A list of the most recent deficiencies for Woodlands Health and Rehab 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-04 | 2023-12-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-04 | 2023-12-20 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-11-22 | 2023-12-20 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-22 | 2023-12-20 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-11-22 | 2023-12-20 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-11-22 | 2023-12-20 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-11-22 | 2023-12-20 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-07-14 | 2023-07-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-29 | 2023-01-19 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-06-02 | 2022-07-06 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2022-06-02 | 2022-07-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-02 | 2022-07-06 | 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 | 2022-05-31 | 2022-07-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-31 | 2022-07-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-31 | 2022-07-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-31 | 2022-07-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-31 | 2022-07-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-06-20 | 2019-08-02 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2019-06-18 | 2019-08-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-18 | 2019-08-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-18 | 2019-08-02 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-06-18 | 2019-08-02 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-06-18 | 2019-08-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-05-10 | 2018-07-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-10 | 2018-07-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-05-10 | 2018-07-16 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2018-05-10 | 2018-07-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-05-10 | 2018-07-16 | N |
