Woodlands Rehabilitation and Healthcare Center

    102 Woodchase Park Dr, Clinton, MS 39056
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Clean odor-free facility, compassionate staff

    I'm glad we chose Woodlands - the facility is clean, odor-free, welcoming, and comfortable. The staff were professional, compassionate, and responsive (special thanks to Adrienne Moore, Tammy Reed, Laquita Clark, Adam, Roberta Jones and Maria); nursing, PT and OT provided excellent rehab and personalized care. Overall I was very pleased with the respectful safety measures and family-feel service and would recommend Woodlands for rehab or long-term care.

    Loved one of resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.99·(147)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.9
    • Staff

      3.9
    • Meals

      2.6
    • Amenities

      3.0
    • Value

      1.5

    Pros

    • Strong physical and occupational therapy services
    • Compassionate and attentive direct-care staff
    • Friendly and helpful front-desk and administrative team
    • Clean, well-maintained common areas and rooms
    • Accessible therapy gym and rehabilitation equipment
    • Efficient rehabilitation coordination and discharge assistance
    • Supportive social-services assistance
    • Skilled individual clinicians in wound care and nursing
    • Prompt clinical medication adjustments by advanced practitioners
    • Comfortable semi-private rooms with natural light
    • Available activities and engagement options
    • Helpful admissions and paperwork support

    Cons

    • Inconsistent staffing levels and high staff turnover
    • Delays in responding to call lights and medication administration
    • Gaps in clinical documentation and family communication
    • Weak safety and supervision practices for residents with cognitive impairment
    • Inconsistent wound-care and infection-control practices
    • Security and personal-property controls deficiencies
    • Variable staff conduct and professionalism
    • Inconsistent meal quality and portioning practices
    • Housekeeping and laundry service inconsistencies
    • Front-desk and telephone communication inefficiencies

    Summary of reviews

    Reviews of Woodlands Rehabilitation and Healthcare Center present a polarized picture: many accounts praise the facility’s rehabilitation capabilities and individual caregivers, while other accounts raise substantive operational and safety concerns. Physical and occupational therapy services receive consistent positive remarks for helping patients regain function; reviewers frequently cited an accessible therapy gym, effective therapy staff, and good discharge coordination. Several families and patients also singled out specific clinicians and administrative staff for helpfulness, assistance with paperwork, and responsiveness to clinical questions.

    Care quality and clinical practice show wide variability across accounts. Positive reports describe compassionate, attentive nursing and CNAs and timely clinical adjustments by advanced practitioners. Conversely, other reviews describe delays in call-light responses and medication timing, inconsistent wound care, and concerns about supervision of residents with dementia or mobility limitations. There are also serious individual allegations, including concerns following a resident’s death and an allegation of improper restraint linked to a cardiac event; these items underscore the need for careful review of clinical-incident handling and documentation.

    Staffing and staff conduct emerge as recurrent themes. Many reviewers praised friendly front-desk and administrative personnel and named CNAs and nurses who provided exceptional care. At the same time, there are repeated complaints about inconsistent staffing levels, high turnover, rude or unprofessional interactions, and instances where night coverage or CNAs did not respond promptly. These patterns suggest uneven training, supervision, and staffing stability that affect resident experience and perceived safety.

    Dining, housekeeping, and facility upkeep are similarly mixed. Common areas and hallways are often described as clean and odor-free, and individual rooms are sometimes praised for comfort and natural light. However, multiple accounts note inconsistent meal quality, under-portioned or poorly prepared meals, and delays in meal service. Housekeeping and laundry services have occasional backlogs or inconsistencies, and a few reviews mention odor concerns or maintenance issues such as broken blinds.

    Safety, security, and property controls are notable areas of concern. Reviews reference missing personal items and perceived security gaps, leading to suggestions for improved lockable storage and property safeguards. A small number of reviews also raise concerns about suspected impaired staff behavior and serious clinical incidents; these warrant investigation by facility leadership and oversight bodies to assess policy adherence and staff monitoring.

    Management and communication responses are variable. Several families praised administrative assistance with admissions and placement and named social-services staff who were helpful. Other reviewers found management unresponsive when addressing clinical incidents, documentation requests, and family communications. Recurrent mentions of inconsistent charting and difficulty obtaining records point to opportunities to strengthen documentation practices and family-facing communication protocols.

