The Woodlands Nursing And Rehabilitation Center faces challenges in its CMS ratings, earning a D grade with a score of 51/100. The facility ranks in the 56th percentile among Texas nursing homes, suggesting significant room for improvement.
Staffing at The Woodlands Nursing And Rehabilitation Center is near the national average, with 3.44 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 19 deficiencies at The Woodlands Nursing And Rehabilitation Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.44 | 3.8 | Average |
| Registered Nurses (RN) | 0.39 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.79 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.27 | 2.4 | Average |
| Weekend Total Nursing | 3.10 | 3.8 | Below Average |
| Weekend RN Hours | 0.28 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0609 Severity DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Sep 3, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0677 Severity DProvide care and assistance to perform activities of daily living for any resident who is unable.Aug 18, 2025 · Quality of Life and Care Deficiencies
- Tag 0684 Severity KProvide appropriate treatment and care according to orders, resident’s preferences and goals.Jun 16, 2025 · Quality of Life and Care Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Jun 4, 2025 · Infection Control Deficiencies
- Tag 0755 Severity DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Apr 2, 2025 · Pharmacy Service Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 7.3% | 4.5% | Worse |
| Falls with major injury | 0.8% | 3.0% | Better |
| On antipsychotic medication | 10.8% | 14.5% | Better |
| Urinary tract infections | 0.2% | 2.5% | Better |
| ADL decline (daily activities) | 11.8% | 14.0% | Better |
| Excessive weight loss | 2.3% | 7.5% | Better |
| New/worsened incontinence | 14.0% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $14,765
How This Grade Was Calculated
This facility's grade of D is based on a score of 51 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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