Deficiency Records for The Woodlands Health and Rehab Center
Updated as of November 01, 2020
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? |
|---|---|---|---|---|
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-04-17 | 2019-04-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-04-17 | 2019-04-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-04-17 | 2019-04-30 | N |
| 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 | 2019-04-03 | 2019-04-19 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-04-03 | 2019-04-19 | 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 | 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 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 |
