CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Complete Care at Woodlands
View the most recent health deficiencies and inspection results for Complete Care at Woodlands. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Complete Care at Woodlands. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-11-21 | 2026-01-07 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-07-24 | 2025-09-24 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2025-07-24 | 2025-09-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-07-24 | 2025-09-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-07-24 | 2025-09-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-07-24 | 2025-09-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-07-24 | 2025-09-01 | N |
| 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. | Fire Safety | 2025-07-24 | 2025-09-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-07-24 | 2025-09-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-09-25 | 2024-10-23 | Y |
| Use approved construction type or materials. | Fire Safety | 2024-02-01 | 2024-05-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-02-01 | 2024-03-15 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-02-01 | 2024-03-15 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-02-01 | 2024-03-15 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-02-01 | 2024-03-01 | N |
| Have an externally vented heating system. | Fire Safety | 2024-02-01 | 2024-03-01 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-02-01 | 2024-02-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-01 | 2024-02-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-01 | 2024-02-28 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-02-01 | 2024-02-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-02-01 | 2024-02-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-02-01 | 2024-02-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-01 | 2024-02-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-16 | 2023-12-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-16 | 2023-12-08 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-11-16 | 2023-12-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-19 | 2021-10-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-08-19 | 2021-09-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-19 | 2021-09-10 | N |