Woodlands The

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

46.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 38 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 70.8% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 24 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.32 therapist hours per resident per day in 2026Q1 — more than 53% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 4% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 108 beds and averages 72.5 residents a day — about 67% occupied, or roughly 36 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.47 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.65 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.13 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.16 hrs/resident/day on weekends vs 3.59 on weekdays — 12% thinner on weekends. RN hours go from 0.71 to 0.50 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 44% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

29 citations, most serious first. The 10 most serious are shown; the remaining 19 are one tap away and print in full.

• Potential for harm · D2025-05-07 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to implement their facility abuse policy when a staff member failed to report a suspicion of abuse of a cognitively impaired resident, which delayed the initiation of the facility investigation and reporting to the appropriate agencies, for 1 of 3 residents reviewed for abuse. (Resident B, RN 3 and QMA 1) Findings include: Resident B's clinical record was reviewed on 5/6/25 at 10:00 a.m. Diagnoses included chronic obstructive pulmonary disease (COPD), chronic kidney disease-stage 4, type 2 diabetes, obstructive and reflux uropathy, and depression. The most recent significant change Minimum Data Set (MDS) assessment, dated 4/9/25, indicated the resident was severely cognitively impaired. During an interview on, 5/7/25 at 1:08 p.m., LPN 2 indicated, on 4/8/25, she was having difficulty administering medications to Resident B. The resident was combative and repeatedly refused medication. RN 3 arrived and was appraised of the situation. RN 3 indicated the resident had to take the mediation due to terminal restlessness. LPN 2 told…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-01 · tag F0561 — failed to honor residents' choices — isolated
  Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, the facility failed to allow residents to continue to gather around the nurses' station, as was their preference and common practice, for 4 of 4 residents reviewed for resident preferences. (Residents C, D, E, & F) Findings include: During an interview on 4/1/24 at 11:33 a.m., the Memory Care Activities Director indicated the Divisional Director of Clinical Services (DDCS) had insisted on moving furniture around and taking furniture away in the common areas of the secured unit. Specifically, a table that was in the dining room that was used during activities and meals by staff was removed. The residents enjoyed gathering around the nurses' station to talk with staff and each other. The DDCS indicated to staff they were to return the residents to their rooms following an activity or meals. On occasion, the residents had to be re-directed when they attempted to move a chair from the dining room or down the hall to the nurses' station area. The DDCS also removed tables and chairs from the activities room and the TV lounge. The TV…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-01 · tag F0603 — failed to not confine residents against their will — isolated
  Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to prevent a resident's involuntary seclusion by placing her in an activity room, alone and without explanation as to the reason for the deviation from her normal preferred activity and routine, for 1 of 1 residents reviewed for involuntary seclusion. (Resident B) Finding include: During an interview on 4/1/25 at 11:23 a.m., the Administrator indicated the Divisional Director of Clinical Services (DDCS) had been visiting the facility about once a month. She had been in the building Tuesday through Friday during the recent Annual Survey, which completed on 3/7/25. The facility's memory care unit was currently being focused on as a pilot unit for the corporation, so her main focus during her visits had been on the memory care unit. During an interview on 4/1/25 at 11:53 a.m., CNA 3 indicated Resident B enjoyed sitting outside the nurse's station. Resident B felt she was the Executive Director of the unit and liked to make sure things were running smoothly.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-03-07 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to ensure food was prepared and served using safe sanitary food preparation and handling methods. This deficient practice has the potential to impact 69 of 69 residents who received their meals from the kitchen. Findings include: During the lunch meal preparation and service on 3/6/25 from 11:48 a.m. to 12:10 p.m., the following concerns were observed: At 11:51 a.m.,Cook 6 touched the refrigerator door with her gloved hands. Using the same contaminated gloves, she removed two hot dogs from a plastic bag and placed them on plates to put them in the microwave. At 11:52 a.m., she used her same gloved hands to pull up her pants. She then removed her hotdogs from the microwave. At 11:53 a.m., she washed her hands and put on new clean gloves. She then went to the food service area where she began to serve food. Wearing the same gloves, she touched meal tickets, counter tops, trays, lids, end utensil handles. At 12:00 p.m., [NAME] 6 left the meal service area wearing her soiled gloves. She went into the dry storage area…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-03-07 · tag F0758 — failed to limit and justify psychotropic drugs — pattern
  Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure residents who received psychoactive medications had gradual dose reductions or statements of clinical contraindication and/or had identified and documented targeted behavioral systems for the use of psychotropic medications for 2 of 5 residents reviewed for unnecessary mediation (Residents 19 and 54) and 2 of 2 residents reviewed for side effect monitoring of psychoactive medications and/or opioids (Residents 32 and 48). Findings include: 1. Resident 19's clinical record was reviewed on 3/4/25 at 1:51 p.m. Current diagnoses included dementia, anxiety, and delusional disorder. Current medication orders included olanzapine 5 mg (antipsychotic medication) give 1 tablet daily at bedtime (11/20/24), alprazolam 0.25 mg (antianxiety medication) give 1 tablet preceding showers on every Wednesday and Saturday (12/12/24), and sertraline HCl 25 mg (antidepressant medication) 1 tablet once daily (9/20/24). A 1/6/25 pharmacy Consultant Report indicated to please consider discontinuing olanzapine. Rationale for…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-07 · tag F0568 — isolated
  Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to manage resident funds using acceptable accounting principles for 2 of 3 residents reviewed for personal funds. (Residents 34 and 27) Findings include: During a medication storage and labeling observation accompanied by LPN 14 on 3/6/25 at 9:49 a.m., in the Hickory medication room, small labeled and dated envelopes were on a storage shelf open with dollar bills in plain view. The envelopes were labeled November 2024 and October 2024, and included the names of Resident 34 and 27. During an observation of Hickory Medication Cart 1 accompanied LPN 15 on 3/6/25 at 10:04 a.m., hand-written money logs for Residents 34 and 27 were in the narcotic reconciliation book, dating back to December 2024. During an interview on 3/6/25 at 11:00 a.m., LPN 15 indicated the logs were kept for Residents 34 and 27, who were roommates, because they had a history of stealing each other's money when it was kept in their room. Resident 34's clinical record was reviewed on 3/6/25 at 11:15 a.m Diagnoses included unspecified dementia,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-07 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, the facility failed to ensure preventative interventions were implemented for 1 of 3 residents reviewed for pressure ulcers. (Resident 5) Finding includes: During an observation on 3/3/25 at 9:42 a.m., Resident 5 was seated in a wheelchair in her room. The resident indicated she had pain to her buttocks. The facility put cream on her buttocks, but she thought it needed more than that. This had been going on for the last couple of months. Staff used a mechanical lift when they assisted her in and out of bed. The resident's bed had a standard healthcare mattress. Resident 5's clinical record was reviewed on 3/4/25 at 3:49 p.m. Diagnoses included unilateral primary osteoarthritis of the right knee, difficulty in walking, unspecified lack of coordination, unsteadiness on feet, and pain. Current orders included an airflow mattress (1/10/23) and hydrocolloid dressing (wound treatment) (3/4/25) to the left guteal fold every three days and as needed for friction. An annual Minimum Data Set (MDS) assessment, dated 1/8/25, indicated the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-03-07 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, the facility failed to ensure insulin (a medication to treat diabetes mellitus) pens were dated when opened and disposed of when expired for 1 of 4 carts reviewed for medication storage. (Hickory Hall 2 cart) Finding includes: During a medication storage observation of the Hickory Hall 2 cart, accompanied by LPN 14 on [DATE] at 9:55 a.m., the following was observed: One undated NovoLog (aspart insulin) Flexpen with 10 units remaining and one lispro (insulin) KwikPen, dated [DATE], with 185 units remaining. During an interview, at the time of the observation, LPN 14 indicated insulin was good for 28 days and all insulin pens and vials should be dated when opened. The lispro insulin was expired and should not be given to the resident. LPN 14 indicated there were 9 diabetic residents who received medication from the Hickory Hall 2 medication cart. During an interview, on [DATE] at 2:21 p.m., the Director of Nursing (DON) indicated the expectation for staff was to date all insulin…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-07 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  A. Based on observation and interview, and record review, the facility failed to utilize infection prevention and control practices related to hand hygiene during medication administration for 2 of 3 random residents reviewed during medication administration. (Residents 26 and 6) B. Based on observation, interview, and record review, the facility failed to implement and follow enhanced barrier precautions (EBP) for a resident at higher risk for infection with a wound and indwelling urinary catheter for 1 of 3 residents reviewed for pressure ulcers. (Residents 22) Findings include: A. During a medication administration observation on 3/5/25 from 8:46 a.m. to 8:48 a.m., LPN 13 performed hand hygiene after she prepared Resident 26's medications and entered the resident's room. She administered one spray of saline nasal solution 0.65% in each of the resident's nostrils. Without performing hand hygiene, she cleansed the resident's left upper arm with an alcohol wipe using her right hand, and administered the resident's Humalog using her right hand. She removed the needle from the insulin…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-02-06 · tag F0801 — widespread
  Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to employ a qualified Food Services Director. This deficient practice had the potential to impact 70 of 70 facility residents. Finding includes: Review of the employee record form, completed by the facility following the entrance conference on 2/4/25, indicated the Food Services Director had been employed by the facility since 8/6/20. During an interview on 2/5/25 at 10:58 a.m., the Administrator indicated the Food Services Director had been enrolled in a dietary manager program, but failed to obtain the certification. The Food Services Director had since re-enrolled in the program. The Administrator believed the Food Service Director was ServSafe Management (a national certification for food service management) certified. The Food Services Director was not available during the survey from February 4 through February 6, 2025. During an interview on 2/6/25 at 12:08 p.m., the Assistant Dietary Manager indicated she was not ServSafe Management certified. The Registered Dietician came to the facility once a week on Thursdays.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to LIFE CARE CENTERS OF AMERICA — 194 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 30 rows in the source record cover these 19 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

3 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 76% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $6.6M paid to related parties — landlords or management companies under common ownership — equal to about 81% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IN