Health inspection·June 5, 2025

F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Based on observation, interview, and record review the facility failed to provide pharmaceutical services, including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals, to meet the needs of each resident for 1of 2 medication storage rooms (Nurse's Station Room). The facility failed on 6/4/25 to ensure that expired lab testing supplies were removed from 1 of 2 medication storage rooms (Nurse's Station Room). This failure could place residents at risk for misdiagnosis from expired and possibly ineffective lab testing supplies. Use of these expired supplies would not meet acceptable standards of medical practice and could cause a resident to receive an incorrect treatment, which would allow their medical condition to worsen. Findings included: Observation on 6/4/25 at 3:55 PM of the Medication Storage Room located by the nurse's station revealed the following: 3 Lab swabs expired 2/9/2023. 4 Gray lab tubes expired 4/30/2023. 1 Gold lab tube expired 12/31/2023. 5 Lab swabs expired 7/1/2024. 3 Red tubes expired 9/19/2024. 6 Culture swabs expired 1/12/2025. In an interview on 6/5/25 at 1:20 PM, LVN-A stated the policy on expired medications and expired lab supplies was to pull them from stock, log them and destroy them. She stated the facility's contracted lab usually brings their own supplies. She stated MA's, nurses, and unit managers (including herself) were responsible for checking the medication rooms for expired items. She stated the negative outcome to residents if expired items were used (example lab tubes/cultures) was the expired cultures could cause inaccurate lab results. (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 2 Event ID: 675924 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 675924 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/05/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Woodway Rehabilitation and Healthcare Center 7801 Woodway Dr Waco, TX 76712 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)