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Deficiency Records for Woodlands Nursing and Rehabilitation Center

View the most recent health deficiencies and inspection results for Woodlands Nursing and Rehabilitation Center. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Woodlands Nursing and Rehabilitation Center. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2025-08-08 2025-08-23 N
Ensure each resident receives an accurate assessment. Health 2025-08-08 2025-08-23 N
Provide properly protected cooking facilities. Fire Safety 2024-05-07 2024-07-27 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-05-07 2024-07-27 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-05-07 2024-07-27 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2024-05-07 2024-07-27 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 2024-05-07 2024-07-27 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2024-05-07 2024-06-01 Y
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2024-05-07 2024-06-01 Y
Ensure that residents are free from significant medication errors. Health 2024-05-07 2024-06-01 Y
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2024-05-07 2024-06-01 Y
Plan the resident's discharge to meet the resident's goals and needs. Health 2023-09-01 2023-08-04 Y
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-12-01 2023-02-11 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-12-01 2023-02-11 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 2022-12-01 2023-02-11 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2022-12-01 2022-12-29 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Health 2022-12-01 2022-12-29 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-12-01 2022-12-29 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2019-11-21 2020-01-24 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2019-11-21 2020-01-24 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-11-21 2020-01-24 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-11-21 2020-01-24 N
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Fire Safety 2019-11-21 2020-01-24 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 2019-11-21 2020-01-24 N

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