All citations for The Woodlands Nursing and Rehabilitation 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 The Woodlands Nursing and Rehabilitation Center

Last standard health inspection on record

December 19, 2025

Showing 1 to 25 of 42 citations

  1. Immediate jeopardy to resident health or safety

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of June 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 18, 2025).

  2. Harm to a resident

    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 G.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of April 13, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 29, 2026).

  3. Harm to a resident

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of April 13, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 29, 2026).

  4. Harm to a resident

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of April 13, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 29, 2026).

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

    Have properly located and lighted "Exit" signs.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0293, Egress Deficiencies. Inspection of December 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 15, 2026).

  6. 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 December 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 15, 2026).

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

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0916, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 15, 2026).

  8. 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 December 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 15, 2026).

  9. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of August 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 5, 2024).

  10. 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 August 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 3, 2024).

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

    Dispose of garbage and refuse properly.

    Widespread (many residents). CMS level F.

    Health citation F-0814, Nutrition and Dietary Deficiencies. Inspection of May 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 27, 2023).

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

    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.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of April 25, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 29, 2026).

  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 April 13, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 29, 2026).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of December 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 26, 2025).

  15. 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 December 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 26, 2025).

  16. 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 December 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 26, 2025).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of December 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 26, 2025).

  18. 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.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of December 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 15, 2026).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

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

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of December 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 15, 2026).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of June 5, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 9, 2025).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of August 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 5, 2024).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of August 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 3, 2024).

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

    Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

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

    Fire safety citation K-0929, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 3, 2024).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of May 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 27, 2023).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of May 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 27, 2023).

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.