All citations for Woodlands the

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

March 7, 2025

Showing 1 to 24 of 24 citations

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 March 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 8, 2025).
No harm, with potential for more than minimal harm
Develop and maintain an Emergency Preparedness Program (EP).
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 1, 2025).
No harm, with potential for more than minimal harm
Develop Emergency Preparedness policies and procedures.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 1, 2025).
No harm, with potential for more than minimal harm
Create arrangements with other facilities to receive patients.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0025, Emergency Preparedness Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 1, 2025).
No harm, with potential for more than minimal harm
Develop a communication plan.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0029, Emergency Preparedness Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 1, 2025).
No harm, with potential for more than minimal harm
Establish emergency prep training and testing.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 1, 2025).
No harm, with potential for more than minimal harm
Establish staff and initial training requirements.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 25, 2025).
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 March 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 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 March 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 1, 2025).
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 March 7, 2025. Found during a standard inspection.
The home has a plan to correct it (July 15, 2025).
No harm, with potential for more than minimal harm
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pattern (more than a few residents). CMS level E.
Health citation F-0758, Pharmacy Service Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 8, 2025).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 1, 2025).
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 March 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 1, 2025).
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 March 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 1, 2025).
No harm, with potential for more than minimal harm
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 25, 2025).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 1, 2025).
No harm, with potential for more than minimal harm
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0927, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 1, 2025).
No harm, with potential for more than minimal harm
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Isolated (one or a few residents). CMS level D.
Health citation F-0568, Resident Rights Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 8, 2025).
No harm, with potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Isolated (one or a few residents). CMS level D.
Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 8, 2025).
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.
Isolated (one or a few residents). CMS level D.
Health citation F-0761, Pharmacy Service Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 8, 2025).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Isolated (one or a few residents). CMS level D.
Health citation F-0880, Infection Control Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 8, 2025).
No harm, with potential for minimal harm
Post nurse staffing information every day.
Widespread (many residents). CMS level C.
Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 8, 2025).
No harm, with potential for minimal harm
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Widespread (many residents). CMS level C.
Fire safety citation K-0346, Smoke Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 1, 2025).
No harm, with potential for minimal harm
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Widespread (many residents). CMS level C.
Fire safety citation K-0354, Smoke Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 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.