Woodlands Rehab: Incontinent Care Failure Cited - MS
The resident, identified in inspection records only as Resident #2, has moderate cognitive impairment and is fully dependent on staff for toileting hygiene. He was admitted to the facility with diagnoses that include epilepsy, an open wound on his left upper arm, and a skin infection. He cannot manage his own care.
On April 28, a CNA inspectors identified as CNA #1 responded to find his brief wet with urine. She removed it, helped him roll to one side, changed his fitted sheet, rolled him back, secured the sheet on the other side, and put a clean, dry brief on him. At no point did she clean his perineal area, front or back.
She did not use a washcloth. She did not use wipes. She did not cleanse the urethral area, the penis, the scrotum, or the inner thighs. She changed the sheet and the brief and moved on.
The next afternoon, inspectors sat down with CNA #1 and asked her about it. She confirmed she had provided the care. She confirmed the brief had been wet with urine. She confirmed she had not cleansed the resident's perineal area. She said she was nervous. She also said she had received training and knew she was supposed to clean him.
That training was not a matter of dispute. The CNA supervisor, who also handles scheduling and conducts orientation for new hires, told inspectors she delivers in-service training on perineal care upon hire, during orientation, and annually after that. She uses a skills checklist. She confirmed the procedure requires cleansing front and back, not just swapping out the brief.
The facility's own written policy, last revised in January 2023, lays out the steps in sequence: wet the washcloth or cleaning wipes, apply soap or a skin cleansing agent, start at the urethra and work outward, retract the foreskin for uncircumcised male residents, wash and rinse the urethral area in a circular motion, continue to the penis, scrotum, and inner thighs, rinse in the same order with fresh water and a clean cloth, then dry in the same sequence.
None of it happened.
The licensed practical nurse on staff confirmed that nursing staff receive in-service training using that same checklist. The Director of Nursing confirmed the training exists and that incontinent care includes cleansing front and back. The facility administrator said she expected CNAs to clean the perineal area with every brief change.
Everyone in the building agreed on what should have happened. The inspection was triggered by a complaint. Inspectors cited the facility for failing to provide care in accordance with professional standards of practice to prevent urinary tract infections, with a harm level assessed as minimal harm or potential for actual harm.
Skipping perineal hygiene during incontinent care is a recognized pathway to urinary tract infections, particularly for residents with catheters or compromised immune systems. Resident #2's record does not indicate a catheter, but his existing diagnoses, including a skin infection and an open wound, place him in a category where additional infection risk carries real consequence.
The inspection covered three residents who required incontinent care. The failure was documented for one.
CNA #1 was not disciplined in the inspection record. She was nervous, she said. She knew what she was supposed to do.
Resident #2, who cannot advocate for himself and depends entirely on staff to keep him clean, was left in his room with a dry brief and skin that had not been washed.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Woodlands Rehabilitation and Healthcare Center from 2026-04-29 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 22, 2026 · Our methodology
WOODLANDS REHABILITATION AND HEALTHCARE CENTER in CLINTON, MS was cited for violations during a health inspection on April 29, 2026.
The resident, identified in inspection records only as Resident #2, has moderate cognitive impairment and is fully dependent on staff for toileting hygiene.
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.