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 20 of 20 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  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 April 8, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 28, 2026).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of April 8, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 28, 2026).

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

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

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

    Health citation F-0628, Resident Rights 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).

  12. 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 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).

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

    Provide care and assistance to perform activities of daily living for any resident who is unable.

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

    Health citation F-0677, Quality of Life and Care 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).

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

    Provide activities to meet all resident's needs.

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

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of April 8, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 28, 2026).

  15. 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 April 8, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 28, 2026).

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

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

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of April 8, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 28, 2026).

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

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

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

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of April 8, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 28, 2026).

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

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of April 8, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 28, 2026).

  19. 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 April 8, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 28, 2026).

  20. 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 April 8, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 28, 2026).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.