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.

Back to Complete Care at Woodlands

Last standard health inspection on record

July 24, 2025

Showing 1 to 14 of 14 citations

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

    Use approved construction type or materials.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0161, Construction Deficiencies. Inspection of February 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 6, 2024).

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

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

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

    Health citation F-0640, Resident Assessment and Care Planning Deficiencies. Inspection of February 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 28, 2024).

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

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of February 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 28, 2024).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of February 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 15, 2024).

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

    Install proper backup exit lighting.

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

    Fire safety citation K-0281, Egress Deficiencies. Inspection of February 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 15, 2024).

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of February 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 15, 2024).

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

    Install a fire alarm system that can be heard throughout the facility.

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

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of February 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 1, 2024).

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

    Have an externally vented heating system.

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

    Fire safety citation K-0522, Services Deficiencies. Inspection of February 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 1, 2024).

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of September 25, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 23, 2024).

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of February 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2024).

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of February 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 28, 2024).

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

    Plan the resident's discharge to meet the resident's goals and needs.

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

    Health citation F-0660, Resident Assessment and Care Planning Deficiencies. Inspection of February 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 28, 2024).

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of February 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 28, 2024).

  14. 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 February 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 28, 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.