Government - Hospital district · 214 certified beds · CMS number 455876

The Woodlands Nursing and Rehabilitation Center, The Woodlands, TX

CMS records 30 health deficiencies at The Woodlands Nursing and Rehabilitation Center in The Woodlands, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Dec 19, 2025. The highest severity cited is K (immediate jeopardy to resident health or safety). 1 citation was at the immediate jeopardy level. CMS lists 2 fines totaling $23,977 in the last three years.

Inspections and deficiencies

CMS findings for The Woodlands Nursing and Rehabilitation Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and The Woodlands Nursing and Rehabilitation Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (16 deficiencies)

Standard inspection Dec 19, 2025. CMS counts 16 health deficiencies and 8 fire safety deficiencies in this cycle.

Jun 4, 2026 · Complaint inspection

1 deficiency, highest D

F697 · Pain management

Requirement cited (CMS): Provide safe, appropriate pain management for a resident who requires such services.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 5, 2026

Apr 25, 2026 · Complaint inspection

1 deficiency, highest E

F584 · Safe, clean, homelike surroundings

Requirement cited (CMS): Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Apr 29, 2026

Apr 13, 2026 · Complaint inspection

4 deficiencies, highest G

F921 · Safe, functional, sanitary building

Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Apr 29, 2026

F684 · Quality of care

Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Severity
G Actual harm (not immediate jeopardy), isolated
Status
Correction date Apr 29, 2026

F580 · Telling residents and families about changes

Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Severity
G Actual harm (not immediate jeopardy), isolated
Status
Correction date Apr 29, 2026

F550 · Dignity and the right to exercise rights

Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Severity
G Actual harm (not immediate jeopardy), isolated
Status
Correction date Apr 29, 2026

Dec 19, 2025 · Standard inspection

9 deficiencies, highest E

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Dec 26, 2025

F842 · Complete, confidential medical records

Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 26, 2025

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Dec 26, 2025

F761 · Drug labeling and secure storage

Requirement cited (CMS): 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.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Dec 26, 2025

F695 · Respiratory and oxygen care

Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Dec 26, 2025

F690 · Bladder, bowel, and catheter care

Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 26, 2025

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 26, 2025

F641 · Accurate resident assessments

Requirement cited (CMS): Ensure each resident receives an accurate assessment.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 26, 2025

F550 · Dignity and the right to exercise rights

Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 26, 2025

Sep 4, 2025 · Complaint inspection

1 deficiency, highest D

F609 · Reporting suspected abuse and crimes

Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 6, 2025
Previous cycle: 8 deficiencies (standard inspection Aug 1, 2024)

Standard inspection Aug 1, 2024. CMS counts 8 health deficiencies and 3 fire safety deficiencies in this cycle.

Aug 19, 2025 · Complaint inspection

1 deficiency, highest D

F677 · Help with daily care

Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 20, 2025

Jun 17, 2025 · Complaint inspection

1 deficiency, highest K

F684 · Quality of care

Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Severity
K Immediate jeopardy to resident health or safety, pattern
Status
Correction date Jun 18, 2025

Jun 5, 2025 · Complaint inspection

1 deficiency, highest E

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jun 9, 2025

Apr 3, 2025 · Complaint inspection

1 deficiency, highest D

F755 · Pharmacy services and a consultant pharmacist

Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 7, 2025

Aug 1, 2024 · Standard + complaint inspection

4 deficiencies, highest F

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Aug 5, 2024

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Aug 5, 2024

F761 · Drug labeling and secure storage

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 5, 2024

F760 · No significant medication errors

Requirement cited (CMS): Ensure that residents are free from significant medication errors.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 5, 2024
Earlier cycle: 6 deficiencies (standard inspection May 18, 2023)

Standard inspection May 18, 2023. CMS counts 6 health deficiencies and 1 fire safety deficiency in this cycle.

May 18, 2023 · Standard inspection

6 deficiencies, highest F

F814 · Garbage disposal

Requirement cited (CMS): Dispose of garbage and refuse properly.

Severity
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date May 27, 2023

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date May 27, 2023

F760 · No significant medication errors

Requirement cited (CMS): Ensure that residents are free from significant medication errors.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 27, 2023

F759 · Medication error rate under 5 percent

Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date May 27, 2023

F755 · Pharmacy services and a consultant pharmacist

Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date May 27, 2023

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 27, 2023

Tags cited in more than one inspection

8 tags cited on more than one inspection date at The Woodlands Nursing and Rehabilitation Center; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F812 Food safety and sanitation3Dec 19, 2025; Aug 1, 2024; May 18, 2023
F880 Infection prevention and control program3Dec 19, 2025; Jun 5, 2025; Aug 1, 2024
F550 Dignity and the right to exercise rights2Apr 13, 2026; Dec 19, 2025
F656 Comprehensive person-centered care plan2Dec 19, 2025; May 18, 2023
F684 Quality of care2Apr 13, 2026; Jun 17, 2025
F755 Pharmacy services and a consultant pharmacist2Apr 3, 2025; May 18, 2023
F760 No significant medication errors2Aug 1, 2024; May 18, 2023
F761 Drug labeling and secure storage2Dec 19, 2025; Aug 1, 2024

Fines and payment denials

DateTypeAmount / length
Apr 13, 2026Fine$14,380
Jun 5, 2025Fine$9,597

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.45 h (above the Texas median of 3.27 h)
RN hours per resident per day
0.37 h (about the same as the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
3.20 h
Nursing staff turnover
49.6% (Texas median 52.1%)
Administrators who left
0
CMS overall rating
3 of 5
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measure rating
5 of 5

CMS figures for The Woodlands Nursing and Rehabilitation Center, copied as published; Texas medians are ours.

Facility details

Address
4650 S Panther Creek Dr, The Woodlands, TX 77381
Phone
(281) 363-3535
County
Montgomery
Accepts
Medicare and Medicaid
Ownership
Government - Hospital district
Chain (CMS)
Wellsential Health
Certified beds
214
Average residents per day
159
In Medicare/Medicaid since
Apr 23, 1990
Inside a hospital
No
Continuing care retirement community
No
Resident and family council
Resident
Sprinklers in all required areas
Yes

Questions to ask on a visit

Based on the tags cited most often here.

  • When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 3 times)
  • How do staff track and report infections among residents? (F880, cited 3 times)
  • How do staff learn about and respect each resident's personal routines and choices? (F550, cited 2 times)
  • How are a resident's goals and preferences written into the care plan? (F656, cited 2 times)

Other nursing homes in The Woodlands and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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