    Overall, Woodlands appears to offer strong rehabilitation resources and has individual staff members who deliver high-quality, compassionate care. At the same time, recurring operational weaknesses — most notably inconsistent staffing, variable clinical responsiveness, gaps in wound-care and infection-control practices, and security/documentation issues — produce markedly different experiences for different residents. Prospective residents and families should weigh the facility’s rehabilitation strengths against these operational concerns, ask specific questions about staffing ratios, incident protocols, wound-care processes, property-security measures, and documentation access, and consider visiting during different shifts to gauge consistency before making placement decisions.

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    Medicare Ratings

    2·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Woodlands Rehabilitation and Healthcare Center

    Woodlands Rehabilitation and Healthcare Center is located at 102 Woodchase Park Dr, Clinton, MS, 39056.

    About Woodlands Rehabilitation and Healthcare Center

    Woodlands Rehabilitation and Healthcare Center, also known as Nexion Woodlands Rehab and Healthcare, sits over on 102 Woodchase Park Dr in Clinton, Mississippi, operated by Nexion Health, and offers a mix of skilled nursing, long-term care, assisted living, and specialized Alzheimer's/memory care programs all under one roof, so people with different care needs can feel safe and supported in one place instead of having to move around, and the center's got beds for up to 145 residents, with room types including studios and semi-private or share/companion rooms, and you'll find that the atmosphere is meant to be warm and inviting, with comfortable living spaces and access to outdoor areas which helps folks feel more at home, and it's a place where pets are allowed too, which a lot of folks appreciate since it makes things feel friendlier and less lonely.

    You'll find the team's made up of nursing, therapy, and interdisciplinary care professionals, and they work round-the-clock to provide skilled nursing care, handle medication, and assist with activities of daily living like bathing, dressing, or eating, plus they've got specialists who focus on dementia and Alzheimer's care and create tailored wellness and care plans based on each resident's needs, and the care staff also manage wound care for folks with chronic or complex wounds. There's a strong focus on rehabilitation too, with therapy services like physical, occupational, and speech therapy on site-including special swallowing assessments with the Modified Barium Swallow Study to help those who need it eat and drink safely-and for anyone needing a short stay, say after surgery or an illness, the center also offers short-term rehab with the help of telemedicine for remote consultations and quick care decisions, and they're able to admit new residents at any hour of the day or night.

    Woodlands has a range of community activities and programs to help keep residents engaged, and you'll find the place strives to create a supportive, compassionate environment where people can feel comfortable and maintain their dignity, and being the second-highest rated community out of four in Clinton with an average score of 8.6 out of 10 shows many folks feel positively about their care, and being federally approved for Medicare and Medicaid helps residents stay without extra worries about payment, and the skilled nursing home care level, with 24-hour nurse staffing and physician oversight, meets the needs of folks looking for both ongoing support and specialized programs in a Fair Housing & Equal Opportunity Provider facility.

    People often ask...

    Woodlands Rehabilitation and Healthcare Center offers assisted living, memory care, and skilled nursing.

    There are 26 photos of Woodlands Rehabilitation and Healthcare Center on Mirador.

    The full address for this community is 102 Woodchase Park Dr, Clinton, MS 39056.

    No, Woodlands Rehabilitation and Healthcare Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Mississippi, the State Department of Health licenses care facilities and publishes the survey, complaint, and infection-control reports from its inspections.

    License numbernh-255148
    Facility typeNursing Home
    Special certificationMedicaid/Medicare – Dually certified

