4. J

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

    January 23, 2025 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected January 24, 2025

  5. J

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

    January 23, 2025 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F607 · Corrected January 24, 2025

  6. J

    Respond appropriately to all alleged violations.

    January 23, 2025 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F610 · Corrected January 24, 2025

Everything else, by area of care

Resident Assessment and Care Planning4E
  1. E

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

    August 26, 2026 · Standard · F655 · Corrected August 31, 2026

  2. D

    Ensure each resident receives an accurate assessment.

    August 26, 2026 · Standard · F641 · Corrected August 31, 2026

  3. D

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

    August 26, 2026 · Standard · F656 · Corrected August 31, 2026

  4. D

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

    March 14, 2025 · Complaint · F656 · Corrected March 15, 2025

Freedom from Abuse, Neglect, and Exploitation3D
  1. D

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

    November 20, 2025 · Complaint · F607 · Corrected November 26, 2025

  2. D

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

    November 20, 2025 · Complaint · F609 · Corrected November 26, 2025

  3. D

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

    January 23, 2025 · Complaint · F609 · Corrected January 24, 2025

Resident Rights3E
  1. E

    Reasonably accommodate the needs and preferences of each resident.

    December 28, 2024 · Complaint · F558 · Corrected December 31, 2024

  2. D

    Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

    July 17, 2024 · Complaint · F573 · Corrected August 5, 2024

  3. D

    Reasonably accommodate the needs and preferences of each resident.

    April 25, 2024 · Complaint · F558 · Corrected May 9, 2024

Quality of Life and Care2D
  1. D

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

    August 26, 2026 · Standard · F686 · Corrected August 31, 2026

  2. D

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

    June 30, 2026 · Complaint · F684 · Corrected July 10, 2026

Infection Control1D
  1. D

    Provide and implement an infection prevention and control program.

    August 26, 2026 · Standard · F880 · Corrected August 31, 2026

Pharmacy Service1D
  1. D

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

    June 5, 2025 · Complaint · F755 · Corrected June 6, 2025

Inspection history

  1. 2026-08-26

    9 health deficiencies · 2 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

  2. 2025-06-05

    9 health deficiencies · 9 fire-safety deficiencies

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

  3. 2024-04-25

    2 health deficiencies · 9 fire-safety deficiencies

    Top issue: Resident Rights (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 42 min of nursing staff time a day, 19 min of it from a registered nurse.

This home

3 h 42 min

Texas average

3 h 25 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 78% of nursing staff and 0% of registered nurses left in the past year, along with 1 administrator.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$31,196 in federal fines on record over the past three years.

DatePenaltyAmount
2026-08-26Fine$16,350
2025-03-14Fine$6,337
2025-01-23Fine$8,509

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.4 pts worse2.42.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.6 pts worse3.62.01.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine14.5 pts worse81.9%96.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better100.0%97.0%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury3.4 pts worse6.6%3.2%3.2%
Percentage of long-stay residents who have depressive symptoms0.2 pts better2.1%2.3%13.5%
Percentage of long-stay residents who lose too much weight0.7 pts better2.2%2.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication2.7 pts better15.1%17.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication5.6 pts worse15.4%9.8%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened1.8 pts worse14.7%12.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased2.6 pts better13.2%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better0.0%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection0.8 pts better0.0%0.8%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.3 pts better12.2%12.5%18.3%
Percentage of long-stay residents with pressure ulcers1.3 pts better2.4%3.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine6.2 pts worse82.5%88.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit9.2 pts worse21.4%12.2%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better0.0%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.6 pts worse82.8%85.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission5.8 pts worse31.3%25.5%23.4%

