Facility profile · CCN 255148
Woodlands Rehabilitation And Healthcare Center
29 federal citations on record , including 3 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $35,648.
Record summary
Federal record · Q1 202629
Total citations
26
Last 3 years
5
Actual harm+
4
Federal penalties
$35,648
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
29 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Aug 15, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Aug 15, 2025 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Standard |
| Aug 15, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Aug 15, 2025 | F761 | 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. | D | Standard |
| Aug 15, 2025 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| Aug 15, 2025 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Aug 15, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Aug 15, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Aug 15, 2025 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard |
| Mar 28, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Feb 3, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | J | Complaint |
| Feb 3, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint |
| Sep 25, 2024 | F908 | Keep all essential equipment working safely. | D | Complaint |
| Sep 25, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Sep 25, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Sep 25, 2024 | F584 | 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. | E | Complaint |
| Jun 6, 2024 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint |
| Jun 6, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | Complaint |
| Apr 11, 2024 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint |
| Apr 11, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Apr 11, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Apr 11, 2024 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Apr 11, 2024 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Apr 11, 2024 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Complaint |
| Jun 30, 2023 | F688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Complaint |
| Jun 30, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Jul 14, 2022 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard |
| Jul 14, 2022 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Jul 14, 2022 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
Federal enforcement history
Federal regulators have imposed 4 enforcement actions against this facility, including 4 civil money penalties totaling $35,648 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Mar 28, 2025 | Fine | $15,940 | — |
| Feb 3, 2025 | Fine | $5,598 | — |
| Feb 3, 2025 | Fine | $5,598 | — |
| Apr 11, 2024 | Fine | $8,512 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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