Deficiency Records for The Woodlands Health and Rehab Center
Updated as of February 01, 2019
This is not the most recent data for The Woodlands Health and Rehab Center. For the most recent information, click here.
A list of the most recent deficiencies for The 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? |
|---|---|---|---|---|
| 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 | 2018-04-03 | 2018-05-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-04-03 | 2018-05-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-04-03 | 2018-05-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-04-03 | 2018-05-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-04-03 | 2018-05-18 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-03-22 | 2018-05-01 | N |
| Provide activities to meet all resident's needs. | Health | 2018-03-22 | 2018-05-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-03-22 | 2018-05-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-03-22 | 2018-05-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-03-22 | 2018-05-01 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-03-22 | 2018-05-01 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2017-07-11 | 2017-08-21 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-07-11 | 2017-08-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-07-11 | 2017-08-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-07-11 | 2017-08-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-07-11 | 2017-08-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-07-11 | 2017-08-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-07-11 | 2017-08-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-07-11 | 2017-08-21 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2017-07-11 | 2017-08-21 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-06-14 | 2017-07-21 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-06-14 | 2017-07-21 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2016-06-09 | 2016-07-22 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-06-09 | 2016-07-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-06-09 | 2016-07-22 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2016-06-09 | 2016-07-22 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-06-09 | 2016-07-22 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-06-09 | 2016-07-22 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-06-09 | 2016-07-22 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-06-09 | 2016-07-22 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-06-09 | 2016-06-30 | N |
