The Woodlands Healthcare Center
The Woodlands Healthcare Center in LEESVILLE, LA — inspection on September 4, 2025.
Found 9 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of Resident #2’s medical record revealed an admission date of 06/02/2023 with diagnoses including, in part…Memory Deficit Following Cerebral Infarction, Parkinson's Disease, Depression, Alzheimer's Disease, Dementia, Muscle Wasting And Atrophy, and Protein-Calorie Malnutrition.
Review of Resident #2’s Significant Change MDS with an ARD of 07/14/2025 revealed a BIMS Score of 3, indicating severe cognitive impairment. Resident #2 required substantial/maximal assistance with eating and was always incontinent of bowel and bladder.
Observation of Resident #2 on 09/04/2025 at 7:50 a.m. revealed the resident was lying in bed, uncovered, and turned slightly to the left. Resident #2’s brief was bulging posteriorly.
There was a strong odor of feces in the room.
Observation of Resident #2 on 09/04/2025 at 8:19 a.m. revealed the resident was lying in bed, uncovered, and turned slightly to the left. Resident #2’s brief was bulging posteriorly.
There was a strong odor of feces in the room.
Interview with S10CNA on 09/04/20225 8:25 a.m. revealed she had just attempted to feed Resident #2 breakfast and stated Resident #2 “did not eat anything”.
Observation of Resident #2 on 09/04/2025 at 8:30 a.m. revealed the resident was lying in bed, uncovered, and turned slightly to the left. Resident #2’s brief was bulging posteriorly.
There was a strong odor of feces in the room.
Observation of resident #2 on 09/04/2025 at 8:35 a.m. accompanied by S9LPN revealed Resident #2’s brief contained feces and there was a strong odor of feces in the room. S9LPN confirmed Resident #2 should have received incontinence care prior to being served/fed his breakfast, but had not been. S9LPN revealed the presence of feces could have contributed to Resident #2 not consuming breakfast, stating “I wouldn’t want to eat if I was sitting in that”. S9LPN confirmed Resident #2’s dignity had not been maintained, but should have been.
Interview with S2DON on 09/04/2025 at 2:00 p.m. confirmed Resident #2 should have been provided with incontinence care prior to staff attempting to feed resident breakfast.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/04/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
The Woodlands Healthcare Center
144 Thad Bailes Rd Leesville, LA 71446
SUMMARY STATEMENT OF DEFICIENCIES
Federal health inspectors cited The Woodlands Healthcare Center in LEESVILLE, LA for a deficiency under regulatory tag F-F0578 during a standard health inspection conducted on 2025-09-04.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of The Woodlands Healthcare Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-10.
Federal health inspectors cited The Woodlands Healthcare Center in LEESVILLE, LA for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-09-04.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of The Woodlands Healthcare Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-10.
Federal health inspectors cited The Woodlands Healthcare Center in LEESVILLE, LA for a deficiency under regulatory tag F-F0657 during a standard health inspection conducted on 2025-09-04.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of The Woodlands Healthcare Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-10.
Federal health inspectors cited The Woodlands Healthcare Center in LEESVILLE, LA for a deficiency under regulatory tag F-F0658 during a standard health inspection conducted on 2025-09-04.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Ensure services provided by the nursing facility meet professional standards of quality.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of The Woodlands Healthcare Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-10.
Based on observation, interview, and record review the facility failed to provide respiratory care consistent with professional standards for 1(#73) of 1 resident reviewed for respiratory care.
The facility failed to ensure respiratory equipment was properly labeled, and stored.
Findings:
Review of the Facility's Oxygen Administration policy with a revision dated of 02/2025 read in part . the purpose of this procedure is to provide guidelines for safe oxygen administration, and infection prevention, associated with respiratory therapy task.
Steps in the procedure: 5.
Store in a covered device (i.e. plastic bag, kangaroo pouch) between use.
Review of Resident #73's 09/2025 Physician Orders read in part.08/26/2025: Oxygen at 2 liters per nasal cannula as needed for shortness of breath and hypoxia.
Observation on 09/02/2025 at 12:30 p.m. revealed Resident #73's nasal cannula lying on the floor, without a bag.
Observation on 09/03/2025 at 10:26 a.m. revealed Resident #73's nasal cannula lying on the floor, without a bag. Resident #73 stated that he used the oxygen last night on 09/02/2025. An interview on 09/03/2025 at 10:34 a.m. with S11 LPN confirmed that Resident #73's oxygen tubing was lying in the floor without a bag. S11 LPN stated that all oxygen tubing should be dated and kept in a bag when not in use, but had not been.
Facility ID:
Federal health inspectors cited The Woodlands Healthcare Center in LEESVILLE, LA for a deficiency under regulatory tag F-F0759 during a standard health inspection conducted on 2025-09-04.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure medication error rates are not 5 percent or greater.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of The Woodlands Healthcare Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-10.
Federal health inspectors cited The Woodlands Healthcare Center in LEESVILLE, LA for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-09-04.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of The Woodlands Healthcare Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-10.
Federal health inspectors cited The Woodlands Healthcare Center in LEESVILLE, LA for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-09-04.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of The Woodlands Healthcare Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-10.