The Woodlands Healthcare Center

In the surveyor’s words

From the most serious findings on record at The Woodlands Healthcare Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF677Mar 17, 2026

  Based on observation, interview, and record review, the facility failed to ensure residents who are unable to carry out ADLS (Activities of Daily Living) received the necessary services to maintain good grooming and personal hygiene for 5 (#R2, #R3, #R4, #R5, and #R7) of 10 Sampled Residents. The facility failed to ensure Resident's received proper assistance for elimination and bed mobility.Findings:Review of the facility policy on 03/16/2026 at 1:22 p.m. titled Activities of Daily Living, Supporting and dated 03/2018 read in part. Residents who are unable to carry out activities of daily living independently will receive the services necessary to maintain good nutrition, grooming, and personal and oral hygiene. […]

• No harm, potential for more than minimal, patternF759Jun 25, 2024

  Based on observation, interview, and record review the facility failed to maintain a medication error rate below 5% by failing to give two medications as ordered, and administering a discontinued medication for 1 (#37) of 3 (#37, #96, and #101) residents observed during medication administration. A total of 30 opportunities were observed which included 3 medication errors for a medication error rate of 10%. Findings: Review of the facility's policy on 06/25/2024 titled, Administering Medications with revision date April 2019 revealed the following, in part: . 3. Medications are administered in accordance with prescriber orders, including any required time frame. 9. […]

• No harm, potential for more than minimal, patternF880Jun 25, 2024

  Based on observation, record review, and interview, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment, and to help prevent the development of communicable diseases and infections for 1 of 1 resident reviewed for pressure ulcers (#292), and 1 (#292) of 43 residents reviewed for Enhanced Barrier Precautions. The facility failed to: 1. Perform proper hand hygiene during wound care for Resident #292; and 2. Ensure signage was used to communicate to staff those residents who required the use of Enhanced Barrier Precautions (EBP) and Personal Protective Equipment (PPE) before high contact care activities were provided for Resident #292. Findings: 1. […]

• No harm, potential for more than minimal, patternF804Oct 25, 2023

  Based on record review, observation, and interview, the facility failed to ensure food served to residents was palatable and at an appetizing temperature for 1 (Resident #6) of 5 (Resident #1, Resident #2, Resident #3, Resident #5, and Resident #6) residents reviewed for dietary services. Findings: Review of the facility's policy titled Food Holding and Service revealed in part . Policy: To ensure that all food served by the facility is of good quality and safe for consumption. Procedure: Serve all hot foods at a temperature of 135 degrees Fahrenheit or greater. […]

• No harm, potential for more than minimal, patternF812Oct 25, 2023

  Based on observation and interview the facility failed to store and serve food in accordance with professional standards for food service safety. The facility failed to ensure expired food was not available for resident consumption and failed to appropriately date and label food that was opened and available for use. This failed practice had the potential to affect all residents who receive meals prepared by the facility's kitchen. Findings: Review of the facility policy titled, Food Storage, revealed in part .To ensure that all food served by the facility is off good quality and safe for consumption, all food will be stored according to the state, federal and US Food Codes and HACCP guidelines. To ensure freshness, store opened and bulk items in tightly covered containers. […]