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Deficiency Records for Woodlands Health and Rehab Center
View the most recent health deficiencies and inspection results for Woodlands Health and Rehab Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Woodlands Health and Rehab Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2026-04-08 | 2026-04-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2026-04-08 | 2026-04-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-04-08 | 2026-04-28 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2026-04-08 | 2026-04-28 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-04-08 | 2026-04-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-06-24 | 2025-07-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-06-24 | 2025-07-22 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-06-24 | 2025-07-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-06-24 | 2025-06-24 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2025-06-24 | 2025-06-24 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-09-19 | 2024-10-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-19 | 2024-10-09 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-09-19 | 2024-10-09 | 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 | 2024-09-19 | 2024-10-09 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-09-19 | 2024-10-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-09-19 | 2024-10-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-09-19 | 2024-10-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-09-19 | 2024-10-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-09-19 | 2024-10-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-19 | 2024-10-09 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-09-19 | 2024-10-09 | N |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 | 2022-06-02 | 2022-07-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-02 | 2022-07-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-02 | 2022-07-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-02 | 2022-07-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-02 | 2022-07-06 | N |
| 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 |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-20 | 2019-08-02 | 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 | 2019-06-20 | 2019-08-02 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-06-20 | 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 | 2019-06-20 | 2019-08-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-20 | 2019-08-02 | N |