Woodlake Nursing Center

In the surveyor’s words

From the most serious findings on record at Woodlake Nursing Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF657Jun 11, 2024

  Based on observation, interview, and record review the facility failed to review and revise the person-centered care planning for one (Resident #2) of eight residents reviewed for care plan revision in that: 1. Resident #2's care plan was not updated when he had a decline in health and did not have the strength to sit upright. 2. Resident #2 was placed into his wheelchair and left unattenededunattended after a decline in his health caused him unsteady trunk balance and support. He fell out of the wheelchair, hit his face, and was transferred to the emergency room . An IJ was identified on [DATE]. The IJ template was provided to the facility on [DATE] at 032:50 pm. […]

• Immediate jeopardy, isolatedF684Jun 11, 2024

  Based on interviews and record reviews, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for one (Resident #1) of seven residents reviewed for quality of care. 1. The facility delayed Resident #1 a transfer to the hospital for higher level of care and delayed treatment resulting in prolonged discomfort and pain. An IJ was identified on 06/07/24. The IJ template was provided to the facility on [DATE] at 6:13 pm. […]

• Immediate jeopardy, isolatedF689Jun 11, 2024

  Based on interviews and record reviews the facility failed to ensure that the resident environment remained as free of accident hazards as was possible and that each resident received adequate supervision and assistance devices to prevent accidents for two (Resident #1 and Resident #2) of five residents reviewed for accidents hazards and supervision, in that: 1. The facility failed to make sure staff were properly trained before operating the hoyer lift. Resident #1 sustained a hip fracture during a Hoyer lift transfer by CNA A and NA B, which required surgical intervention. 2. Resident #2 was placed into his wheelchair and left unattended after a decline in his health caused him unsteady trunk balance and support. […]

• No harm, potential for more than minimal, widespreadF812Jun 26, 2025

  Based on observations, interviews, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for the 1 of 1 kitchen. -The facility failed to ensure Dietary Staff A wore hair net and beard cover while in the kitchen. -The facility failed to ensure that the kitchen and the equipment were kept in a clean, sanitary condition. -The facility failed to ensure that prepared, leftover food items in one of two freezers, and one of one walk-in freezer were dated and labeled with an open\store date and use by date. […]

• No harm, potential for more than minimal, widespreadF837May 23, 2024

  Based on observation, interview, and record review, the governing body failed to have a qualified Administrator reviewed for governing body. -The facility failed to ensure the Corporate Administrator was the active administrator. - The facility failed to ensure the Administrator in training (AIT) had an active Texas Administrator license. This failure could place residents at risk of being cared for by staff who were not managed by a licensed Administrator. Findings include: During the entrance conference on 5/20/24 around 9:00 am, the AIT identified herself as the Administrator/AIT and said that the Corporate Administrator would arrive at the facility shortly. […]