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Deficiency Records for Woodlands The
View the most recent health deficiencies and inspection results for Woodlands The. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Woodlands The. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2025-03-07 | 2025-07-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-03-07 | 2025-06-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-03-07 | 2025-06-25 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-05-07 | 2025-06-02 | Y |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2025-03-07 | 2025-05-01 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2025-03-07 | 2025-05-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-03-07 | 2025-05-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-03-07 | 2025-05-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-03-07 | 2025-05-01 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2025-03-07 | 2025-05-01 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2025-03-07 | 2025-05-01 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-03-07 | 2025-05-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-03-07 | 2025-05-01 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2025-03-07 | 2025-05-01 | N |
| Develop a communication plan. | Fire Safety | 2025-03-07 | 2025-05-01 | N |
| Establish emergency prep training and testing. | Fire Safety | 2025-03-07 | 2025-05-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-03-07 | 2025-05-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-03-07 | 2025-05-01 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2025-02-06 | 2025-04-08 | Y |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2025-04-01 | 2025-04-08 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2025-04-01 | 2025-04-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-03-07 | 2025-04-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-03-07 | 2025-04-08 | 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 | 2025-03-07 | 2025-04-08 | N |
| Post nurse staffing information every day. | Health | 2025-03-07 | 2025-04-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-03-07 | 2025-04-08 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2025-03-07 | 2025-04-08 | 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 | 2025-03-07 | 2025-04-08 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2025-02-06 | 2025-01-15 | Y |
| 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 | 2024-05-16 | 2024-06-04 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-02-23 | 2024-03-23 | 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 | 2024-02-23 | 2024-03-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-23 | 2024-03-23 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-02-23 | 2024-03-23 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-02-23 | 2024-03-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-23 | 2024-03-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-02-23 | 2024-03-23 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2024-02-23 | 2024-03-23 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-02-23 | 2024-03-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-02-23 | 2024-03-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-23 | 2024-03-23 | N |
| 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. | Health | 2024-02-23 | 2024-03-23 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-02-23 | 2024-03-23 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-03 | 2023-11-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-24 | 2023-09-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-24 | 2023-09-12 | Y |
| Meet other general requirements that are deficient. | Fire Safety | 2023-01-30 | 2023-03-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-01-30 | 2023-03-09 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-01-30 | 2023-03-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-30 | 2023-03-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-30 | 2023-03-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-30 | 2023-03-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-01-30 | 2023-03-09 | N |
| 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. | Health | 2023-01-30 | 2023-03-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-30 | 2023-03-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-01-30 | 2023-03-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-30 | 2023-03-03 | N |
| Keep all essential equipment working safely. | Health | 2023-01-30 | 2023-03-03 | N |