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Complaint Investigation

The Woodlands Nursing And Rehabilitation Center

April 25, 2026 · The Woodlands, TX · 4650 S Panther Creek Dr
Citations 1
CMS Rating 3/5
Beds 214
Provider ID 455876
Healthcare Facility
The Woodlands Nursing And Rehabilitation Center
The Woodlands, TX  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

THE WOODLANDS NURSING AND REHABILITATION CENTER in The Woodlands, TX — inspection on April 25, 2026.

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

FF0584
Resident Rights Deficiencies

splashes were on the commode and the assisted toilet chair. In an interview and observation on

urinal, she would pour its contents into the toilet, flush, then rinse the urinal out.

She stated that she

she was informed that the toilet was not flushed and there was a strong smell of urine in the bathroom, she stated that if the toilet was not flushed it was because the toilet handle was not working right and she had informed someone in maintenance. CNA A accompanied the surveyor to Resident #1's bathroom and she was asked to flush the toilet.

The toilet was flushed fully without concern. CNA A stated that she guessed it was working now.

After flushing, the toilet, a brownish red ring remained in the toilet bowl. In an interview on 04/25/26 at 1:45 p.m., HK A, stated that her cleaning process included sweeping prior to mopping, and disinfecting surfaces.

She explained that she took her time to clean the bathroom and would first spray the toilet down to let the disinfectant sit, then she would use three different rags to clean the back of toilet, front, and the sides.

She would also scrub inside of the toilet bowl, cleaning mirrors, and thoroughly scrubbing toilets, including under the rim.

She stated that cleaning conditions may vary depending on resident behaviors and room conditions and HK A stated that rooms could become soiled after cleaning due to resident activity.

When she was shown a picture of the toilet bowl inside Resident 1's room, she stated that the brown ring in the toilet could have been from mildew or a buildup and she stated that if the toilet bowl had a ring in it, it could have been like that for a while. In an interview on 04/25/26 at 4:21 p.m., the DON stated that she had not received any complaints from Resident #1 regarding housekeeping and stated that Resident #1 refused to speak with her or communicate any of his concerns to her for reasons she was not aware of.

She stated that she expected housekeeping to keep things clean for the residents and the harm in not doing so could be improper infection control and the risk of residents getting sick.

In an interview with the 4/25/26 at 4:31 p.m., The EVS stated that he had worked at the facility for 3 years and he oversaw housekeeping and maintenance in the building. He stated that housekeeping was to clean the rooms daily and he was responsible for following up to make sure it was completed.

When housekeeping cleaned, they were to focus on sanitation, which meant making sure the handles and high touch surfaces were wiped down, cleaning bathrooms and toilets, and spraying/wiping down beds.

When informed that the halls were covered in debris and there were toilets that had rings inside the bowl, he stated that all housekeeping staff were assigned one hall that were to clean for that shift. He stated that he would try to clean up every time he had the opportunity if he saw something out of order but he could not catch everything.

The EVS stated his expectation of housekeeping staff was for them to clean thoroughly everyday.

Record review of the facility's policy titled: General Housekeeping Policies (not dated) stated that:All housekeeping personnel utilize the accepted practices and procedures to keep the facility free from offensive odors, accumulations of dirt, rubbish, dust, and hazards as well as participate in ongoing education and training to maintain or increase their competency.Floors are maintained in good condition and cleaned regularly.

Floor polished provide a non-slip finish and rugs are not used except for non-slip entrance mats.Clean and disinfect toilet including the tank, seat, bowl, and base.

Bowl cleaner should only be used inside of the bowl.

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 The Woodlands, TX, (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 NURSING AND REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

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.