The Woodlands Nursing And Rehabilitation Center
THE WOODLANDS NURSING AND REHABILITATION CENTER in The Woodlands, TX — inspection on August 19, 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
not being changed or given incontinent care can cause skin breakdown.
She stated between CNA's and Nurses a resident should be seen every two hours and repositioned.
She stated charge nurses should ensure this by checking the POC on the karmex (CNA documentation) at that beginning of resident shift, middle and end of CNA's shift. [NAME] shift nurse should check the POC between 12:00pm -1:00pm. In an Interview with ADON on 8/19/25 at 1:45pm-She stated she is aware of the issues with Resident #1 not receiving in continent care on the 6am-2:00pm shift.
She states the nurse completed a head-to-toe assessment after hearing about this.
She stated the facility completed a report, investigation and training was provided to staff regarding this issue.
She stated the negative outcome for a resident not receiving incontinent care can cause skin breakdown. In a telephone interview on 8/25/25 at10:43am CNA B, stated she has been working with Resident #1 since January 2025. CNA B stated she has never observed Resident #1 in her chair for hours.
She stated she has experience in the past few months that Resident #1 tends to have a bowel movement before getting showers.
She stated she has observed Resident #1 with a bowel movement and pamper soiled; however, she is unable to say how long her pamper has been soiled, which is why she never brought this concern to the attention of the facility. In a telephone interview on 8/25/25 at12:37pm CNA C stated she has been working with Resident #1 since March 2025. CNA C stated she has never observed Resident #1 in her chair for hours.
However, she has noticed her pamper soiled when she and her partner arrives to give Resident #1 her shower.
She stated she has not said anything to the facility because they are giving her a shower anyway, and she cannot say how long Resident #1's pamper has been soiled.
Record review of the facility's Activities of Daily Living (ADL) Policy dated based 5/26/23 revealed, the facility will, based on the resident's comprehensive assessment and consistent with the residents needs and choices, ensure resident's abilities in ADL's do not deteriorate unless deterioration reaction is unavoidable.
Care and services will be provided for the following activities of daily living:1.
Bathing, dressing, grooming and oral care;2.
Transfer and ambulation;3.
Toileting;4.
Eating to include meals and snacks; and5.
Using speech, language, or other functional communication systems.
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