All citations for Woodlands Health and Rehab 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 Woodlands Health and Rehab Center

Last standard health inspection on record

April 8, 2026

Showing 1 to 25 of 51 citations

Harm to a resident
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Isolated (one or a few residents). CMS level G.
Health citation F-0887, Infection Control Deficiencies. Inspection of April 8, 2026. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (April 28, 2026).
Harm to a resident
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Isolated (one or a few residents). CMS level G.
Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of December 4, 2023. Found during a complaint inspection.
The home gave a date the problem would be corrected (December 20, 2023).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Widespread (many residents). CMS level F.
Health citation F-0880, Infection Control Deficiencies. Inspection of April 8, 2026. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (April 28, 2026).
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 April 8, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 28, 2026).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of April 8, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 28, 2026).
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 April 8, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 28, 2026).
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 April 8, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 28, 2026).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of April 8, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 28, 2026).
No harm, with potential for more than minimal harm
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0346, Smoke Deficiencies. Inspection of September 19, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (October 9, 2024).
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 September 19, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (October 9, 2024).
No harm, with potential for more than minimal harm
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Widespread (many residents). CMS level F.
Fire safety citation K-0374, Smoke Deficiencies. Inspection of September 19, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (October 9, 2024).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of September 19, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (October 9, 2024).
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 September 19, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (October 9, 2024).
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 June 2, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 6, 2022).
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 2, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 6, 2022).
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 2, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 6, 2022).
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 June 2, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 6, 2022).
No harm, with potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Pattern (more than a few residents). CMS level E.
Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 8, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 28, 2026).
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 April 8, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 28, 2026).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0511, Services Deficiencies. Inspection of September 19, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (October 9, 2024).
No harm, with potential for more than minimal harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0521, Services Deficiencies. Inspection of September 19, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (October 9, 2024).
No harm, with potential for more than minimal harm
Have restrictions on the use of portable space heaters.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0781, Miscellaneous Deficiencies. Inspection of September 19, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (October 9, 2024).
No harm, with potential for more than minimal harm
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Pattern (more than a few residents). CMS level E.
Health citation F-0805, Nutrition and Dietary Deficiencies. Inspection of June 2, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 6, 2022).
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 June 2, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 6, 2022).
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 2, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 6, 2022).

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.