    Inspection Reports

    111

    Reports

    2

    Type A Citations

    1

    Type B Citations

    73

    Complaints

    8

    Years

    01 Jun 2026Revisit
    Determined the facility was back in compliance with minimum standards after a desk review of a complaint, following the prior survey findings.
    01 Jun 2026Revisit
    Verified that corrective actions were implemented to address the deficiency and sustain compliance. The agency recommended restoring compliance effective 2026-05-29.
    01 Apr 2026Complaint
    Investigated complaints found violations of residents' rights and care practices, including privacy during care, call-light placement, and incontinent care procedures.
    • 45.17.2Residents' Rights
    • 45.21.4Urinary incontinence
    01 Apr 2026Complaint
    Investigated a complaint and found violations related to resident rights, privacy during care, call light accessibility, and incontinence care.
    • 42 CFR 483.10(a)(1)(2)(b)(1)(2); 42 CFR 483.10(b)(1)-(2)Resident Rights/Exercise of Rights
    • 42 CFR 483.10(e)(3)Reasonable Accommodations Needs/Preferences
    • 42 CFR 483.25(e)Bowel/Bladder Incontinence, Catheter, UTI
    01 Mar 2026Complaint
    Investigated a complaint about a resident waiting four hours for nurse care and found no violations cited.
    01 Mar 2026Complaint
    Investigated a complaint alleging a resident waited four hours for nurse care and found no deficiencies.
    01 Nov 2025Complaint
    Investigated a complaint about accommodation of needs and found no deficiencies.
    01 Nov 2025Complaint
    Investigated a complaint about accommodation of needs and found no deficiencies.
    01 Sept 2025Complaint
    Confirmed compliance after a follow-up visit; no deficiencies cited.
    01 Sept 2025Complaint
    Investigated misappropriation and abuse/neglect complaints; found no deficiencies cited in this review, but remained out of compliance due to deficiencies cited on a prior survey.
    01 Sept 2025Complaint
    Verified compliance with Medicare and Medicaid participation after a follow-up visit; placed back in compliance.
    01 Sept 2025Complaint
    Investigated complaints related to misappropriation and abuse; found no deficiencies during this survey. Remained out of compliance due to deficiencies cited in an earlier survey.
    01 Aug 2025Inspection
    Investigated; found failures in informing residents about advance directives, supervising bathing to prevent accidents, proper medication labeling/storage, and infection control practices.
    • M0500 - Residents' RightsResidents' Rights
    • M0640 - AccidentsAccidents
    • M0715 - Labeling of drugsLabeling of drugs
    • M1570 - Infection ControlInfection Control
    01 Aug 2025Complaint
    Investigated multiple resident care and safety issues, including advance directives, care planning, fall and infection prevention, dialysis transport, medication management, and recordkeeping, resulting in several deficiencies identified.
    • §483.10(c)(6); §483.10(c)(8); §483.10(g)(12)Advance directives information/Resident rights
    • §483.21(b)(1); §483.21(b)(3)Develop/Implement Comprehensive Care Plan
    • §483.25(d)(1); §483.25(d)(2)Free of Accident Hazards/Supervision/Devices
    • §483.25(l)Dialysis
    • §483.45(f)Free of Medication Error Rates
    • §483.45(g); §483.45(h)(1)-(2)Labeling/Storage of Drugs and Biologicals
    • §483.20(f)(5); §483.70(h)(1)-(5)Resident Records - Identifiable Information
    • §483.75(c); §483.75(d); §483.75(e); §483.75(g)QAPI/QAA Improvement Activities
    • §483.80(a)(1); §483.80(a)(2); §483.80(a)(4); §483.80(e); §483.80(f)Infection Prevention & Control
    01 Aug 2025Complaint
    Investigated identified multiple deficiencies: residents were not informed about advance directives or offered assistance to form one; an individual’s bathing care lacked needed supervision; a medication was left unsecured; and infection control practices, including hand hygiene and enhanced barrier precautions, were not consistently followed.
    • General Residents' Rights (Mississippi licensure regulation)Residents' Rights
    • 45.21.8Accidents
    • Labeling of drugs (Mississippi Board of Pharmacy)Labeling of drugs
    • 48.58.1Infection Control
    01 Aug 2025Inspection
    Identified multiple deficiencies across resident rights, care planning, safety, transportation for dialysis, medication management, infection control, and medical records.
    • CFR §483.10(c)(6)-(8), §483.10(g)(12)Advance directives rights and information
    • CFR §483.21(b)(1)-(3)Develop/Implement Comprehensive Care Plan
    • CFR §483.25(d)(1)-(2)Free of Accident Hazards/Supervision/Devices - Accidents
    • CFR §483.25(l)Dialysis
