Woodlands Skilled Nursing and Therapy

In the surveyor’s words

From the most serious findings on record at Woodlands Skilled Nursing and Therapy, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Feb 15, 2024

  Based on observation and interview the facility failed to store, prepare, and serve food in accordance with professional standards for food service safety. The administrator identified 55 resident residing in the facility. Findings: 1. On 02/12/24 at 9:02 a.m., an initial tour of the kitchen was conducted. The following observations were made. The large round trash can by the deep fryer was not covered. The stand up freezer which held the house shakes was observed to have ice build up. On 02/12/24 at 9:04 a.m., the refrigerator was observed to have a large mixing bowl with what looked like chocolate pudding in the bowl the plastic wrap was not covering the bowel and was in the pudding. There were 13 individual cups of pudding not labeled in the refrigerator. […]

• No harm, potential for more than minimal, patternF550Jun 23, 2026

  Based on record review and interview, the facility failed to ensure residents were provided the opportunity to vote and provide activities for 3 (#2, 6, and #7) of 3 sampled residents reviewed for resident rights. The administrator identified 54 residents resided in the facility. Findings: A facility document titled RESIDENT'S RIGHTS AND CONFIDEMTIALITY, revised 08/01/17, read in part, At the facility, we recognize the importance of protecting and promoting the rights of all its residents. The right to civil and religious liberties. The right to participate in social, religious and group activities of choice. An activities calendar posted in a resident common area showed activities for 05/2026. […]

• No harm, potential for more than minimal, patternF550May 22, 2025

  Based on record review and interview, the facility failed to ensure a resident was treated in a dignified manner during ADL care for 1 (#35) of 1 sampled resident reviewed for dignity. The administrator identified 45 resident resided in the facility. Findings: An undated transfer/discharge report showed Resident #35 had diagnoses which included mononeuropathy, anxiety disorder, and major depressive disorder. An annual assessment, dated 04/23/25, showed Resident #35 was cognitively intact and had a brief interview for mental status score of 15. The assessment showed the resident was independent with ADLs including showers. The care plan, revised 04/24/25, showed Resident #35 had an ADL self care performance deficit related to musculoskeletal impairment. […]

• No harm, potential for more than minimal, patternF565Feb 15, 2024

  Based on observation, record review and interview, the facility failed to act upon grievances presented during resident council meetings or provide rationale as to why concerns could not be met. The administrator identified 55 residents resided in the facility. Findings: The resident council reports dated 08/24/23 documented several concerns related to laundry, employees on cell phones too much, and different food request made by the residents. The resident council reports, dated 09/13/23, documented the residents were getting tired of jello and pudding for snacks and nothing else offered. There was also concerns about items missing from laundry. The resident council reports, dated 01/17/24, documented items being missed from laundry. […]

• No harm, potential for more than minimal, patternF732Feb 15, 2024

  Based on observation and interview, the facility failed to document required daily staffing information. The administrator identified 55 residents resided in the facility. Findings: On 02/12/24 at 9:30 a.m., and throughout the survey the staffing board was observed to have no documentation of the facility name, date, census, staff names, hours of nursing staff, or titles. On 02/15/24 at 3:36 p.m., the administrator and the DON stated they were not aware of the requirements regarding posted staff information.