Woodlands Nursing: Sanitation Failures Found - TX
The nursing assistant assigned to the resident, identified in inspection records as CNA A, told the inspector she had emptied the resident's urinal into that toilet earlier that same morning. She said she had flushed. When the inspector told her the toilet was not flushed and described the smell, CNA A said the handle must not have been working right, and that she had already told someone in maintenance.
She then walked with the inspector to the bathroom and was asked to demonstrate. The toilet flushed completely, without any problem. CNA A said she guessed it was working now.
After flushing, a brownish-red ring remained visible inside the bowl.
The housekeeping aide assigned to that hall, identified as HK A, described her cleaning process in detail: she sprayed the toilet first to let disinfectant sit, then worked through the bowl with three separate rags for the back, front, and sides, scrubbed under the rim, and cleaned the mirrors. When the inspector showed her a photograph of the toilet bowl, she said the ring could have been from mildew or buildup, and added that if a ring was in the bowl, it could have been like that for a while.
The director of nursing told the inspector that afternoon that she had received no complaints from Resident 1 about housekeeping. She acknowledged she did not know why. She said she expected the bathrooms to be kept clean, and that failing to do so created the risk of improper infection control and residents getting sick.
The facility's environmental services supervisor, who told the inspector he had worked at the building for three years, said every housekeeping staff member was assigned one hallway per shift. His expectation, he said, was that staff cleaned thoroughly every day. When the inspector told him that hallways in the facility were covered in debris and that toilets had visible rings inside the bowls, he said he tried to clean up whenever he saw something out of order but could not catch everything.
The inspection was a complaint survey, conducted April 25, 2026. Inspectors cited the facility for failing to provide a sanitary environment, a deficiency classified as causing minimal harm or potential for actual harm. The finding covered more than one resident.
What the records show is a bathroom left with unflushed urine and a strong smell, a maintenance excuse that dissolved the moment someone tried the handle, and a ring in the bowl that the housekeeper herself suggested had been building for some time. The nursing director did not know why the resident she oversaw had stopped communicating concerns to her. He had his reasons. She did not know them.
The facility's own housekeeping policy, included in the inspection record though listed without a date, required staff to clean and disinfect the toilet including the tank, seat, bowl, and base, and to keep the building free from offensive odors and accumulations of dirt. The policy existed. The toilet sat unflushed.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for The Woodlands Nursing and Rehabilitation Center from 2026-04-25 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
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 19, 2026 · Our methodology
THE WOODLANDS NURSING AND REHABILITATION CENTER in The Woodlands, TX was cited for violations during a health inspection on April 25, 2026.
She then walked with the inspector to the bathroom and was asked to demonstrate.
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.