Woodland Manor Nursing And Rehabilitation Lp

99 Rigby Owen Rd
Conroe, TX 77304
Montgomery County
Phone: 936-756-1240
Provider Number: 675229
Last Inspection: 09/03/2015

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
146
Number of Residents
Number of
Residents
69
Number of Beds Available
Beds Available
77
Percent Occupancy
Percent Occupancy
47%
Accepts Insurance
Insurance Accepted
Medicare & Medicaid
Types of Councils
Types of Councils
Resident
Type of Ownership
Type of Ownership
For profit - Corporation
Within a Hospital?
Within Hospital?
NO

State Inspection Deficiencies About State Inspection Deficiencies

Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home. We suggest you use our Nursing Home Checklist to help evaluate the nursing homes you plan to visit.


Deficiency Ratings what is a deficiency rating?
By Region


  • Facility
  • County
  • TX
  • USA
  • 19
  • 19
  • 22
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2015
  • 2014
  • 2013
  • 19
  • 90
  • 57
Lower Numbers are Better

Details by Inspection Date

 

9/3/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 10/19/2015
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern : Minimal 4 10/19/2015
Failed To: Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Pattern : Minimal 4 10/31/2015
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Pattern : Minimal 4 10/19/2015
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 10/19/2015
 

10/9/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents a notice of rights, rules, services and charges. Pattern : Minimal 4 12/1/2014
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 12/1/2014
Failed To: Ensure the activities program is directed by a qualified professional. Pattern : Minimal 4 12/1/2014
Failed To: Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Pattern : Minimal 4 12/1/2014
Failed To: Completely assess the resident at least every twelve months. Isolated : Minimal 3 12/1/2014
Failed To: Assure that each resident’s assessment is updated at least once every 3 months. Isolated : Minimal 3 12/1/2014
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Pattern : Minimal 4 12/1/2014
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern : Minimal 4 12/1/2014
Failed To: Provide care by qualified persons according to each resident's written plan of care. Pattern : Minimal 4 12/1/2014
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 12/1/2014
Failed To: Ensure residents maintain acceptable nutritional status. Pattern : Minimal 4 12/1/2014
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Pattern : Minimal 4 12/1/2014
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern : Minimal 4 12/1/2014
Failed To: Dispose of garbage and refuse properly. Widespread : Minimal 5 12/1/2014
Failed To: Make sure that a doctor approves a resident's admission in writing and that each resident remains under the care of a doctor. Pattern : Minimal 4 12/1/2014
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern : Minimal 4 12/1/2014
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 12/1/2014
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Pattern : Minimal 4 12/1/2014
Failed To: Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. Isolated : Minimal 3 12/1/2014
Failed To: Quickly tell the resident's doctor the results of laboratory tests. Isolated : Minimal 3 12/1/2014
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Widespread : Minimal 5 12/1/2014
Failed To: Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Isolated : Minimal 3 12/1/2014
Failed To: Provide written records when a resident is transferred or discharged. Isolated : Minimal 3 12/1/2014
Failed To: Provide timely notification to the resident before transfer or discharge. Isolated : Minimal 3 12/1/2014
 

10/24/2013 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide proof that residents' personal money that is deposited with the nursing home is secure. Pattern : Minimal 4 11/23/2013
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 11/23/2013
Failed To: Make sure that special or therapeutic diets are ordered by the attending doctor. Isolated : Minimal 3 11/23/2013
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 11/23/2013
Failed To: Provide care by qualified persons according to each resident's written plan of care. Pattern : Minimal 4 11/23/2013
Failed To: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated : Minimal 3 11/23/2013
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern : Minimal 4 11/23/2013
Failed To: Ensure that residents are safe from serious medication errors. Pattern : Minimal 4 11/23/2013
Failed To: Use a registered nurse at least 8 hours a day, 7 days a week. Widespread : Minimal 5 11/23/2013
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern : Minimal 4 11/23/2013
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 11/23/2013
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 11/23/2013
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Isolated : Minimal 3 11/23/2013
Failed To: Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. Pattern : Minimal 4 11/23/2013
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 11/23/2013


 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

 

10/9/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 11/13/2015
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 11/13/2015
 

6/24/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Isolated : Minimal 3 7/13/2015
 

11/25/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 12/19/2014
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 12/19/2014
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Pattern : Minimal 4 12/19/2014
 

1/3/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Pattern : Minimal 4 1/24/2014
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 1/24/2014
 

9/11/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Pattern : Minimal 4 unknown
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Pattern : Minimal 4 unknown
 

5/29/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Isolated : Actual 4 7/25/2013
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 7/16/2013
 

5/16/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Protect each resident from mistreatment, neglect and misappropriation of personal property. Isolated : Minimal 3 unknown
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Widespread : Potential 4 unknown
 

4/18/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Have enough nurses to care for every resident in a way that maximizes the resident's well being. Isolated : Minimal 3 5/18/2013

 

About The Staff About the Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg TX State Avg
Number of Residents 69 97.67 76.40
Registered Nurses 0.66 0.48 0.60
Licensed Practical / Vocational Nurses 0.88 0.91 0.92
Certified Nursing Assistants 2.37 2.06 2.18
Total Staff Hours 3.91 3.46 3.70

About the Residents About the Staff

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% TX State Avg%
High Risk Long Stay Residents With Pressure Ulcers 5 5 6
Long Stay Residents Experiencing One or More Falls with Major Injury 5 2 3
Long Stay Residents Who Have Depressive Symptoms 10 6 6
Long Stay Residents Who Lose Too Much Weight 9 5 6
Long Stay Residents Who Received an Antipsychotic Medication 45 23 22
Long Stay Residents Who Self Report Moderate to Severe Pain 5 8 8
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 8 6 12
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 12 15 9
Long Stay Residents Who Were Physically Restrained 0 0 0
Long Stay Residents Whose Need for Help with ADLs has Increased 18 15 19
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 2 2 3
Long Stay Residents With a Urinary Tract Infection 5 6 5
Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 39 48 46
Short Stay Residents Who Newly Received an Antipsychotic Medication 8 1 3
Short Stay Residents Who Self Report Moderate to Severe Pain 21 15 16
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 32 19 28
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 63 24 28
Short Stay Residents With Pressure Ulcers That Are New or Worsened 2 0 1