    • CFR §483.45(f)Free of Medication Error Rates 5 Percent or More
    • CFR §483.45(g)-(h), §483.70(h)Label/Store Drugs and Biologicals
    • CFR §483.20(f)(5), §483.70(h)(1)-(5)Resident Records - Identifiable Information
    • CFR §483.75Quality Assurance and Performance Improvement (QAPI)
    • CFR §483.80(a)-(f)Infection Prevention & Control
    01 Aug 2025Inspection
    Found no deficiencies. Emergency preparedness requirements were met.
    01 Mar 2025Complaint
    Investigated elopement incident; found inadequate supervision allowed a vulnerable resident to leave the premises unsupervised, but corrective actions were implemented and compliance with standards documented.
    • 45.21.8Accidents
    01 Mar 2025Complaint
    Investigated a resident elopement and found inadequate supervision, resulting in the resident leaving the premises unsupervised with initial jeopardy, later resolved after corrective actions.
    • 42 CFR 483.25(d)(1)(2)Free of Accident Hazards/Supervision/Devices
    01 Feb 2025Complaint
    Investigated a case of staff-initiated physical and emotional abuse toward a resident and found a violation of residents' rights.
    • 45.17.2Residents' Rights
    01 Feb 2025Complaint
    Investigated an abuse incident and a delay in reporting; found violations of abuse prevention and mandated reporting requirements.
    • Type A42 CFR 483.12Freedom from Abuse, Neglect, and Exploitation
    • c42 CFR 483.12Reporting of Alleged Violations
    01 Oct 2024Revisit
    Concluded that the facility was back in compliance after reviewing the complaint information. No deficiencies were cited.
    01 Oct 2024Revisit
    Concluded that compliance was restored. The agency recommended placing the provider back in compliance.
    01 Sept 2024Complaint
    Investigated a complaint and found deficiencies in daily living activities, equipment maintenance, and resident room environments.
    • 45.21.2Activities of daily living
    • 45.31.9Equipment and Utensil Construction
    • 45.35.3Resident Bedrooms
    01 Sept 2024Complaint
    Investigations found deficiencies in maintaining a safe, clean, and homelike environment, implementing care plans, providing timely incontinence care, and ensuring equipment was safe to use.
    • CFR 483.10(i)Safe/Clean/Comfortable/Homelike Environment
    • CFR 483.21(b)(3)Develop/Implement Comprehensive Care Plan
    • CFR 483.24(a)(2)ADL Care Provided for Dependent Residents
    • CFR 483.90(d)(2)Essential Equipment, Safe Operating Condition
    01 Jun 2024Complaint
    Investigation found failures to notify the physician about severe pain and to provide timely pain medication for a resident after admission.
    • 483.10(g)(14) (Notification of Changes); 483.10(g)(15) (Admission to a composite distinct part).Notify of Changes
    • 483.25(k)Pain Management
    01 Jun 2024Revisit
    Verified compliance after a follow-up visit; adherence to Medicare/Medicaid participation requirements was confirmed.
    01 Jun 2024Revisit
    Determined that corrective actions placed the facility back in compliance with the applicable standards, but deficiencies from a prior survey remained.
    01 Jun 2024Complaint
    Investigated a complaint alleging quality-of-care concerns related to a resident left wet for extended periods and neglect, and found no deficiencies.
    01 Jun 2024Revisit
    Verified compliance was achieved as of 06/19/2024. However, it remained out of compliance due to deficiencies cited on 06/06/2024 survey.
    01 Jun 2024Revisit
    Confirmed compliance with Medicare/Medicaid participation after a follow-up review. Compliance was restored.
    01 Apr 2024Complaint
    Determined noncompliance with state licensure standards during the recertification review and a deficiency was cited.
    • Minimum Standards for Institutions for the Aged or Infirm (state licensure requirement)
    01 Apr 2024Inspection
    Identified an infection control lapse in transporting soiled laundry, potentially spreading infection. The finding was documented as a Level II deficiency.
    • 48.58.1Infection Control
    01 Apr 2024Inspection
    Investigated multiple deficiencies in resident assessments, PASARR coordination, care planning, medication administration, infection control, and handling of soiled laundry.
    • CFR 483.20(g)Accuracy of Assessments
    • CFR 483.20(e)(1)-(2)Coordination of PASARR and Assessments
    • CFR 483.21(b)(2)Care Plan Timing and Revision
    • CFR 483.45(f)(1)Medication Errors
    • CFR 483.80(a)-(f)Infection Prevention & Control
    01 Apr 2024Complaint
    Investigated care plan updates and AV shunt dressing management; found failures to update care plans timely and to follow dialysis aftercare orders.
