Deficiency Records for The Woodlands Health and Rehab Center
Updated as of March 01, 2022
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? |
|---|---|---|---|---|
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-07-28 | 2021-08-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-07-28 | 2021-08-31 | N |
| Post nurse staffing information every day. | Health | 2021-07-28 | 2021-08-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-28 | 2021-08-31 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2021-08-03 | 2021-08-25 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-08-03 | 2021-08-25 | N |
| 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 |
