Woodlands Healthcare Center: Oxygen Tube on Floor - LA
The resident is identified in inspection records only as Resident 73. He had a physician's order, written in late August 2025, for oxygen at two liters per nasal cannula as needed for shortness of breath and hypoxia. That order was still active when inspectors visited The Woodlands Healthcare Center during a complaint inspection in early September.
On September 2, 2025, at 12:30 in the afternoon, inspectors observed Resident 73's nasal cannula lying on the floor. No bag. The next morning, September 3, at 10:26 a.m., they came back. The cannula was still on the floor. Still no bag.
Resident 73 told inspectors he had used the oxygen the previous night.
Eight minutes after that observation, a licensed practical nurse confirmed what inspectors had already seen twice. The oxygen tubing was on the floor without a bag. The nurse said all oxygen tubing should be dated and kept in a bag when not in use.
It had not been.
The facility's own oxygen administration policy, revised as recently as February 2025, spelled out the requirement plainly: store respiratory equipment in a covered device, such as a plastic bag or kangaroo pouch, between uses. The policy existed. The revision was recent. The requirement was not followed.
A nasal cannula that touches a nursing home floor picks up whatever is on that floor. For a resident already experiencing episodes of shortness of breath and low oxygen levels, putting contaminated tubing back against the face and into the nostrils is not a trivial matter. The equipment that is supposed to help him breathe becomes a vector for whatever pathogens the floor has collected.
The inspection, a complaint investigation, covered respiratory care for one resident. That resident was Resident 73. The facility failed.
Inspectors tagged the deficiency under F0695, which governs safe and appropriate respiratory care. The cited level of harm was minimal harm or potential for actual harm, and the finding affected few residents. Those classifications, which come from a federal rubric, can make a violation sound contained. What they describe, in this case, is a man who needed oxygen, used it overnight, and then had his breathing equipment left on the floor of his room while staff went about their shift.
The Woodlands Healthcare Center is a nursing facility in Leesville, in Vernon Parish in western Louisiana.
There is nothing in the inspection record to indicate that anyone on staff noticed the cannula on the floor on September 2 and corrected it before the next morning. There is nothing to indicate the tubing was ever bagged between the two observations. The nurse who confirmed the finding on September 3 did not offer an explanation for why it had not been stored correctly, only an acknowledgment that it should have been.
Resident 73 did not say whether he knew his cannula had been on the floor. The inspection record does not say whether he was told.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for The Woodlands Healthcare Center from 2025-09-04 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.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 25, 2026 · Our methodology
The Woodlands Healthcare Center in Leesville, LA was cited for violations during a health inspection on September 4, 2025.
The resident is identified in inspection records only as Resident 73.
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.