    • 42 CFR 483.21(b)(2)Care Plan Timing and Revision
    • 42 CFR 483.25(l)Dialysis
    01 Apr 2024Inspection
    Found no deficiencies related to emergency preparedness following the survey.
    01 Apr 2024Inspection
    Found no deficiencies. The survey concluded compliance with applicable life safety code requirements.
    01 Mar 2024Complaint
    Investigated the wrongful discharge allegation and found no deficiencies.
    01 Mar 2024Complaint
    Found no deficiencies related to the wrongful discharge allegation.
    01 Mar 2024Complaint
    Investigated a complaint alleging failure to take a resident to scheduled therapy appointments and honor resident choices; found no deficiencies.
    01 Mar 2024Complaint
    Investigated a complaint about failing to take a resident to scheduled therapy appointments and honoring resident choices; found no deficiencies.
    01 Dec 2023Complaint
    Investigated three complaints and found no deficiencies cited.
    01 Dec 2023Complaint
    Concluded that the establishment was in compliance with the standards and no deficiencies were cited.
    01 Aug 2023Revisit
    Determined no deficiencies were cited after reviewing information related to a complaint, and placed back in compliance.
    01 Aug 2023Revisit
    Determined substantial compliance with Medicare/Medicaid participation requirements; no deficiencies cited.
    01 Jun 2023Complaint
    Found that a resident with limited range of motion did not receive prescribed restorative care to maintain ROM, including the resting hand splints not being applied as ordered.
    • 45.21.5Range of motion
    01 Jun 2023Complaint
    Investigated complaints found failures to implement a comprehensive, resident-centered care plan and to maintain mobility for a resident with limited range of motion.
    • 483.21(b)(1)-(3)Comprehensive Care Plans
    • 483.25(c)(1)-(3)Mobility
    01 May 2023Complaint
    Investigated a complaint and found no deficiencies.
    01 May 2023Complaint
    Investigated a complaint and found no deficiencies.
    01 Sept 2022Complaint
    Investigated a complaint and did not substantiate the discharge and notification allegation. Found no deficiencies in this investigation, but noted ongoing noncompliance from the 7/14/2022 survey.
    01 Sept 2022Revisit
    Concluded that the facility was back in compliance after review.
    01 Sept 2022Revisit
    Concluded that the facility was in compliance with the minimum standards after review; recommended placing back in compliance effective 08/15/22.
    01 Sept 2022Revisit
    Recommended placing back in compliance after a desk review.
    01 Sept 2022Revisit
    Found no deficiencies cited in the emergency preparedness review.
    01 Sept 2022Revisit
    Verified compliance and recommended restoring compliance after a follow-up visit.
    01 Sept 2022Complaint
    Investigated a complaint and found it not substantiated with no deficiencies cited in this investigation; however, ongoing Medicare/Medicaid participation noncompliance remained due to deficiencies cited on a prior survey conducted on 7/14/2022.
    01 Sept 2022Revisit
    Concluded that the provider was placed back in compliance with participation requirements after corrective actions.
    01 Sept 2022Revisit
    Concluded that the provider should be placed back in compliance following a desk review. No deficiencies were identified in this document.
    01 Sept 2022Revisit
    Determined the provider was back in compliance after a desk review of information related to a prior survey; no deficiencies were cited.
    01 Jul 2022Inspection
    Found that a complete manual fire alarm system was not maintained.
    • NFPA 101, Life Safety Code 9.6; NFPA 72, Fire Alarm Code Chapter 10Date of Construction & Life Safety Code Compliance
    01 Jul 2022Complaint
    Investigated an abuse allegation; found failures to report to authorities within required timeframes and to conduct a thorough investigation.
    • CFR 483.12(c)(1)-(4)Reporting of Alleged Violations
    • CFR 483.12(c)(2)-(4)Investigate/Prevent/Correct Alleged Violations
    01 Jul 2022Inspection
    Identified deficiencies in fire safety and electrical testing, including an inoperative fire alarm notification device, incomplete alarm system status, missing fire drill documentation, and incomplete generator testing records.
    • 42 CFR 483.70(a); NFPA 101; NFPA 72; NFPA 70Fire Alarm System - Installation
    • NFPA 101 9.6.3.4; 19.3.4.3.1; 19.3.4.3.2; 9.6.4; 9.7.1.1(1)Fire Alarm - Notification
    • NFPA 101 19.7.1.6; 19.7.1.7; 19.7.1.4-19.7.1.7Fire Drills
    • NFPA 99 6.4.4; 6.5.4; 6.6.4; NFPA 110; NFPA 111; NFPA 70 700.10Electrical Systems - Essential Electric System
    01 Jul 2022Inspection
