All citations for Complete Care at Woodlands

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.

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Last standard health inspection on record

July 24, 2025

Showing 1 to 9 of 9 citations

No harm, with potential for more than minimal harm
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.
Widespread (many residents). CMS level F.
Fire safety citation K-0222, Egress Deficiencies. Inspection of July 24, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 1, 2025).
No harm, with potential for more than minimal harm
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0352, Smoke Deficiencies. Inspection of July 24, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 1, 2025).
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 July 24, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 1, 2025).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Widespread (many residents). CMS level F.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of July 24, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 1, 2025).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Widespread (many residents). CMS level F.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of July 24, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 1, 2025).
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 July 24, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 24, 2025).
No harm, with potential for more than minimal harm
Have proper medical gas storage and administration areas.
Widespread (many residents). CMS level F.
Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 24, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 1, 2025).
No harm, with potential for more than minimal harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Isolated (one or a few residents). CMS level D.
Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of November 21, 2025. Found during a complaint inspection.
The home gave a date the problem would be corrected (January 7, 2026).
No harm, with potential for more than minimal harm
Ensure medication error rates are not 5 percent or greater.
Isolated (one or a few residents). CMS level D.
Health citation F-0759, Pharmacy Service Deficiencies. Inspection of July 24, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 1, 2025).

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.