Woodlands Rehabilitation And Healthcare Center
WOODLANDS REHABILITATION AND HEALTHCARE CENTER in CLINTON, MS — inspection on April 29, 2026.
Found 3 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
care-Incontinent Care Skills Checklist.
She confirmed that nursing staff (nurses and CNAs) received
privacy for incontinent care and that staff were to sit beside residents while assisting with eating to
Practical Nurse (LPN)#1, confirmed that nursing staff (nurses and CNA s) received in-service training on residents rights and treating residents and providing care in a respectful and dignified manner at least monthly and that CNAs competency was assessed through competency checks during orientation upon hire and annually using the Skills Checklist: Feeding a Resident and the Peri care-Incontinent Care Skills Checklist (among others that addressed specific skills/procedures).
She confirmed that in-service training, resident rights and competency check offs included ensuring respectful care during each procedure and resident interaction, which included provision of privacy, especially for any procedure that involved exposure of residents and sitting beside residents while assisting them to eat.On 4/29/26 at 3:12 PM, during an interview the Director of Nursing (DON) stated the facility provided in-service training that included provision of privacy for all procedures that involved exposure of residents and sitting next to residents while assisting with eating to ensure respectful and dignified care in accordance with Residents' Rights.
She confirmed that she observed CNA #2 standing over Resident #3 while assisting her to eat lunch on 4/29/26. On 4/29/26 at 4:10 PM, during an interview with the Administrator revealed that she expected call lights to be left within reach of residents and answered in a timely manner.
She confirmed that she expected residents' rights to be protected and promoted for all residents as instructed through monthly facility provided in-service training.
She confirmed that the Residents' Rights to dignified and respectful treatment included staff be seated while assisting residents to eat and provision of privacy for incontinence care.
Record review of the admission Record for Resident #3 revealed the facility admitted the resident on 4/27/26 and she had diagnoses of cerebral infarction (stroke), anemia, hemiplegia and hemiparesis affecting right dominant side.
Record review of the Baseline Care Plan for Resident #3 revealed .A.1.
Eating.01 Dependent.
255148 04/29/2026
Woodlands Rehabilitation and Healthcare Center 102 Woodchase Park Drive Clinton, MS 39056
During an interview on 4/29/26 at 3:15 PM, Licensed Practical Nurse (LPN) #1 stated nurses make rounds throughout the day and use direct observation to ensure call lights are answered in a timely manner, which requires call lights to be within the reach of residents.
On 4/29/26 at 3:12 PM, an interview with the DON revealed that she expected call lights to be left within reach of residents and answered in a timely manner.
She confirmed that Resident #2 was unable to find or reach his call light at 12:00 PM on 4/29/26.
During an interview on 4/29/26 at 4:10 PM, the Administrator stated she expects call lights to be left within the reach of residents and answered in a timely manner.
She confirmed the facility does not have a specific policy regarding call light placement.
Record review of the admission Record revealed Resident #2 was admitted to the facility on [DATE] with diagnoses that included epilepsy, infection of the skin and subcutaneous tissue, open wound of left upper arm, and gastrostomy status.
Record review of the Quarterly Minimum Data (MDS) with an Assessment Reference Date (ARD) of 3/13/26 revealed a Brief Interview for Mental Status (BIMS) score of 11, which revealed moderate cognitive impairment.
255148 04/29/2026
Woodlands Rehabilitation and Healthcare Center 102 Woodchase Park Drive Clinton, MS 39056
catheter care, and appropriate care to prevent urinary tract infections.
observation, record review, facility policy review, and interviews the facility failed to provide
infections for one (1) of three (3) sampled residents who required incontinent care.
Resident #2Findings Included:
Record review of the facility policy/procedure titled, Peri Care-Incontinent Care with revision Date 1-2023 (January 2023) revealed the procedure stated, FOR MALE RESIDENTS: For a male resident: a.
Wet washcloth/cleaning wipes and apply soap or skin cleansing agent. b.
Wash perineal area starting with urethra and working outward.c.
Retract foreskin of the uncircumcised male. d.
Wash and rinse urethral area using a circular motion. e.
Continue to wash the perineal area including the penis, scrotum, and inner thighs. F.
Thoroughly rinse perineal area in same order, using fresh water and clean washcloth/cleaning wipes. G.
Gently dry perineum following same sequence.On 4/28/26 at 12:55 PM, observation revealed Certified Nursing Assistant (CNA) #1 provided incontinent care for Resident #2. CNA #1 removed Resident #2's wet brief, assisted the resident to turn onto his right side, loosened the fitted sheet, tucked the sheet under the resident, replaced the fitted sheet with a clean one on the left side of his bed, walked to the right side of the bed, assisted him to turn onto his left side and adjusted and secured the fitted sheet and replaced his incontinent brief with a clean, dry brief without cleansing the resident's perineal area front or back. On 4/29/26 at 2:15 PM, during an interview CNA #1 confirmed that she was aware and had completed in-service training and competency check offs for perineal cleansing during incontinent care.
She confirmed that on 4/28/26 at 12:55 PM she provided incontinent care for Resident #2, whose incontinence brief was wet with urine, without cleansing his perineal area.
She stated that she was nervous but had received training and knew that she was supposed to cleanse the resident's perineal area in addition to replacing his wet brief with a dry one. On 4/29/26 at 3:00 PM, during an interview CNA#2, (the CNA Supervisor and Schedular) revealed she provided in-service training upon hire and during orientation and competency checks-offs for new CNAs and employees during orientation and then annually to ensure skills competency using the Peri- care/ Incontinent Care Skills Checklist.
She confirmed that the procedure for incontinent care included cleansing the perineal area, front and back in addition to removal of wet briefs and replacement with a clean dry brief. On 4/29/26 at 2:45 PM, an interview with Licensed Practical Nurse (LPN) #1 confirmed that nursing staff received in-service training using the Peri Care-Incontinent Care Skills Checklist.
She confirmed that incontinent care included cleansing the perineal area, front and back. On 4/29/26 at 3:12 PM, during an interview the Director of Nursing (DON) stated the facility provided in-service training that included provision of incontinent care and toileting hygiene for all incontinent residents as needed with orientation and annual competency check offs for CNA s.
She confirmed that incontinent care included cleansing the perineal area, front and back. On 4/29/26 at 4:10 PM, an interview with the Administrator revealed that she expected CNA s to provide cleansing the perineal area, front and back along with brief changes for incontinent care.
Record review of the admission Record revealed Resident #2 was admitted to the facility on [DATE] with diagnoses that included epilepsy, infection of the skin and subcutaneous tissue, open wound of left upper arm, and gastrostomy status.
Record review of the Quarterly Minimum Data (MDS) with an Assessment Reference Date (ARD) of 3/13/26 revealed a Brief Interview for Mental Status (BIMS) score of 11, which revealed moderate cognitive impairment.
Section GG revealed the facility assessed Resident #2 was dependent for toilet hygiene.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.