    Identified deficiencies in discharge status coding, topical medication administration, and food safety practices during the survey.
    • CFR 483.20(g)Accuracy of Assessments
    • CFR 483.21(b)(3)(i)Services Provided Meet Professional Standards
    • CFR 483.60(i)Food Procurement,Store/Prepare/Serve-Sanitary
    01 Jul 2022Inspection
    Identified unsafe food handling due to expired and unlabeled items in dry storage and freezer during kitchen observations.
    • 45.29.1 Safe Food Handling ProceduresSafe Food Handling Procedures
    01 Jun 2022Complaint
    Concluded the facility was in compliance with regulatory requirements after a complaint investigation.
    01 Jun 2022Complaint
    Found no deficiencies identified following complaint investigations.
    01 May 2022Complaint
    Investigated a complaint and found no evidence to support the stated allegations of resident grooming, falls, rights, dietary, nursing, or medications issues; nevertheless, noncompliance with Medicare/Medicaid participation remained due to deficiencies cited on 03/03/2022.
    01 May 2022Complaint
    Investigated a complaint and found no support for the allegations about grooming, falls, resident rights, dietary services, nursing services, and medications; however, deficiencies from an earlier survey left the operation out of compliance.
    01 May 2022Complaint
    Found deficiencies cited on the 3/3/2022 survey; the discharge allegation was unsubstantiated.
    01 May 2022Complaint
    Investigated a complaint about resident discharge; found no substantiation for that allegation, but noted ongoing deficiencies from a prior survey.
    01 Apr 2022Complaint
    Investigated the complaint and found no substantiated abuse; however, compliance with licensure standards remained out of compliance due to previously cited deficiencies.
    01 Apr 2022Complaint
    Investigated a complaint of abuse; found no evidence to support the allegation; nonetheless, prior deficiencies left participation out of compliance.
    01 Mar 2022Complaint
    Investigated complaints identified mismanagement of resident funds, misappropriation of funds, infection control weaknesses, and improper wound care hand hygiene.
    • CFR 483.10(f)(10)(iii)Accounting and Records
    • CFR 483.12Free from Misappropriation/Exploitation
    • CFR 483.80Infection Prevention & Control
    01 Mar 2022Complaint
    Investigated found misappropriation of resident funds and inadequate infection control practices during wound care, with multiple deficiencies identified.
    • 45.17.2Residents' Rights
    • 45.21.3Pressure sores
    01 Mar 2022Complaint
    Investigated a complaint. Found no substantiation for substandard quality of care or neglect, but noted ongoing noncompliance from deficiencies cited earlier.
    01 Mar 2022Complaint
    Investigated a complaint; found no deficiencies identified in this review. Prior deficiencies cited on 03/03/2022 left participation in Medicare and Medicaid programs out of compliance.
    01 Jul 2021Complaint
    Investigated a complaint alleging resident negligence; concluded no deficiencies were found.
    01 Jun 2021Complaint
    Investigated six complaints and found no deficiencies.
    01 Jun 2021Complaint
    Concluded compliance with the applicable standards; no deficiencies were cited.
    01 Mar 2021Revisit
    Found no deficiencies and determined substantial compliance as of 2021-02-28.
    01 Mar 2021Revisit
    Found no deficiencies. Substantial compliance was confirmed after a desk review, with status as of 2021-02-28.
    01 Mar 2021Revisit
    Concluded substantial compliance. Found no deficiencies.
    01 Mar 2021Revisit
    Determined substantial compliance after a desk review.
    01 Mar 2021Revisit
    Determined substantial compliance after a desk review conducted in March 2021.
    01 Mar 2021Revisit
    Determined substantial compliance as of 2021-02-28 after a desk review conducted on 2021-03-11.
    01 Feb 2021Complaint
    Identified lapses in infection control related to lift sling reprocessing, risking cross-contamination between residents.
    • CFR 483.80(a)(1)(2)(4)(e)(f)Infection control, prevent spread, linens
    01 Jan 2021Infection Control
    Investigated CNA documentation gaps for bed mobility and turning/repositioning across four residents and found incomplete medical records and no policy for record maintenance.
    • 42 CFR §483.70(i)Medical Records
    01 Jan 2021Complaint
    Found that bed mobility and turning documentation for four residents was not consistently maintained, indicating medical records were not accurately documented.
    • Type B§483.20(f)(5); §483.70(i)(1)-(5)Resident Records - Identifiable Information
