The Woodlands Health and Rehab Center has a 5-star overall rating, with strong quality measures and a 4-star health inspection rating, but staffing is only 3 stars and reported nurse staffing is below the federal benchmark (3.39 vs. 4.1 hours per resident per day). It had $0 in fines in the last 24 months, though recent inspection issues were cited in infection control and resident admission/care planning.
Last inspection: April 13, 2023Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3905.
Staffing detail
Registered nurses
0.67
Licensed practical nurses
0.65
Nurse aides
2.07
Weekend nursing
3.01
Hours per resident per day.
Total staff turnover: 52%
Registered nurse turnover: 33%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
25.6%7.3%Improving
Residents with a fall causing major injury
2%6.2%Worsening
Residents with pressure ulcers (bedsores)
5.7%3.3%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%8.7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
9.3%10.3%Worsening
Residents whose ability to walk got worse
16.7%30.6%Worsening
Long-stay residents on antianxiety or sleep medication
26%21.7%Improving
Short-stay residents newly given an antipsychotic
2.3%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
20.2%33.8%Worsening
Residents with depressive symptoms
6.8%2.9%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—97.5%—
Short-stay residents given the pneumonia vaccine
100%81.1%Worsening
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited July 2021 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The nursing home failed to provide the doctor’s immediate care orders when the resident was admitted. Cited April 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 635 — 42 CFR §483.20 — S/S: D
The home failed to create and carry out a timely plan to meet a new resident’s most immediate needs after admission. Cited April 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 655 — 42 CFR §483.21 — S/S: D
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited April 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: D
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited April 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
Ownership
For profit - Partnership
Chain
Part of COMMONWEALTH CARE OF ROANOKE · 12 homes · 3.6 stars avg
Occupancy
55.1 residents on an average day (92% of 60 beds)
Resident voice
Resident council
Medicare history
Certified for 24 years
The most recent standard health inspection was more than two years ago.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.