Woodland Park Nursing & Rehab: Assessment Failures - TX
Woodland Park Nursing & Rehab, a 101-bed facility on Woodland Park Drive, was cited for deficiencies related to the Pre-Admission Screening and Resident Review process, a federally required evaluation system designed to ensure residents with mental illness or intellectual disabilities receive appropriate assessments and care planning before or shortly after admission to a nursing home.
The inspection, completed April 24, 2025, found the facility failed to follow through on multiple steps once an interdisciplinary team evaluation was submitted. Physicians were not notified and orders were not obtained. Recommended items were not written into the facility's electronic records system. Therapy was not informed of new orders. Required state forms were not submitted.
The citation noted that all recommended follow-up steps must be completed within 25 days of an interdisciplinary team form being submitted. The inspection found those deadlines were not being met.
The level of harm was classified as minimal harm or potential for actual harm, and the citation noted that a few residents were affected.
That classification, minimal harm, is the lowest tier on the federal harm scale. But the process that broke down here exists precisely because residents with serious mental health conditions or intellectual disabilities are among the most vulnerable people in any nursing facility. The screening system is meant to catch whether someone actually belongs in a nursing home at all, or whether they need a different level of psychiatric or developmental care. When the follow-up steps don't happen, residents can sit in a placement that may not fit their needs, without the therapy referrals or physician orders that were specifically recommended for them.
Woodland Park Nursing & Rehab is a for-profit facility. CMS inspection records show the facility has received citations in prior survey cycles as well, though the April 2025 inspection report provided here addresses this specific deficiency.
The gap documented here is procedural on its face. Notify the doctor. Write the order. Submit the form. But behind each of those steps is a resident whose care team identified a specific need and then, according to inspectors, nobody acted on it within the required window.
The inspection report does not name the residents affected or describe what specific recommendations went unfulfilled for each person. It does not say how far past the 25-day deadline the facility had gone, or how many residents were waiting. It does not say whether any resident experienced a worsening of their condition during the delay.
What it says is that the process broke down, that a few residents were affected, and that the facility was on notice about what the correct steps were. The internal guidance cited in the deficiency statement reads like a checklist someone had written out carefully: notify physicians, obtain orders, write them into the system, notify therapy, submit the forms. The list existed. The steps did not happen.
For residents caught in that gap, the 25-day window is not an abstraction. It is the difference between a therapy referral that arrives in time to matter and one that arrives after a condition has progressed, between a physician order written when a recommendation is fresh and one written weeks later, if at all.
The facility's plan of correction was not included in the inspection materials provided. CMS directs anyone seeking that information to contact Woodland Park Nursing & Rehab directly or reach the Texas state survey agency.
The residents identified in the April inspection were still living at the facility when inspectors left.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Woodland Park Nursing & Rehab from 2025-04-24 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Corrections: We strive for accuracy in everything we publish. If you believe any fact in this article is incorrect, please contact us with details, and we will review and correct it promptly.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: October 26, 2026 · Our methodology
Woodland Park Nursing & Rehab in Shepherd, TX was cited for violations during a health inspection on April 24, 2025.
Physicians were not notified and orders were not obtained.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.