    01 Jan 2021Infection Control
    Investigated for medical records management; found missing and incomplete documentation for bed mobility and turning/repositioning across multiple residents, indicating failures to maintain accurate medical records.
    • Type A45.25.1Medical Records Management
    01 Jan 2021Complaint
    Found deficiencies in medical records management due to missing documentation of bed mobility and turning/repositioning for four residents.
    • 45.25.1Medical Records Management
    01 Jan 2021Infection Control
    Found no deficiencies during a COVID-19 focused emergency preparedness survey.
    01 Jan 2021Complaint
    Investigated a focused COVID-19 emergency preparedness survey and found compliance with the applicable federal requirement.
    01 Dec 2020Infection Control
    Found no deficiencies related to infection control; COVID-19 precautions recommended by CMS and CDC were in place.
    01 Dec 2020Infection Control
    Confirmed no deficiencies were found related to emergency preparedness during a COVID-19 focused survey.
    01 Dec 2020Infection Control
    Found in compliance with emergency preparedness requirements during a COVID-19 focused survey.
    01 Dec 2020Infection Control
    Verified compliance with infection control requirements during a focused COVID-19 survey.
    01 Dec 2020Infection Control
    Found no deficiencies; infection control measures complied with CMS and CDC guidance.
    01 Nov 2020Infection Control
    Verified no deficiencies were identified related to infection control during the focus survey.
    01 Nov 2020Infection Control
    Found no deficiencies related to emergency preparedness during a COVID-19 focused survey.
    01 Sept 2020Complaint
    Determined the complaint was unsubstantiated and no deficiencies were cited.
    01 Aug 2020Infection Control
    Found no deficiencies. The focused infection control review confirmed compliance with infection control regulations and CDC/CMS recommendations.
    01 Aug 2020Infection Control
    Verified compliance with COVID-19 infection control requirements. No deficiencies were identified.
    01 Jul 2020Complaint
    Found no deficiencies. Determined compliance with Medicare and Medicaid participation.
    01 Jun 2020Infection Control
    Found no deficiencies related to infection control during the COVID-19 focused assessment.
    01 Jun 2020Infection Control
    Found no deficiencies. Confirmed compliance with infection control requirements during a Covid-19 focused review.
    01 Mar 2020Complaint
    Concluded no deficiencies were found and confirmed compliance with Medicare and Medicaid requirements.
    01 May 2019Complaint
    Investigated a complaint alleging concerns and found no deficiencies.
    01 Apr 2019Inspection
    An inspection identified multiple deficiencies related to resident rights, care planning, transfers, and activity and diet administration, indicating numerous failures to meet required standards.
    • CFR 483.10(f) and 483.10(f)(1)-(3)(8)Self-Determination
    • CFR 483.10(g)(14)-(15)Notify of Changes (Injury/Decline/Room, etc.)
    • S483.15(c)(3)-(8)Notice Requirements Before Transfer/Discharge
    • S483.15(c)(3)-(8)Notice Requirements Before Transfer/Discharge
    • CFR 483.21(a)(1)-(3)Baseline Care Plans
    • CFR 483.21(b)(1)-(4)Develop/Implement Comprehensive Care Plan
    • CFR 483.21(b)(2)(i)-(iii)Care Plan Timing and Revision
    • CFR 483.24(a)(2)ADL Care Provided for Dependent Residents
    • CFR 483.24(c)(1)Activities Meet Interests/Needs
    • CFR 483.25(c)(1)-(3)Increase/Prevent Decrease in ROM/Mobility
    • CFR 483.60(d)(4)-(5)Resident Allergies, Preferences, Substitutes
    01 Apr 2019Inspection
    Investigated a complaint and found deficiencies in residents' rights, daily living activities, and recreational programs. Specifically, a resident did not receive a preferred shower, nails were not cared for in a timely manner, a knee splint was not applied as ordered, and activities were not adequately provided or documented.
    • M500.45.17.2Residents' Rights
    • M610.45.21.2Activities of Daily Living
    • M625.45.21.5Range of Motion
    • M780.45.27.2Activity Program
    01 Apr 2019Complaint
    Investigated the complaint and found no deficiencies.
    01 May 2018Complaint
    Found no deficiencies.

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    Mirador Living is not affiliated with the owner or operator(s) of Woodlands Rehabilitation and Healthcare Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact Woodlands Rehabilitation and Healthcare Center directly. There is no cost for this service. We are compensated by the community you select.

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