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 25 of 29 citations

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
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
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0232, Egress Deficiencies. Inspection of February 23, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 23, 2024).
No harm, with potential for more than minimal harm
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0374, Smoke Deficiencies. Inspection of February 23, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 23, 2024).
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 February 23, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 23, 2024).
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 January 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 9, 2023).
No harm, with potential for more than minimal harm
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0223, Egress Deficiencies. Inspection of January 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 9, 2023).
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 January 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 9, 2023).
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 January 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 9, 2023).
No harm, with potential for more than minimal harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0211, Egress Deficiencies. Inspection of February 23, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 23, 2024).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of January 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 9, 2023).
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).

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.