·

Who owns and runs it

34 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Coryell County Memorial Hospital Authority5% Or Greater Direct Ownership Interest · Organization100%31 facilities
Byrom, DavidCorporate Officer · Individual0%31 facilities
Coryell County Memorial Hospital AuthorityAdp Of The SNF · Organization0%31 facilities
Falls, BenjaminAdp Of The SNF · Individual0%1 facilities
Fellbaum, Ernest5% Or Greater Mortgage Interest · Individual0%27 facilities
Fellbaum, ErnestAdp Of The SNF · Individual0%27 facilities
Fuze Ventures, LP5% Or Greater Mortgage Interest · Organization0%2 facilities
Fuze Ventures, LPAdp Of The SNF · Organization0%2 facilities
Healthcare Investments Rc, LLC5% Or Greater Mortgage Interest · Organization0%2 facilities
Healthcare Investments Rc, LLCAdp Of The SNF · Organization0%2 facilities
Ltc Houston Management LLCOperational/Managerial Control · Organization0%1 facilities
Ltc Houston Management LLCAdp Of The SNF · Organization0%1 facilities
M Ventures 111, LLC5% Or Greater Mortgage Interest · Organization0%2 facilities
M Ventures 111, LLCAdp Of The SNF · Organization0%2 facilities
Martel, Michael5% Or Greater Mortgage Interest · Individual0%7 facilities
Martel, MichaelAdp Of The SNF · Individual0%7 facilities
Mmt Realty-Waco, LLC5% Or Greater Mortgage Interest · Organization0%1 facilities
Mmt Realty-Waco, LLCAdp Of The SNF · Organization0%1 facilities
Schwedock, NicholasAdp Of The SNF · Individual0%6 facilities
Studer, Stanley5% Or Greater Mortgage Interest · Individual0%26 facilities
Studer, StanleyAdp Of The SNF · Individual0%26 facilities
Threadgill, Forrest5% Or Greater Mortgage Interest · Individual0%9 facilities
Threadgill, ForrestAdp Of The SNF · Individual0%9 facilities
Threadgill, Morgan5% Or Greater Mortgage Interest · Individual0%9 facilities
Threadgill, MorganAdp Of The SNF · Individual0%9 facilities
Threadgill, Sharlyn5% Or Greater Mortgage Interest · Individual0%10 facilities
Threadgill, SharlynOperational/Managerial Control · Individual0%10 facilities
Threadgill, SharlynAdp Of The SNF · Individual0%10 facilities
Threadgill, Wade5% Or Greater Mortgage Interest · Individual0%2 facilities
Threadgill, WadeAdp Of The SNF · Individual0%2 facilities
Wrhc Re, LLC5% Or Greater Mortgage Interest · Organization0%1 facilities
Wrhc Re, LLCAdp Of The SNF · Organization0%1 facilities
Wrhc,llcOperational/Managerial Control · Organization0%1 facilities
Wrhc,llcAdp Of The SNF · Organization0%1 facilities

·

Fire safety

20 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke12F
  1. F

    Install an approved automatic sprinkler system.

    June 5, 2025 · K351 · Corrected July 23, 2025

  2. E

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

    June 5, 2025 · K345 · Corrected June 20, 2025

  3. F

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

    April 25, 2024 · K345 · Corrected March 28, 2025

  4. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    April 25, 2024 · K321 · Corrected March 28, 2025

  5. E

    Inspect, test, and maintain automatic sprinkler systems.

    April 25, 2024 · K353 · Corrected March 28, 2025

  6. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    April 25, 2024 · K372 · Corrected March 28, 2025

  7. F

    Provide properly protected cooking facilities.

    February 23, 2023 · K324 · Corrected June 12, 2023

  8. F

    Inspect, test, and maintain automatic sprinkler systems.

    February 23, 2023 · K353 · Corrected July 7, 2023

  9. F

    Properly select, install, inspect, or maintain portable fire extinguishes.

    February 23, 2023 · K355 · Corrected May 27, 2023

  10. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    February 23, 2023 · K321 · Corrected June 20, 2023

  11. D

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

    February 23, 2023 · K345 · Corrected May 27, 2023

  12. D

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    February 23, 2023 · K372 · Corrected June 20, 2023

Miscellaneous3F
  1. F

    Have simulated fire drills held at unexpected times.

    April 25, 2024 · K712 · Corrected March 28, 2025

  2. E

    Have simulated fire drills held at unexpected times.

    February 23, 2023 · K712 · Corrected June 15, 2023

  3. E

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

    February 23, 2023 · K741 · Corrected June 30, 2023

Gas, Vacuum, and Electrical Systems3F
  1. F

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

    April 25, 2024 · K918 · Corrected March 28, 2025

  2. F

    Have proper medical gas storage and administration areas.

    April 25, 2024 · K923 · Corrected March 28, 2025

  3. F

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

    February 23, 2023 · K918 · Corrected June 20, 2023

Egress2E
  1. E

    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.

    April 25, 2024 · K222 · Corrected March 28, 2025

  2. E

    Have properly located and lighted "Exit" signs.

    April 25, 2024 · K293 · Corrected March 28, 2025

·

Other homes nearby

  1. Greenview Nursing and Rehabilitation

    Waco, TX · Eduro Healthcare

    Worst citation, 3 yrs
    K
    Nursing / resident / day
    2 h 46 min
    Fines
    $65,095
  2. Wesley Woods Health & Rehabilitation

    Waco, TX · Coryell County Memorial Hospital Authority

    Worst citation, 3 yrs
    K
    Nursing / resident / day
    3 h 23 min
    Fines
    $55,900
  3. Avir at Jeffrey Place

    Waco, TX · Avir Health Group

    Worst citation, 3 yrs
    J
    Nursing / resident / day
    3 h 26 min
    Fines
    $22,382