Woodlands Place Rehabilitation Suites
Woodlands Place Rehabilitation Suites in Denison, TX — inspection on October 22, 2025.
Found 1 citation. 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
mobile through the facility have hot liquids in a cup with a lid and hot liquids is available in nourishment room with assistance from staff for 5 days and then weekly for 3 months and re-evaluate for further supervision if needed. 13. Ad-hoc QA with Medical Director, Administrator, and DON was conducted on 10/14/25.
Record review of in-services dated 10/14/25 reflected the Administrator, DON, ADON C and the Dietary Manager were in-serviced by the Clinical Service Director on the facility's Nutrition Polices to reduce the risk of Burns from hot beverages.
Record review of in-services dated 10/14/25 reflected the Nursing staff were in-serviced by the DON on the facility's Nutrition Polices to reduce the risk of Burns from hot beverages.
Record review of in-services dated 10/14/25 reflected the Dietary staff were in-serviced by the Dietary Manger on the facility's Nutrition Polices to reduce the risk of Burns from hot beverages.
Record review of the Coffee Temperature log, for October 2025 reflected Temperatures were taken at breakfast, lunch, and dinner.
Temperatures were within the facility guidelines for transfer to serving pots.
Record review of the facility's Quality Assurance meeting minutes reflected an AD Hoc meeting was held with the Medical Director, Administrator, DON, Dietary Manager, and ADON's on 10/14/25 about the mitigation plan for hot beverages.
Record review of the resident roster list provided to the dietary department on 10/14/25 and 10/21/25 indicated which residents were high risk travelers for hot beverages and residents who had vision, tremors, poor hand control and behaviors.
Record review of CNA A personnel file reflected she received a verbal warning and education from the DON on 10/14/25 to always have dietary prepare hot beverages for residents, ensure the beverages were placed safely on a table to prevent the potential for a spill. In interviews covering all three shifts (6 AM- 2PM, 2 PM-10 PM, and 10 PM- 6 AM), revealed they had been in-serviced that all hot beverages had to be prepared by the kitchen staff.
Hot beverage was to be served by the staff from carafes provided by dietary.
All hot beverages were stored in the nutrition room under lock and key and only staff could pour hot liquids for residents.
Staff were in serviced on ensuring mobile residents who were independent with food and drink had a travel mug with a lid in use with hot beverages.
Staff were taught any resident with vision impairment, tremors, weakness, or behaviors required a lidded cup and supervision while consuming.
Staff were also trained on appropriate temperature for reheating of food and coffee.
Food 160 degrees and Coffee 150 d
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