Deficiency Records for Woodlands Healthcare Center
Updated as of July 01, 2021
This is not the most recent data for Woodlands Healthcare Center. For the most recent information, click here.
A list of the most recent deficiencies for Woodlands Healthcare Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2021-01-26 | 2021-02-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-02-28 | 2020-03-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-28 | 2020-03-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-28 | 2020-03-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-02-28 | 2020-03-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-28 | 2020-03-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-28 | 2020-03-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-02-13 | 2020-03-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-13 | 2020-03-09 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-02-13 | 2020-03-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-13 | 2020-03-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-02-13 | 2020-03-09 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2020-02-13 | 2020-03-09 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2020-02-13 | 2020-03-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-13 | 2020-03-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-13 | 2020-03-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-04-09 | 2019-05-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-09 | 2019-05-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-04-09 | 2019-05-09 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-04-09 | 2019-05-09 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-04-09 | 2019-05-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-01-20 | 2019-02-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-20 | 2019-02-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-20 | 2019-02-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-20 | 2019-02-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-01-20 | 2019-02-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-20 | 2019-02-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-03-01 | 2018-03-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-03-01 | 2018-03-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-03-01 | 2018-03-26 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-01-18 | 2018-02-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-01-18 | 2018-02-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-01-18 | 2018-02-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-01-18 | 2018-02-19 | N |
| 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. | Health | 2018-01-18 | 2018-02-19 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2018-01-18 | 2018-02-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-01-18 | 2018-02-19 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-01-18 | 2018-02-19 | N |
