All citations for Brickyard Healthcare - Woodlands Care Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Brickyard Healthcare - Woodlands Care Center

Last standard health inspection on record

May 16, 2025

Showing 1 to 25 of 34 citations

  1. No harm, with potential for more than minimal harm

    Implement emergency and standby power systems.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of May 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 14, 2025).

  2. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of May 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 14, 2025).

  3. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 14, 2025).

  4. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of June 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 13, 2024).

  5. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of June 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 13, 2024).

  6. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of September 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 4, 2022).

  7. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0511, Services Deficiencies. Inspection of September 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 4, 2022).

  8. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of September 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 4, 2022).

  9. No harm, with potential for more than minimal harm

    Provide properly sized and located linen or trash receptacles.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0754, Miscellaneous Deficiencies. Inspection of September 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 4, 2022).

  10. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of May 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2025).

  11. No harm, with potential for more than minimal harm

    Keep residents' personal and medical records private and confidential.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0583, Resident Rights Deficiencies. Inspection of June 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 31, 2024).

  12. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of June 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 31, 2024).

  13. No harm, with potential for more than minimal harm

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0921, Environmental Deficiencies. Inspection of June 28, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (July 31, 2024).

  14. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of June 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 13, 2024).

  15. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of June 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 13, 2024).

  16. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of September 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 7, 2022).

  17. No harm, with potential for more than minimal harm

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0921, Environmental Deficiencies. Inspection of September 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 7, 2022).

  18. No harm, with potential for more than minimal harm

    Meet other general requirements.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0100, Construction Deficiencies. Inspection of September 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 4, 2022).

  19. No harm, with potential for more than minimal harm

    Install an approved automatic sprinkler system.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of September 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 4, 2022).

  20. No harm, with potential for more than minimal harm

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of September 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 4, 2022).

  21. No harm, with potential for more than minimal harm

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0561, Resident Rights Deficiencies. Inspection of May 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2025).

  22. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of May 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2025).

  23. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of October 9, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 30, 2024).

  24. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of June 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 31, 2024).

  25. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of June 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 31, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.