Woodland Springs Nursing Center
Woodland Springs Nursing Center in Waco, TX — inspection on August 29, 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
happened to the medication. He stated the way the nurses are positioned with the med cart, the cameras did not show anyone taking medication from the cart or the pages out of the book.
All the other medications carts were counted to make sure no other medications were missing. He stated a negative outcome that can happen is there will be missing medication, and the resident could miss a dose of their medication.
Record review of the undated policy of Injection Safety - Drug Diversion, revealed drug diversion is referring to the theft or other deviation that removes a prescription drug from its intended path from the manufacturer to the patient. 1.
All drugs and biologicals, including controlled substances, are stored in lock compartments and only authorized personnel have keys to locked compartments (i.e., medication carts, cabinets, drawers, refrigerators, medication rooms). 2.
Staff with access to medications are trained on their responsibilities for safe storage and administration of medications, including documentation and disposition of medications. 3.
Staff with access to controlled medications are trained on the facility's policy for the administration and accountability of controlled substances.
Each employee is required to report suspicion or known diversion of a controlled substance to the Director of Nursing or Administrator.
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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.