Deficiency Index

Woodland Manor Nursing and Rehabilitation

Conroe, Texas · CCN 675229

57 surveys since 2010, 14 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
181
Surveys
57
Harm or worse
14
Immediate jeopardy
10
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy10

Findings at the most serious level CMS records.

Beyond CMS’s monthly file45/57

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
146
Ownership
For profit - Limited Liability company
Chain
SLP OPERATIONS
County
Montgomery
Medicare-certified since
1993

CMS ratings

Overall
1
Health inspection
1
Staffing
1
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 209 for-profit facilities with 128 or more beds in Texas.

Last survey on record

Jun 16, 2026

146 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.143.26
Registered-nurse hours per resident day0.32—
Annual nurse turnover53.7%55.3%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$58,580 across 3 penalties

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ27.7%K13.8%L—
Actual harmG—H—I—
No harm, potential for more than minimalD1246.2%E830.8%F27.7%
No harm, potential for minimalA—B—C13.8%
CMS’s current file: 26 of the 181 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8043×

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

  • F6092×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • F6772×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • F6842×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F6892×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

In the surveyor’s words

From the most serious findings on record at Woodland Manor Nursing and Rehabilitation, in the surveyor’s own words.

  • Immediate jeopardy, patternF689Aug 25, 2025

    Based on observation, interview and record review the facility failed to ensure adequate supervision and assistance devices to prevent accidents for one of six residents (Resident #1) reviewed for accident hazards in that: -The facility failed to ensure Resident #1 had interventions in place after she fell on 8/10/2025, 8/11/2025, or 8/14/2025 when she sustained a hematoma to her forehead and on 8/16/2025 when she fell again and suffered a laceration over the right eye requiring 7 sutures.-The facility failed to adequately supervise Resident #1 after she experienced the first fall on 8/10/2025. -The facility failed to determine the causative factors of the falls and address those factors timely. Resident #1 was admitted on [DATE]. […]

  • Immediate jeopardy, patternF725Jul 20, 2022

    Based on observation, interview, and record review, the facility failed to have sufficient nursing staff with the appropriate competencies and skills sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident, as determined by resident assessments and individual plans of care and considering the number, acuity and diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] #5, and Resident #6) reviewed for sufficient staff. 1. […]

  • Immediate jeopardy, patternF689Dec 6, 2021

    Based on observation, interview and record review, the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 2 of 7 residents (Resident #3 and Resident #4) reviewed for accidents and supervision. The facility failed to provide adequate supervision to 15 residents in the memory care unit. As a result, Resident #3 was not protected from physical and emotional harm after Resident #4 physically assaulted Resident #3 on two different occasions causing her pain and being afraid to leave her room. An Immediate Jeopardy (IJ) situation was identified on 12/1/2021. […]

  • Immediate jeopardy, patternF741Dec 6, 2021

    Based on observation, interview and record review, the facility failed to ensure that staff who provided direct services to residents had the appropriate competencies and skills sets to assure resident safety and attain or maintain the highest practicable physical, mental and psychosocial well-being for 2 of 7 residents (Residents #3 and #4) whose care was reviewed for competent and sufficient staff. The facility failed to ensure there were competent and sufficient staff to supervise 15 residents in the memory care unit. As a result, Resident #3 was not protected from physical and emotional harm after Resident #4 physically assaulted Resident #3 on two different occasions causing her pain and being afraid to leave her room. An Immediate Jeopardy (IJ) situation was identified on 12/1/2021. […]

  • Immediate jeopardy, isolatedF580Apr 3, 2026

    Based on interview and record review the facility failed to consult with the resident's physician when there was An accident involving the resident that had the potential for requiring physician intervention for 1 of 4 residents (CR #1) reviewed for notification of changes. The DON failed to consult with CR #1's physician and hospice service on [DATE] between 4 pm to 5 pm. after an unwitnessed fall. CR #1 was prescribed a blood thinner (medication that prevents or slows down blood clotting). CR # 1 expired at the facility on [DATE]. An immediate Jeopardy (IJ) was identified on [DATE] at 1:40 p.m. […]

Read 31 findings in full →The most serious and the most recent: 31 of 181 on record.

Every survey on record

FindingsAt actual harm or above

  • Jun 16, 2026Complaint1 finding
  • Apr 23, 2026Complaint1 finding
  • Apr 3, 2026Complaint7 findings · 2 harm
  • Feb 12, 2026Complaint1 finding
  • Aug 25, 2025Complaint1 finding · 1 harm
  • Jul 2, 2025Complaint2 findings
  • Mar 21, 2025Standard3 findings
  • Dec 24, 2024Complaint2 findings
Show the 49 earlier surveys
  • May 14, 2024Complaint2 findings
  • Dec 21, 2023Standard and complaint4 findings
  • Nov 9, 2023Complaint1 finding
  • Apr 13, 2023Complaint1 finding
  • Sep 28, 2022Standard and complaint2 findings
  • Sep 14, 2022Complaint5 findings
  • Jul 28, 2022Complaint2 findings
  • Jul 20, 2022Complaint4 findings · 2 harm
  • Jul 1, 2022Complaint3 findings
  • Jan 6, 2022Complaint1 finding
  • Dec 6, 2021Complaint7 findings · 2 harm
  • Nov 1, 2021Complaint1 finding
  • Oct 21, 2021Infection control4 findings
  • Sep 24, 2021Infection control1 finding
  • Jul 23, 2021Standard4 findings
  • Mar 25, 2021Complaint2 findings
  • Apr 21, 2020Complaint2 findings
  • Feb 4, 2020Complaint3 findings · 2 harm
  • Oct 9, 2019Complaint2 findings
  • Jul 12, 2018Standard8 findings
  • Jun 14, 2018Complaint2 findings
  • Aug 3, 2017Standard and complaint5 findings
  • May 5, 2017Complaint1 finding
  • Sep 15, 2016Complaint1 finding
  • Jul 8, 2016Standard5 findings
  • May 5, 2016Complaint2 findings
  • Apr 5, 2016Complaint3 findings
  • Feb 16, 2016Complaint4 findings · 4 harm
  • Oct 9, 2015Complaint2 findings
  • Sep 3, 2015Standard5 findings
  • Jun 24, 2015Complaint1 finding
  • Nov 25, 2014Complaint3 findings
  • Oct 9, 2014Standard and complaint24 findings
  • Jan 3, 2014—2 findings
  • Oct 24, 2013—15 findings
  • Sep 11, 2013—2 findings
  • May 29, 2013—2 findings · 1 harm
  • May 16, 2013—2 findings
  • Apr 18, 2013—1 finding
  • Nov 29, 2012—1 finding
  • Sep 13, 2012—8 findings
  • Jul 25, 2012—1 finding
  • Jun 20, 2012—1 finding
  • Oct 13, 2011—4 findings
  • Jun 1, 2011—2 findings
  • Apr 21, 2011—1 finding
  • Feb 2, 2011—2 findings
  • Nov 18, 2010—1 finding
  • Oct 19, 2010—1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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