The Woodlands Healthcare Center
Inspection Findings
F-Tag F0550
F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
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.
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
09/04/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
The Woodlands Healthcare Center
144 Thad Bailes Rd Leesville, LA 71446
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0578
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.
F-Tag F0656
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.
F-Tag F0657
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.
F-Tag F0658
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.
F-Tag F0695
F 0695
Provide safe and appropriate respiratory care for a resident when needed.
Level of Harm - Minimal harm or potential for actual harm
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.
Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
F-Tag F0759
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.
F-Tag F0761
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.
F-Tag F0880
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.
The Woodlands Healthcare Center in LEESVILLE, LA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in LEESVILLE, LA, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from The Woodlands Healthcare Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.